Preliminary Results of Initial Testing for Coronavirus (COVID-19) in the Emergency Department
| Autor: | Vaishal M. Tolia, Edward M. Castillo, Theodore C. Chan |
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| Rok vydání: | 2020 |
| Předmět: |
Male
lcsh:Medicine medicine.disease_cause Emergency Care 0302 clinical medicine COVID-19 Testing Pandemic Medicine 030212 general & internal medicine Viral Young adult Coronavirus Emergency Service lcsh:Medical emergencies. Critical care. Intensive care. First aid General Medicine Brief Research Report Health Services Middle Aged Test (assessment) Emergency Severity Index Infectious Diseases Emergency Medicine Female Patient Safety Emergency Service Hospital Infection Coronavirus Infections Adult medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Adolescent Fever U.S Pneumonia Viral MEDLINE World Health Organization 03 medical and health sciences Betacoronavirus Hospital Young Adult Clinical Research Internal medicine Humans Endemic Infections Centers for Disease Control and Prevention Pandemics business.industry Clinical Laboratory Techniques SARS-CoV-2 Prevention lcsh:R COVID-19 030208 emergency & critical care medicine Emergency department lcsh:RC86-88.9 Pneumonia United States Emerging Infectious Diseases Good Health and Well Being Centers for Disease Control and Prevention U.S business |
| Zdroj: | Western Journal of Emergency Medicine, vol 0, iss 0 The western journal of emergency medicine, vol 21, iss 3 Western Journal of Emergency Medicine WESTERN JOURNAL OF EMERGENCY MEDICINE, vol 21, iss 3 Western Journal of Emergency Medicine, Vol 21, Iss 3 (2020) |
| Popis: | INTRODUCTION: On March 10, 2020, the World Health Organization declared a global pandemic due to widespread infection of the novel coronavirus 2019 (COVID-19). We report the preliminary results of a targeted program of COVID-19 infection testing in the ED in the first 10 days of its initiation at our institution. METHODS: We conducted a review of prospectively collected data on all ED patients who had targeted testing for acute COVID-19 infection at two EDs during the initial 10 days of testing (March 10-19, 2020). During this initial period with limited resources, testing was targeted toward high-risk patients per Centers for Disease Control and Prevention guidelines. Data collected from patients who were tested included demographics, clinical characteristics, and test qualifying criteria. We present the data overall and by test results with descriptive statistics. RESULTS: During the 10-day study period, the combined census of the study EDs was 2157 patient encounters. A total of 283 tests were ordered in the ED. The majority of patients were 18-64 years of age, male, non-Hispanic white, had an Emergency Severity Index score of three, did not have a fever, and were discharged from the ED. A total of 29 (10.2%) tested positive. Symptoms-based criteria most associated with COVID-19 were the most common criteria identified for testing (90.6%). All other criteria were reported in 5.51-43.0% of persons being tested. Having contact with a person under investigation was significantly more common in those who tested positive compared to those who tested negative (63% vs 24.5%, respectively). The majority of patients in both results groups had at least two qualifying criteria for testing (75.2%). CONCLUSION: In this review of prospectively collected data on all ED patients who had targeted testing for acute COVID-19 infection at two EDs in the first 10 days of testing, we found that 10.2% of those tested were identified as positive. The continued monitoring of testing and results will help providers understand how COVID-19 is progressing in the community. |
| Databáze: | OpenAIRE |
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