Development and Presentation of an Objective Risk Stratification Tool for healthcare workers when dealing with the COVID-19 pandemic in the UK: Risk modelling based on hospitalisation and mortality statistics compared to epidemiological data

Strain, W. David; Jankowski, Janusz; Davies, Angharad; English, Peter M; Friedman, Ellis; McKeown, Helena; Sethi, Su; Rao, M. R.

doi:10.1101/2020.05.05.20091967

Cited by 12 publications

(14 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two scales to assess the risk of adverse outcome in the event of SARS-CoV-2 infection are available, the COVID-Risk assessment tool developed by the British Medical Association (BMA) and the COVID-Age assessment tool developed by the Association of Local Authority Medical Advisors (ALAMA). 37,38 The COVID-Risk assessment tool lists vulnerabilities such as gender, age and various physical health conditions, and attributes a weighted score to each. The patient's total score is added together to place the patient into one of three categories.…”

Section: Covid-risk and Covid-age Assessment Toolsmentioning

confidence: 99%

“…A score of 3 or less is deemed low risk, 3-5 medium risk and 6 or more is deemed high risk of an adverse outcome in the event of SARS-CoV-2 infection. 37 The COVID-Age assessment tool also lists various risk factors, such as gender, ethnicity, age, obesity and other medical conditions. Each risk factor is allocated a score depending on the weighting of the individual risk factor.…”

Section: Covid-risk and Covid-age Assessment Toolsmentioning

confidence: 99%

See 1 more Smart Citation

Risk of adverse outcome of COVID-19 among patients in secure psychiatric services: observational cohort study

et al. 2021

View full text Add to dashboard Cite

Background Secure forensic mental health services treat patients with high rates of treatment-resistant psychoses. High rates of obesity and medical comorbidities are common. Population-based studies have identified high-risk groups in the event of SARS-CoV-2 infection, including those with problems such as obesity, lung disease and immune-compromising conditions. Structured assessment tools exist to ascertain the risk of adverse outcome in the event of SARS-CoV-2 infection. Aims To assess risk of adverse outcome in the event of SARS-CoV-2 infection in a complete population of forensic psychiatry patients using structured assessment tools. Method All patients of a national forensic mental health service (n = 141) were rated for risk of adverse outcome in the event of SARS-CoV-2 infection, using two structured tools, the COVID-Age tool and the COVID-Risk tool. Results We found high rates of relevant physical comorbidities. Mean chronological age was 45.5 years (s.d. = 11.4, median 44.1), mean score on the COVID-Age tool was 59.1 years (s.d. = 19.4, median 58.0), mean difference was 13.6 years (s.d. = 15.6), paired t = 10.9, d.f. = 140, P < 0.001. Three patients (2.1%) were chronologically over 70 years of age, compared with 43 (30.5%) with a COVID-Age over 70 (χ2 = 6.99, d.f. = 1, P = 0.008, Fisher's exact test P = 0.027). Conclusions Patients in secure forensic psychiatric services represent a high-risk group for adverse outcomes in the event of SARS-COV-2 infection. Population-based guidance on self-isolation and other precautions based on chronological age may not be sufficient. There is an urgent need for better physical health research and treatment in this group.

show abstract

Section: Covid-risk and Covid-age Assessment Toolsmentioning

confidence: 99%

Section: Covid-risk and Covid-age Assessment Toolsmentioning

confidence: 99%

Risk of adverse outcome of COVID-19 among patients in secure psychiatric services: observational cohort study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…79 While working an essential job provided job security, it also increased the risk of SARS-CoV-2 transmission, particularly in the healthcare workforce, given the high contact nature of medical care, the higher risk individuals who sought it, and the lack of PPE many hospitals faced. 80,81 Data show that women tend to bear a larger burden than men of addressing household needs and providing childcare. 82 The burden of domestic work has increased during the Covid-19 pandemic.…”

Section: Gender Equity In the Workforcementioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Maternal and Perinatal Health: A Scoping Review

Kotlar

Gerson

Petrillo

et al. 2020

Preprint

View full text Add to dashboard Cite

Introduction: Maternal health is a critical public health issue, and the Coronavirus Disease 2019 (COVID-19) pandemic has had a multifaceted impact on the health and wellbeing of pregnant individuals and mothers. Methods: A scoping review was conducted to compile evidence on direct and indirect impacts of the pandemic on maternal health and provide an overview of the most significant outcomes thus far. Working papers and news articles were considered appropriate evidence along with peer-reviewed publications in order to capture rapidly evolving updates. Narrative descriptions were written about subject areas for which the authors found the most evidence.Results: While the search yielded numerous publications, most studies were methodologically weak. Pregnant individuals were not found to experience more severe symptoms than the general population, and intrauterine, vertical, and breastmilk transmission were unlikely. Labor, delivery, and breastfeeding guidelines for COVID-19 positive patients varied. Severe increases in maternal mental health issues, such as clinically relevant anxiety and depression, were reported. Domestic violence appeared to spike. Prenatal care visits decreased, healthcare infrastructure was strained, and potentially harmful policies implemented with little evidence. Women were more vulnerable to losing their income due to the pandemic than men, and working mothers struggled with increased childcare demands. Conclusion:Pregnant women and mothers were not found to be at higher risk for COVID-19 than the general population, however they seem to face disproportionate adverse socio-economic consequences. High income and low- and middle-income countries alike faced significant struggles. Further resources should be directed towards quality epidemiological studies.

show abstract

“…Clinical need is the priority (as above), but subsequent to this there should be a consideration of patient risk. An assessment based on reported risk criteria 13…”

Section: Patient Risk Assessmentmentioning

confidence: 99%

Good urodynamic practice adaptations during the COVID‐19 pandemic

Hashim

Thomas

Gammie

et al. 2020

Neurourology and Urodynamics

View full text Add to dashboard Cite

Urodynamics testing forms the cornerstone of investigations when it comes to lower urinary tract dysfunction. It has to be done to the highest standards by following the International Continence Society Good Urodynamics Practice protocols. However, with the COVID‐19 pandemic, certain adaptations to the urodynamics procedure need to be considered especially when it comes to quality control. This article aims to define these adaptations to help urodynamicists in their daily practice.

show abstract

Development and Presentation of an Objective Risk Stratification Tool for healthcare workers when dealing with the COVID-19 pandemic in the UK: Risk modelling based on hospitalisation and mortality statistics compared to epidemiological data

Cited by 12 publications

References 26 publications

Risk of adverse outcome of COVID-19 among patients in secure psychiatric services: observational cohort study

Risk of adverse outcome of COVID-19 among patients in secure psychiatric services: observational cohort study

The Impact of the COVID-19 Pandemic on Maternal and Perinatal Health: A Scoping Review

Good urodynamic practice adaptations during the COVID‐19 pandemic

Contact Info

Product

Resources

About