Consorci Sanitari Integral
ERVI score. A useful radiological tool in the clinical management of Covid-19 patients.
The high prevalence of pneumonia among COVID-19 patients led to a greater demand for chest radiographs. In order to relieve pressure on emergency physicians, the Department of Radiology at Consorci Sanitari Integral created a standard report and a quantitative score (ERVI) with the objective of helping emergency physicians make admission decisions.
The variability in the reports made it difficult for physicians to evaluate the severity and extent of lung involvement. ERVI is designed to help emergency doctors assess a patient’s radiological involvement in an objective way so that, together with the clinical and analytical data, they could decide whether to hospitalize these patients or not.
ERVI was created at the request of the Head of the Emergency Department. The Department of Radiology modified and standardized their reports; they adapted them to an original new template. They also created a scoring system to help emergency physicians make clinical decisions. A value between 0 to 8 was given to help a doctor decide whether to hospitalize or discharge a patient. The ERVI scores were so useful that when a patient came with reports of radiographs performed outside the hospital, the radiologists were asked to make a new report using the system. The creation and use of the ERVI score show imagination, speed of reaction, adaptability of the professionals and, above all, coordinated multidisciplinary work between different departments.