Open AccessIKKA-Score zur Vereinheitlichung der Beurteilung des individuellen Risikos durch SARS-CoV-2
Author(s) -
Anna Wolfschmidt,
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Uta Ochmann,
Dennis Nowak,
Hans Drexler,
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Publication year - 2020
Publication title -
arbeitsmedizin, sozialmedizin, umweltmedizin
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 14
eISSN - 2363-4669
pISSN - 0944-6052
DOI - 10.17147/asu-2012-8580
Subject(s) - risk assessment , framingham risk score , medicine , psychology , computer science , disease , computer security
IKKA score for the standardisation of individual risk assessment in relation to SARS-CoV-2 Objective: The assessment of an individual’s risk of developing a severe course of COVID-19 can prove to be an extremely difficult task for the physicians in charge. The presented score system is designed to allow for a standardisation of this risk assessment while simultaneously being clear and efficient enough to pave the way for its use in practice. Methods: The IKKA score was developed in four steps. In step 1 we defined four occupational groups which determine the possible fields of activity. In step 2 we identified risk factors which are supposed to increase an individual’s need for protection in association with SARS-CoV-2. These were grouped into four score categories. In step 3 score points were allotted within the categories depending on the extent of the assumed need for protection. In step 4 each possible result in the final score was assigned to one of the occupational groups. Results: The IKKA score is composed of four categories: Immunosuppression (I), Known severity of any pre-existing condition (II), Known risk factors as defined by the Robert Koch Institute (RKI) (III), and Age (IV). Within each of the categories a score is allotted by the physician depending on the extent of the respective risk factors. The final score results from the sum of the individual scores in each category. On the basis of the final score the employee is assigned to one of four occupational groups. Employers can specify possible fields of activity for members of each group on the basis of the company’s risk assessment. Conclusion: The IKKA score constitutes a system of practical support for physicians charged with assessing an individual’s risk in association with SARS-CoV-2. Its main strength lies in the fact that it enables physicians to standardise this risk assessment in a transparent and time-efficient manner while simultaneously taking into account recommendations by the German Federal Ministry of Labour and Social Affairs (BMAS). Keywords: SARS-CoV-2 – COVID-19 – risk assessment – score