Calc Function

  • Diagnosis
  • Rule Out
  • Prognosis
  • Formula
  • Treatment
  • Algorithm
  • Disease
    Select...
    Specialty
    Select...
    Chief Complaint
    Select...
    Organ System
    Select...

    Brescia-COVID Respiratory Severity Scale (BCRSS)/Algorithm

    Step-wise management approach to COVID-19 patients based on clinical severity as of June 2, 2020.

    IMPORTANT
    • Launched during COVID-19 crisis. Not externally validated. Use with caution; this is being used in Italy for assessment, trending, and treatment recommendations.

    INSTRUCTIONS

    • This algorithm is a step-wise approach to managing patients with confirmed/presumed COVID-19 pneumonia. 

    • If not intubated, follow management and then each 4 testing criteria should be repeated to assess for improvement or deterioration. Repetition frequency based on clinical judgment to downgrade/upgrade score.

    • Not only is the management important; the numerical score is used to easily compare and summarize patients to treating clinicians.

    • NIV concerning for aerosolization; included in score due to ventilator scarcity in Italy.

    [Patient has COVID-19 pneumonia or COVID-19 symptoms for ≥7 days]
    AND
    [Patient is PCR+ OR high suspicion for COVID-19/PCR pending]

    Result:

    Please fill out required fields.
    Brescia-COVID Group
    Brescia-COVID Group
    About the creator

    The Brescia-COVID group is a collaboration of infectious disease and critical care physicians in Brescia, Italy (in the Lombardy region of Italy) who developed this scale together while caring for patients in their hospital.

    Are you Brescia-COVID Group? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Content Contributors
    • Andrea Duca, MD
    About the Creator
    Brescia-COVID Group
    Brescia-COVID Group
    You might be interested in...
    Partner Content
    Content Contributors
    • Andrea Duca, MD