Clinical trial NCT06528119: The Combined Usage of Clinical Physical Finding in Management of COVID 19 Patients
Official title: The Combined Usage of Clinical Physical Finding With Simple Triage and Rapid Treatment (START), Modified Early Warning Score(MEWS)and Quick Sequential Organ Failure Assessment(qSOFA) in Management of COVID 19 Patients
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: COVID-19 Pandemic
Keywords: blood pressure
heart rate
respiratory rate
consciousness status
quick Sequential Organ Failure Assessment (qSOFA)
Lead sponsor: St. Martin De Porress Hospital
Sponsor class: OTHER
First posted: 2024-07-30
Enrollment: 10000
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: COVID 19 patients were treated in the hospital between March 2020 and Sep.2022

Brief summary: Physiological indicators such as blood pressure, heart rate, respiratory rate, and consciousness status of COVID-19 patients are used to apply the START (simple triage and rapid treatment, START), Modified Early Warning Score (MEWS), and quick Sequential Organ Failure Assessment (qSOFA) as tools for assessing clinical symptom tracking, deterioration, and subsequent improvement in COVID-19 patients. In response to the need for scarce manpower when a large number of emergency patients appear, a simple and easy-to-operate assessment method is adopted for mild patients, and artificial intelligence technology can be further used to assist in the assessment for early response and medication.

Detailed description: Due to the development of the pandemic , the virus has constantly mutated, leading to a vast majority of mild cases. This has significantly increased the burden on medical personnel. The investigators are trying to find a way to track whether their clinical symptoms have worsened. At the same time, the investigators want to know the changes in patient symptoms in real-time through online monitoring This is a single-center retrospective study of a group of COVID-19 patients. Review their medical records, mainly based on hospital field records and existing physiological indicators of patients such as blood pressure, heart rate, respiratory rate, and consciousness status. The partients visited the hospital between March 2020 and September 2022. All patients were given physiological value indicators MEWS, qSOFA, and START for scoring and assess the clinical symptom deterioration of COVID-19 patients.

In this study, The investigators collect the physiological values of each patient and the data on the nursing records during hospitalization to judge whether the symptoms have worsened

Eligibility criteria: Inclusion Criteria:

* a group of hospitalized COVID 19 patients were treated in the hospital between March 2020 and Sep.2022

Exclusion Criteria: Exclude patients who lack information in their medical records and incomplete clinical data.

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Primary outcomes:
measure: COVID 19 pandemic
timeFrame: March 2020 and September 2022
Secondary outcomes:
Other outcomes:
Locations:
city: Tainan
country: Taiwan
facility: St. Martin De Porres Hospital
Study officials:
affiliation: St. Martin De Porres Hospital,emergency medicine
name: Chia-Hsi Chen, MD
role: PRINCIPAL_INVESTIGATOR
References: