Development of a Novel Scoring System for Comprehensive Covid-19 Patient Evaluation: An Evidence-Based Systematic Review Publisher



Karimi A¹ ; Ghanaie RM¹ ; Masjedi MR² ; Fahimzad SA¹ ; Tabatabaei SR¹ ; Armin S¹ ; Fallah F¹ ; Tayeri K³ ; Abdolbaghi MH⁴ ; Shirvani A⁵ ; Bidari A⁶ ; Mokhtari M⁷ ; Sarmadi M⁸ ; Rajabnejad M¹ Show Affiliations
Source: Archives of Pediatric Infectious Diseases Published:2021

Abstract

Context: In the era of the SARS-CoV-2 virus pandemic, new scoring systems need to be developed to estimate the risk of COVID19 complications aiding in the accurate prognosis. Improved scoring systems by combining multiple variables allow clinicians to optimize the allocation of limited medical resources for the best clinical outcomes. Methods: Published articles were selected that assessed the relationship between clinical, para-clinical, demographics, comorbidities, and outcomes of COVID-19 patients in a systematic review to develop a novel scoring system. Results: In this study, by summarizing the results of 97 studies and the experiences of experts, prognostic factors were determined and divided into four groups: Age, clinical symptoms, co-morbidities, and tests. Twenty-three published articles met the selection criteria and were included in this study. Accordingly, by the opinion of experts, prognostic factors were categorized into four main groups: Age, clinical symptoms, co-morbidities, and specific test results. Conclusions: This novel scoring model helps physicians to early identify critical COVID-19 patients and optimize patient management based on recent comprehensive data of the most significant predictive factors. © 2020, Author(s).