| Autor: |
Chauvin A; Emergency Department and PreHospital EMS, Lariboisiere Hospital, Assistance Publique Hôpitaux de Paris, 75610 Paris, France.; Inserm U942 MASCOT, University of Paris, 75015 Paris, France., Slagman A; Departments of Emergency and Acute Medicine, Campus Mitte, Virchow-Klinikum Charité-Universitätsmedizin, 10117 Berlin, Germany., Polyzogopoulou E; Emergency Medicine Department, Attikon University Hospital, 12462 Athens, Greece., Bjørnsen LP; Clinic of Emergency Medicine and Prehospital Care, Department of Circulation and Medical Imaging, St. Olav's University Hospital, Norwegian University of Science and Technology (NTNU), 7034 Trondheim, Norway., Adam VN; Resuscitation and Intensive Care, University Department of Anesthesiology, Sveti Duh, University Hospital, 10000 Zagreb, Croatia., Palomäki A; Emergency Department, Division of Medicine, Kanta-Häme Central Hospital, 13530 Hämeenlinna, Finland.; Faculty of Medicine and Health Technology, Tampere University, 33100 Tampere, Finland., Fabbri A; Emergency Department, Presidio Ospedaliero Morgagni-Pierantoni, AUSL Romagna, 47121 Forlì, Italy., Laribi S; Emergency Medicine Department, Tours University Hospital, 37044 Tours, France.; School of Medicine, Tours University, 37000 Tours, France., On Behalf Of The Eusem Research Network Study Group |
| Abstrakt: |
Background: Our aim is to describe and compare the profile and outcome of patients attending the ED with a confirmed COVID-19 infection with patients with a suspected COVID-19 infection. Methods: We conducted a multicentric retrospective study including adults who were seen in 21 European emergency departments (ED) with suspected COVID-19 between 9 March and 8 April 2020. Patients with either a clinical suspicion of COVID-19 or confirmed COVID-19, detected using either a RT-PCR or a chest CT scan, formed the C+ group. Patients with non-confirmed COVID-19 (C− group) were defined as patients with a clinical presentation in the ED suggestive of COVID-19, but if tests were performed, they showed a negative RT-PCR and/or a negative chest CT scan. Results: A total of 7432 patients were included in the analysis: 1764 (23.7%) in the C+ group and 5668 (76.3%) in the C− group. The population was older (63.8 y.o. ±17.5 vs. 51.8 y.o. +/− 21.1, p < 0.01), with more males (54.6% vs. 46.1%, p < 0.01) in the C+ group. Patients in the C+ group had more chronic diseases. Half of the patients (n = 998, 56.6%) in the C+ group needed oxygen, compared to only 15% in the C− group (n = 877). Two-thirds of patients from the C+ group were hospitalized in ward (n = 1128, 63.9%), whereas two-thirds of patients in the C− group were discharged after their ED visit (n = 3883, 68.5%). Conclusion: Our study was the first in Europe to examine the emergency department’s perspective on the management of patients with a suspected COVID-19 infection. We showed an overall more critical clinical situation group of patients with a confirmed COVID-19 infection. |
