Defining COVID-19 Infection Severity on Presentation to Hospital
Study Details
Study Description
Brief Summary
In the assessment of severity in coronavirus disease 2019 (COVID-19), the modified Brit_x0002_ish Thoracic Society (mBTS),CURB65 et al. rules identifies patients with severe pneumonia but not patients who might be suitable for home management. A multicentre prospective study was conducted to derive and validate a practical severity assessment model for stratifying adults hospitalised with COVID-19 into different management groups.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
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Screening interested participants should sign the appropriate informed consent (ICF) prior to completion any study procedures.
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The investigator will review symptoms, risk factors, and other non-invasive inclusion and exclusion criteria.
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The following is the general sequence of events during the 30-day evaluation period:
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Completion of baseline procedures Participants were assessed for 30 days and completed all safety monitoring.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Participants The patient's CORMB score is 0 to 2 Participants The patient's CORMB score is 0 to 2 |
Diagnostic Test: Medical observation
Likely suitable for home treatment
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Participants The patient's CORMB score is 3 to 4 Participants The patient's CORMB score is 3 to 4 |
Diagnostic Test: Supportive treatment (BSC)
Consider hospital supervised treatment
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Participants The patient's CORMB score is 5 or above Participants The patient's CORMB score is 5 or above |
Diagnostic Test: Intensive care management
Manage in hospital as severe pneumonia
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Outcome Measures
Primary Outcome Measures
- Mortality [30days]
Mortality within 30days after diagnosis; Death from any cause
- Deterioration of the condition [Day 1 to 30 days]
Deterioration of the condition: refer to Guidelines for the Diagnosis and Treatment of Novel Coronavirus Infection by the National Health Commission (Trial Version 9) The development from asymptomatic to mild/general-type. The development from mild to general-type/severe type The development from general-type to severe/critical type The development from severe to critical type
Secondary Outcome Measures
- Time to sustained disappearance of clinical symptoms [Up to 30 days]
Time to sustained disappearance of clinical symptoms
- Percentage of participants with no clinical symptom [Day 3, 5, 7, 10, 14, 21 and 28]
Percentage of participants with no clinical symptoms from baseline to Day 3, 5, 7, 10, 14, 21 and 28
- Percentage of participants who turned negative for SARS-CoV-2 and/or COVID-19 antigen [Day 3, 5, 7, 10, 14, 28]
Percentage of participants who turned negative for SARS-COV-2 COVID-19 antigen at Day 3, 5, 7, 10, 14, 28
- Safety assessment Results: such as AEs and SAEs through Day 30 [Up to 30 days]
Safety assessment Results: such as AEs and SAEs through Day 30
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with novel coronavirus infection meeting the criteria of The New Coronavirus Pneumonia Diagnosis and Treatment Program (Ninth Edition);
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Participants are willing to participate in this study and follow the research plan;
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Participants or legally authorized representatives can give written informed consent approved by the Ethics Review Committee that manages the website.
Exclusion Criteria:
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pneumonia was (a) not the primary cause for hospital admission, (b) an expected terminal event,or (c) distal to bronchial obstruction;
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patients with tuberculosis,bronchiectasis,solid organ and haematological malignancies or human immuno deficiency virus (HIV) infection;
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patients who had been in hospital within the previous 14days, were immunocompromised,or had previously been entered in the study;
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nursing home residents.Participation in other clinical study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | The 900th Hospital of the Joint Logistic Support Force, PLA | Fuzhou | Fujian | China | 350000 |
Sponsors and Collaborators
- Fuzhou General Hospital
Investigators
- Principal Investigator: zongyang yu, Ph.D, The 900th Hospital of the Joint Logistic Support Force, PLA
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CORMB-65