Introduction:qCSI (Quick COVID severity index) is a clinical tool established recently post pandemic to predict respiratory failure within 24
hours of admission in COVID-19 patients; respiratory failure being explain as increased oxygen requirement greater than 6L/min by low ow
device, high ow device, noninvasive or invasive ventilation to maintain spO2 of greater than or equal to 94%, or death.
Aim:To verify and validate the application of the qCSI in Emergency Department in Indian demographic for evidence-based guidance to aid
physician decision making in safely dispositioning adult patients with COVID-19 with oxygen requirement less than or equal to 6L/min via low
ow devices including nasal cannula and oxygen mask
Materials and methods:This is an observational, retrospective study from Emergency Department in a private tertiary care hospital of admitted
adult patients with COVID-19 disease. Clinical parameters in qCSI and disposition of 210 patients admitted through Emergency Department
included in this study selected randomly was sought on admission and clinical status with level of care 24 hours following admission was recorded
and compared with prediction based on qCSI from a period of 1 May 2020 to 31 October 2020.
Result:We found that19(9.0%) patients Initial qCSI Score was Low, 80(38.1%) patients Initial qCSI Score was Low-intermediate, 84(40.0%)
patients Initial qCSI Score was High-intermediate and 27(12.9%)patients Initial qCSI Score was High.qCSI Score after 24 hours 16(11.4%)
patients were Low, 43(30.7%) patients were Low-intermediate, 63(45.0%) patients was High-intermediate and 18(12.9%) patients was High.Out
of 210(100.0%) patients, 70 (33.3%) patients were critically ill.
Conclusion:In conclusion these data show that the quick COVID-19 Severity Index provides easily accessed risk stratication relevant to
Emergency Department provider.
Hepatitis A Virus and Hepatitis E Virus Infection in Adult Patients From A Tertiary Care Hospital of North India
