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To evaluate the performance of a clinical-radiological index (RAPID-Covid score) in achieving Safe Discharge (SD) of patients accessing the Emergency Department (ED) with symptoms suggesting Covid-19 Clinical and radiological data were retrospectively collected from 853 consecutive patients admitted to the ED during the pandemics with symptoms suggesting Covid-19 Illness severity was graded with RAPID-Covid score, composed of chest X-ray findings, clinical symptoms and PaO2/FiO(2) Patients with RAPID-Covid score >= 5 were admitted Primary outcome was SD of patients to home care SD was defined as survival of the patient, without evidence of second access to ED requiring hospitalization 212/853 patients were discharged 27/212 had a score >= 5 but refused admission 185/212 were discharged with score <5: 147/185 (79,5%) survived and did not re-access ED;1/185 (0,5%) died at home after first ED-dismissal;37/185 (20,0%) had a second access Of these 15/37 (8,1%) were newly dismissed and one of them (1/15) died at home;22/37 (11,9%) were hospitalized, 1/22 died during hospitalization SD was obtained in 161/185 patients (87%) Readmissions occurred 5,1 +/- 2,6days from first discharge Follow-up was 16,7 +/- 6,0days RAPID-Covid score proves useful for SD of Covid-19 to home care 6-10days may further increase confidence

RAPID score in Covid-19 patients: a clinical-radiological index for the safe discharge from the Emergency Department. A preliminary report