COVID-19 risk tools to help determine if a patient can be discharged or needs to be admitted to the hospital.

As COVID-19 cases continue to rise across the United States, those of us in Emergency Room (ER) managing many of these patients are faced with a difficult decision every shift: “Is this patient okay for discharge?”. We know the Case Fatality Rate (CFR) of Coronavirus Disease 2019 (COVID-19) in patients aged less than 50 with no significant co-morbidities is low — but this jumps multiple fold in subsequent decades of life (CDC). This otherwise healthy patient population of less than 50 with reassuring vital signs is the easiest to manage. They are almost always getting discharged.

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