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Case Report: Disposition of Symptomatic Probable COVID-19
Aleq Jaffery1, John Slakey1, David Zodda2
1Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey.
Clinical Practice and Cases in Emergency Medicine
|September 14, 2020
Summary
Healthcare providers can safely discharge moderate-risk COVID-19 patients from the emergency department using risk-stratifying tools. This approach aids in efficient patient management and resource allocation during the pandemic.
Area of Science:
- Emergency Medicine
- Infectious Diseases
- Pulmonology
Background:
- The novel coronavirus disease 2019 (COVID-19) poses significant challenges for healthcare systems regarding diagnosis, management, and hospital admission triage.
- Effective risk stratification is crucial for optimizing emergency department (ED) workflows and patient care during the COVID-19 pandemic.
Purpose of the Study:
- To evaluate the safe discharge of a moderate-risk COVID-19 patient from the ED.
- To highlight the utility of risk-stratifying tools in managing COVID-19 cases.
Main Methods:
- A case report of a 47-year-old male with symptoms suggestive of COVID-19, hypoxemia (93% pulse oximetry on room air), and multifocal pneumonia.
- Risk stratification was performed to assess the likelihood of progression to acute respiratory distress syndrome.
- Telephone follow-up was utilized to confirm symptom resolution.
Main Results:
- The patient, despite moderate risk for acute respiratory distress syndrome, was safely discharged from the emergency department.
- Symptom resolution was confirmed via telephone follow-up, indicating successful outpatient management.
Conclusions:
- Risk-stratifying tools and clinical techniques are valuable for identifying COVID-19 patients suitable for safe ED discharge.
- This case demonstrates the potential for effective management of select moderate-risk COVID-19 patients in the outpatient setting, optimizing ED resources.

