Brescia-COVID Respiratory Severity Scale (BCRSS)/Algorithm
Launched during COVID-19 crisis. Not externally validated. Use with caution; this is being used in Italy for assessment, trending, and treatment recommendations.
- See our expert interview with Italian intensivist, Dr. Simone Piva, for an in-depth discussion of how the BCRSS is being used practically to simplify and communicate the respiratory status of patients.
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 is PCR+ OR high suspicion for COVID-19/PCR pending]
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- Andrea Duca, MD