COVID-19 Risk Stratification

NCT ID: NCT04339387

Last Updated: 2020-11-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1326 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-03-01

Study Completion Date

2020-04-26

Brief Summary

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The investigators seek to derive and validate a clinically useful risk score for patients with Coronavirus Disease 2019 to aide clinicians in the safe discharge of patients.

Detailed Description

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The investigators a-priori plan the following analysis:

1. Derivation and Retrospective Validation.

* Select all adult patients with a positive reverse transcription polymerase chain reaction for severe acute respiratory syndrome coronavirus 2 beginning March 1, 2020 until approximately 1000 patients are included.
* Use 75% of this cohort to develop a simple risk-score that prognosticates a patient's suitability for discharge (no supplemental oxygen, no intensive care unit, and no death). Use multivariable logistic regression with forward selection informed by clinical judgement to choose variables a priori that emphasizes readily available data and easy calculation for use at the point of care.
* Use 25% of this cohort to retrospectively validate the risk-score.
2. Prospective Validation.

* Select all adult patients with a positive reverse transcription polymerase chain reaction for severe acute respiratory syndrome coronavirus 2 as soon as the derivation cohort in step 1 is assembled. Include approximately 250 patients.
* Use this sample to prospectively validate the risk-score developed in part 1.

Conditions

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Coronavirus Coronavirus Sars-Associated as Cause of Disease Classified Elsewhere

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Coronavirus Disease 2019 positive, suitable for discharge

Patients with Coronavirus Disease 2019 who do not require supplemental oxygen, do not require intensive care unit-level care, and do not die.

No interventions assigned to this group

Coronavirus Disease 2019 positive, not suitable for discharge

Patients with Coronavirus Disease 2019 who do require supplemental oxygen, do require intensive care unit-level care, or do die.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Positive reverse transcription polymerase chain reaction for severe acute respiratory syndrome coronavirus 2
* Age 18 and older

Exclusion Criteria

* None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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David Levine

Associate Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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2020P000944

Identifier Type: -

Identifier Source: org_study_id