Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 30, Number 11—November 2024
Online Report

Rapid Decision Algorithm for Patient Triage during Ebola Outbreaks

Denis-Luc Ardiet1Comments to Author , Justus Nsio1, Gaston Komanda, Rebecca M. Coulborn, Emmanuel Grellety, Francesco Grandesso, Richard Kitenge, Dolla L. Ngwanga, Bibiche Matady, Guyguy Manangama, Mathias Mossoko, John K. Ngwama, Placide Mbala, Francisco Luquero, Klaudia Porten, and Steve Ahuka-Mundeke
Author affiliation: Epicentre, Paris, France (D.-L. Ardiet, G. Komanda, R.M. Coulborn, E. Grellety, F. Grandesso, F. Luquero, K. Porten); Ministry of Health, Kinshasa, Democratic Republic of the Congo (J. Nsio, R. Kitenge, D.L. Ngwanga, B. Matady, M. Mossoko, J.K. Ngwama); Médecins Sans Frontières France, Paris (G. Manangama); Institut National de la Recherche Biomédicale, Kinshasa (P. Mbala, S. Ahuka-Mundeke); University of Kinshasa, Kinshasa (S. Ahuka-Mundeke)

Main Article

Table 4

Summary of EVD-positive cases included in the prospective study of a rapid decision algorithm for patient triage during Ebola outbreaks using EVD-suspected patients in Democratic Republic of the Congo during epidemics in 2018–2019*

Case no. Age, mo/sex Time-to-presentation, d Vaccinated Priority variables Scoring variables Prediction score
 Risk classification
Staff In silico Staff In silico
1
 15/F
 3
 No
 Contact EVD case
 Asthenia, headache
 0
 0
C
 C
2
 47/F
 5
 Yes
 Contact EVD case
 Attended a funeral, asthenia, myalgia, dysphagia, sore throat
 5
 5
C
 C
3
 39/F
 1
 Yes
 Contact EVD case
 Headache
 −1
 −1
C
 C
4
 27/F
 3
 No
 NA
 Asthenia, headache, abdominal pain, diarrhea
 1
 1
B
 B
5
 24/F
 6
 No
 NA
 Diarrhea
 1
 1
B
 B
6
 33/F
 10
 No
 Contact EVD case, contact informal healer
 Asthenia, dysphagia, sore throat, diarrhea
 4
 4
C
 C
7
 78/M
 8
 No
 NA
 Attended a funeral, myalgia, abdominal pain, diarrhea, melena
 2
 2
B
 B
8 9/F 8 No Contact EVD case Asthenia (coma), headache, abdominal pain 0 0 C C

*Three risk categories of Ebola infection are defined: A category (low-risk), B category (intermediate-risk), or C category (high-risk). Age, sex, time-to-presentation, vaccination status, collected exposure histories, clinical signs, and symptoms (data collected by health personnel at the triage of health facilities) and risk-categorization (by healthcare personnel or in silico) are displayed. EVD, Ebola virus disease; NA, not applicable.

Main Article

1These authors are co–principal investigators and contributed equally to this article.

Page created: October 03, 2024
Page updated: October 23, 2024
Page reviewed: October 23, 2024
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external