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Published on: February 16, 2022
Primary stratification and identification of suspected Corona virus disease 2019 (COVID-19) from clinical perspective
Ting-Ting Zhou1,2, Feng-Xian Wei3
1Department of Respiratory Medicine, Lanzhou University Second Hospital, Lanzhou, 730030, Gansu, China.
Insights
This commentary proposes an enhanced scoring system for primary screening of patients with 2019 novel coronavirus (2019-nCoV) pneumonia. The system integrates CT imaging and blood routine tests for improved outpatient diagnosis.
Area of Science:
- Medical Research
- Infectious Diseases
- Diagnostic Imaging
Background:
- The article comments on a rapid advice guideline for diagnosing and treating 2019 novel coronavirus (2019-nCoV) infected pneumonia.
- Existing guidelines define cases based on epidemiological risk, clinical symptoms, and auxiliary examinations.
Discussion:
- The commentary introduces a supplementary scoring proposal for primary screening of 2019-nCoV pneumonia patients.
- This proposal combines computed tomography (CT) imaging with blood routine test results.
- The scoring system is particularly relevant for outpatient settings.
Key Insights:
- A novel scoring system is proposed to aid in the primary screening of 2019-nCoV pneumonia.
- The integration of CT imaging and blood tests offers a more comprehensive approach.
- The proposed method enhances diagnostic capabilities in outpatient departments.
Outlook:
- Further validation of the scoring system in diverse clinical settings is recommended.
- This approach may improve the efficiency and accuracy of early 2019-nCoV pneumonia detection.
- The commentary contributes to refining diagnostic strategies for infectious respiratory diseases.
Abstract:
In this Commentary, we would like to comment on the article titled "A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version)" as a featured article in Military Medical Research. In the guideline, except for "confirmed cases", "suspected cases", "close contact" and "suspicious exposure" were defined by clinical perspective based on epidemiological risk, clinical symptoms and auxiliary examination. Combined with our experience, we introduced a simple scoring proposal additionally based on not only CT imaging as strongly recommended by the guideline but also blood routine test, especially for primary screening of such patients in the out-patient department.

