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A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text]

Triage is a fundamental process in hospitals and emergency care units, as it allows for the classification and prioritization of patient care based on the severity of their clinical conditions. In Brazil, the triage of suspected COVID-19 cases is performed using a specific protocol, which involves m...

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Autores principales: Galo, Nadya Regina, Roriz Junior, Marcos Paulino, Tóffano Pereira, Rodrigo Pinheiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487152/
https://www.ncbi.nlm.nih.gov/pubmed/36157968
http://dx.doi.org/10.1016/j.asoc.2022.109626
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author Galo, Nadya Regina
Roriz Junior, Marcos Paulino
Tóffano Pereira, Rodrigo Pinheiro
author_facet Galo, Nadya Regina
Roriz Junior, Marcos Paulino
Tóffano Pereira, Rodrigo Pinheiro
author_sort Galo, Nadya Regina
collection PubMed
description Triage is a fundamental process in hospitals and emergency care units, as it allows for the classification and prioritization of patient care based on the severity of their clinical conditions. In Brazil, the triage of suspected COVID-19 cases is performed using a specific protocol, which involves manual steps, requiring the completion of four different forms, by four health care professionals. Aiming to investigate the possibility of improving the triage processes in Brazil, this article proposes the use of computational techniques for decision-making based on fuzzy inference systems. We argue that fuzzy set theory is appropriate to the problem because it allows the use of natural language to express the patient’s symptoms, making it easier for health care professionals. After modelling the problem in a fuzzy system we applied a pilot test. The model includes symptoms that health professionals currently use to analyse COVID-19 cases. The results suggest that the model presents convergence with the sample data, highlighting its potential application in supporting triage for the classification of the severity of COVID-19 cases. Among the benefits of the proposed model, we emphasize contributions as the reduction of the time and number of professionals required for triage as well as the reduction of exposure of health care professionals and other patients suspected of carrying the virus. In this context, this research provides an opportunity to obtain social contributions regarding the services in public hospitals improvement.
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spelling pubmed-94871522022-09-21 A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text] Galo, Nadya Regina Roriz Junior, Marcos Paulino Tóffano Pereira, Rodrigo Pinheiro Appl Soft Comput Article Triage is a fundamental process in hospitals and emergency care units, as it allows for the classification and prioritization of patient care based on the severity of their clinical conditions. In Brazil, the triage of suspected COVID-19 cases is performed using a specific protocol, which involves manual steps, requiring the completion of four different forms, by four health care professionals. Aiming to investigate the possibility of improving the triage processes in Brazil, this article proposes the use of computational techniques for decision-making based on fuzzy inference systems. We argue that fuzzy set theory is appropriate to the problem because it allows the use of natural language to express the patient’s symptoms, making it easier for health care professionals. After modelling the problem in a fuzzy system we applied a pilot test. The model includes symptoms that health professionals currently use to analyse COVID-19 cases. The results suggest that the model presents convergence with the sample data, highlighting its potential application in supporting triage for the classification of the severity of COVID-19 cases. Among the benefits of the proposed model, we emphasize contributions as the reduction of the time and number of professionals required for triage as well as the reduction of exposure of health care professionals and other patients suspected of carrying the virus. In this context, this research provides an opportunity to obtain social contributions regarding the services in public hospitals improvement. Elsevier B.V. 2022-11 2022-09-20 /pmc/articles/PMC9487152/ /pubmed/36157968 http://dx.doi.org/10.1016/j.asoc.2022.109626 Text en © 2022 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Galo, Nadya Regina
Roriz Junior, Marcos Paulino
Tóffano Pereira, Rodrigo Pinheiro
A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text]
title A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text]
title_full A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text]
title_fullStr A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text]
title_full_unstemmed A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text]
title_short A fuzzy approach to support decision-making in the triage process for suspected COVID-19 patients in Brazil [Image: see text]
title_sort fuzzy approach to support decision-making in the triage process for suspected covid-19 patients in brazil [image: see text]
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9487152/
https://www.ncbi.nlm.nih.gov/pubmed/36157968
http://dx.doi.org/10.1016/j.asoc.2022.109626
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