J Korean Med Sci.  2020 Apr;35(15):e152. 10.3346/jkms.2020.35.e152.

A Brief Telephone Severity Scoring System and Therapeutic Living Centers Solved Acute Hospital-BedShortage during the COVID-19 Outbreak in Daegu, Korea

  • 1Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
  • 2Department of Preventive Medicine & Public Health, Yeungnam University College of Medicine Daegu, Republic of Korea
  • 3Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
  • 4Department of Preventive Medicine, Keimyung University, School of Medicine, Daegu, Republic of Korea
  • 5Department of Public Health, Kyungpook National University Hospital, Daegu, Republic of Korea


With the epidemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2, the number of infected patients was rapidly increasing in Daegu, Korea. With a maximum of 741 new patients per day in the city as of February 29, 2020, hospital-bed shortage was a great challenge to the local healthcare system. We developed and applied a remote brief severity scoring system, administered by telephone for assigning priority for hospitalization and arranging for facility isolation (“therapeutic living centers”) for the patients starting on February 29, 2020. Fifteen centers were operated for the 3,033 admissions to the COVID-19 therapeutic living centers. Only 81 cases (2.67%) were transferred to hospitals after facility isolation. We think that this brief severity scoring system for COVID-19 worked safely to solve the hospital-bed shortage. Telephone scoring of the severity of disease and therapeutic living centers could be very useful in overcoming the shortage of hospital-beds that occurs during outbreaks of infectious diseases.


Brief Severity Scoring System; Telephone; COVID-19; Facility Isolation; Therapeutic Living Center
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