Covid Severity Score software to help identify patients who may require respiratory assistance
Software can now identify whether a patient will need a ventilator in an intensive care unit or a referral, and will make the necessary arrangements before the emergency occurs. At a time when sudden intensive care and other emergency demands during the pandemic have been a challenge for hospitals to manage, timely information about such situations would help better manage the health crisis.
The software called “Covid Severity Score” (CSS) consists of an algorithm that measures a set of parameters. It scores each against a predefined dynamic algorithm multiple times for each patient and assigns a Covid Severity Score (CSS) mapping it into a graphical trend. The technology is being used at three Covid community care centers in Calcutta and the suburbs, including a government-mandated 100-bed Covid care center in Barrackpore, Calcutta.
The Foundation for Innovations in Health, Kolkata, with the support of the Science for Equity, Empowerment and Development (SEED) Division of the Department of Science and Technology in collaboration with IIT Guwahati, Dr Kevin Dhaliwal, University of Edinburgh and Dr Sayantan Bandopadhyay, formerly WHO (Southeast Asia Regional Office) developed an algorithm that measures symptoms, signs, vital parameters, test reports and comorbidities of the positive Covid patient and assesses each against a predefined dynamic algorithm, thereby assigning a Covid Severity Score (CSS).
This technology was made available in primary care online health clinics in resource-poor settings through support from the SEED project.
Frontline health workers trained in the aligned model of the National Skills Qualifications Framework (NSQF) and certified by the National Skill Development Corporation (NSDC) are trained to record all these parameters in a tablet on which the software is loaded.
The “CSS” is regularly monitored several times by specialist doctors “remotely”, thus reducing the doctor’s consultation time per patient and doctors’ trips. The software can help with the early identification of patients who may need respiratory support in an intensive care unit and with referral, reducing referral to hospital for those who likely do not need referral. ” intensive care assistance, freeing up more hospital beds in circulation.
It will also help provide supervised medical support for patients who cannot afford treatment or cannot self-isolate at home due to poor housing conditions. The facility can be a huge support for ‘Covid care centers’ with beds and oxygen only support, but no facility for invasive ventilation.
Latest news from India