Accepted for/Published in: JMIR Human Factors
Date Submitted: Oct 7, 2021
Open Peer Review Period: Oct 7, 2021 - Dec 2, 2021
Date Accepted: Feb 13, 2022
Date Submitted to PubMed: Feb 15, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Application of self-assessment triage tool in COVID-19 pandemic
ABSTRACT
Background:
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Objective:
COVID-19 pandemic has sped up the implementation of telehealth solutions in medicine. This paper demonstrates our experiences with the COVID-19 Risk Assessment Tool. We tried to determine who is the user of the web-based COVID-19 triage application and compare this group with the patients of the infectious diseases ward’s admission room to evaluate who could benefit from implementing the COVID-19 online symptom checker as a remote triage solution.
Methods:
We have analyzed the answers of more than 650 000 people interacting with an online WHO-based triage tool for assessing the probability of SARS-CoV-2 infection. Based on the presented symptoms, risk factors, and demographics, the tool has assessed if the user’s answers are suggestive of COVID-19 and recommended appropriate action. Subsequently, we have compared “patient profiles” of tool users with patients admitting to the Infectious Diseases Admission Room.
Results:
COVID-19 Risk Assessment tool tended to be used by asymptomatic or oligosymptomatic individuals, which constituted 70.58% of all users. The majority of users were young (67.30% were below 40 years of age) and without significant comorbidities. On the contrary, most admission room patients were symptomatic - symptoms like fever, cough and dyspnea were prevalent in both covid positive and negative patients. COVID-suspected patients in the self-assessment tool presented similar COVID-19 symptoms as those who presented to the admission room. These were: cough (66.51% in self-assessment tool, 59.48% in the admission room, P=.03), fever (57.79% in the self-assessment tool, 62,93% in the admission room, P=.13), and shortness of breath (8.73% in the self-assessment tool vs. 37.50% in the admission room, P<.001).
Conclusions:
The self-assessment COVID-19 tool, as it served as the means of screening and self-education, did not substitute for the consultation in the admission room for symptomatic patients. It seems that these types of solutions may serve as health information hubs for oligosymptomatic individuals, as well as a way of identifying and advising patients at risk. It fulfils the idea of remote, pre-clinical triage, however, the accuracy and influence on healthcare must be examined in the clinical setting.
Citation
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Copyright
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