Dr. Soetomo General Hospital Covid-19 Scoring System: Accuracy in Detecting RT-PCR Positive Covid-19 Case in Emergency Surgical Patients


Authors : Juniar Anugrah; Fajar Perdhana; Kun Arifi Abbas

Volume/Issue : Volume 6 - 2021, Issue 11 - November

Google Scholar : http://bitly.ws/gu88

Scribd : https://bit.ly/3lxEbIU

COVID-19 scoring system is an initial screening tool in assessing COVID-19 infection risk quickly. It is especially used in emergency surgical cases that need immediate treatment. The parameters used in this tool are epidemiologic condition, clinical symptoms, and other tests results. This study aims to analyze the accuracy of Dr. Soetomo General Hospital COVID-19 scoring system in assessing COVID-19 infection risk compared to RT-PCR COVID-19 nasopharyngeal swab test as the gold standard in diagnosing COVID-19 infection. Methods: Data of 525 emergency surgical patients during October to December 2020 were obtained from medical records. Quick assessment was performed using Dr. Soetomoo General Hospital COVID-19 scoring system and diagnosis was done by RT-PCR COVID-19 nasopharyngeal swab test. Statistical analysis used was the Chi-square test, p value <0.05 indicated significant correlation. Results: Category of COVID-19 infection risk were divided to three levels, low risk, intermediate risk, andhigh. RT-PCR COVID-19 nasopharyngeal swab was positive in 1.42% of lowrisk patients, 1.45% of intermediate patients, and 79.54% of highrisk patients. Chi-square analysis showed significant correlation in intermediate to highrisk patients with p value of <0.000. AUCwas0.922 (95% CI 0.863—0.981). Conclusions: Intermediate to highrisk category had good accuracy, sensitivity, and specificity in detecting COVID19 infection. There were positive cases in low to intermediate risk category, a standard Personal Protective Equipment (PPE) was important in all category of scoring risk.

Keywords : COVID-19 Scoring System, Quick Assessment, RT-PCR COVID-19 Nasopharyngeal Swab, Emergency Surgical Patients.

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