Acute Assessment of patients with proven or suspected COVID-19
BNSSG - Remote assessment guidance
Please see TeamNet for the BNSSG Primary Care Assessment and Management Guidance for COVID and non-COVID patients (last updated 25.9.20).
These guidelines advise use of the Charlson Comorbidity Index which may support clinical decision making when discussing appropriateness of admission with our patients.
There is also information in this guidance on:
- COVID-19 in the community
- Cardiopulmonary Resuscitation
- Children and COVID-19
- Assessing severity of COVID-19 on the telephone
- Frailty and comorbidities
- When to consider antibiotics and antibiotic choice
- Safety netting
- Face to face assessment
- Video consultations
- Safeguarding, domestic violence and vulnerable people
- Adults with COVID-19 and asthma
- Adults with COVID-19 and COPD
- End of life, death verification and certification
NICE recently issued rapid guidance on admission to hospital and critical care, which made reference to assessments using the Clinical Frailty Score (CFS) or other comorbidity assessment tools (e.g. the Charlson Comorbidity Index). These guidelines were updated on March 25th 2020 to make clear that ‘the CFS should not be used in younger people, people with stable long-term disabilities, for example cerebral palsy, learning disability or autism.’
Acute Assessment and Monitoring in Primary Care
The NHS has produced guidance on:
This includes advice on initial assessment and follow up of patients in the community and advice on identifying 'silent hypoxia'.
The BMJ have published a 10 minute consultation guide: