NOVEL TECHNIQUE OF MASS TRIAGING OF COVID 19 POSITIVE PATIENT: SABAH EXPERIENCE
Coronavirus disease (COVID-19) is an acute respiratory tract infection caused by SARS-COV-2 and has spread worldwide with alarming speed and led to a significant impact globally. According to the Ministry of Health Malaysia, a total of 12152 patients were COVID-19 positive from 22nd October to 4th of November 2020. Hence, mass triaging kicked in when there were huge casualties, especially in disaster. In this COVID-19 pandemic, the mass triaging concept was applied, only those who needed urgent attention would be admitted to the nearest medical facilities while those asymptomatic would be monitored by medical personnel in their centre and referred for admission if clinically deteriorated. A total of 1627 male patients aged from 15 to 65 years old were involved in this study. All the patients are compulsory to perform “1-minute exercise stress test”. Exertional desaturation with a fall of 3% or more in oxygen saturation after the 1-minute exercise, indicating that patient requires an attention on receiving treatment earlier and getting admission for observation. Among 1627 positive patients about 49 were directly admitted to hospital as was detected as stage 3 and above. There were about ten medical personnel involved in the whole mass triaging. The mass triaging was carried out in 5 days, it took 1.64 minutes to screen one patient and it’s convenient and fast. Our study showed that the mass triaging technique could be applied in pandemic period to prioritize and expedite the admission process for critically ill patients who will require urgent treatment before they deteriorate further.
2. Asita Elengoe. COVID 19 outbreak in Malaysia. Osong Public Health Res Perspect 2020; 11(3): 93–100.
3. Jafri Malin Abdullah, Wan Faisham Nu’man Wan Ismail, Irfan Mohamad, et al. A critical appraisal of COVID 19 in Malaysia and beyond. The Malaysian Journal of Medical Sciences 2020; 27(2): 1–9.
4. Abid Haleem, Mohd Javaid, Raju Vaishya. Effects of COVID 19 pandemic in daily life. Elsevier Public Health Emergency Collection 2020; 10(2): 78-79.
5. Kemaskini COVID status in Malaysia from 22 October to 4 November 2020. Kementerian Kesihatan Malaysia, 2020. http://covid-19.moh.gov.my/terkini-negeri/112020/kemaskini-negeri-sehingga-04-november-2020 (accessed 18th February 2021)
6. Malaysia ranked 29th for number of Covid-19 cases worldwide. The Star, 2021. https://www.thestar.com.my/news/nation/2021/01/28/malaysia-ranked-29th-fornumber-of-covid-19-cases-worldwide (accessed 18th February 2021)
7. Nur Haziqah A Malek. COVID-19: 862 new cases, new cluster in Sabah. The Malaysia Reserve, 2020. https://themalaysianreserve.com/2020/10/21/covid-19-862-new-cases-new-cluster-in-sabah/ (accessed 20th February 2021)
8. Jafri Malin Abdullah, Wan Faisham Nu’man Wan Ismail, Irfan Mohamad, et al. A critical appraisal of COVID 19 in Malaysia and beyond. The Malaysian Journal of Medical Sciences 2020; 27(2): 1-9.
9. Maria Nicola, Zaid Alsafi, catrin Sohrabi, et al. The socio-economic implications of the coronavirus pandemic: A review. Elsevier Public Health Emergency Collection 2020; 78: 185-193.
10. Abid Haleem, Mohd Javaid and Raju Vaishya. Effects of COVID 19 pandemic in daily life. Elsevier Public Health Emergency Collection 2020; 10(2); 78-79.
11. M O Elabiyi, O J Adenola, Ali Hasan. Overview of COVID 19 and way forward. Electronic Research Journal of Engineering, Computer and Applied Sciences 2020; 2: 28-32. https://www.researchgate.net/publication/345075298_Overview_of_COVID19_and_way_forward (accessed 20th February 2021)
12. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel Coronavirus in Wuhan, China. The Lancet 2020; 395: 497-506. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30183-5/fulltext (accessed 22nd February 2021)
13. Annex 2e: Clinical management of confirmed COVID-19 case in adult. Kementerian Kesihatan Malaysia, November 2020. http://covid-19.moh.gov.my/garis-panduan/garis-panduan-kkm (accessed 22nd February 2021)
14. Michael D Christian, Charles L Sprung, Mary A King, et al. Triage: Care of the critically ill and injured during pandemics and disasters: Chest consensus statement. National Library of Medicine 2014; 146(4 Suppl): e61s-74s.
15. Trisha Greenhalgh, Babak Javid, Matthew Knight, et al. What is the efficacy and safety of rapid exercise test for exertional desaturation in COVID 19? The Centre of Evidence-Based Medicine 2020. https://www.cebm.net/covid-19/what-is-the-efficacy-and-safety-of-rapid-exercise-tests-for-exertional-desaturation-incovid19/#:~:text=There%20is%20no%20evi
dence%20of,lung%20disease%20and%20airways%20obstruction (accessed 26th February 2021)