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Tytuł pozycji:

Experience from a COVID-19 first-line referral clinic in Greater Copenhagen.

Tytuł :
Experience from a COVID-19 first-line referral clinic in Greater Copenhagen.
Autorzy :
Kronborg TM; .
Kimer N
Junker AE
Werge MP
Gluud LL
Ytting H
Pokaż więcej
Źródło :
Danish medical journal [Dan Med J] 2020 Aug 07; Vol. 67 (9). Date of Electronic Publication: 2020 Aug 07.
Typ publikacji :
Journal Article
Język :
English
Journal Info :
Publisher: Danish Medical Association Country of Publication: Denmark NLM ID: 101576205 Publication Model: Electronic Cited Medium: Internet ISSN: 2245-1919 (Electronic) Linking ISSN: 22451919 NLM ISO Abbreviation: Dan Med J Subsets: MEDLINE
Imprint Name(s) :
Original Publication: Copenhagen : Danish Medical Association
MeSH Terms :
Betacoronavirus*
Pandemics*
Referral and Consultation*
Clinical Laboratory Techniques/*methods
Coronavirus Infections/*epidemiology
Pneumonia, Viral/*epidemiology
Adult ; Coronavirus Infections/diagnosis ; Denmark/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Pneumonia, Viral/diagnosis ; Retrospective Studies ; Severity of Illness Index
SCR Disease Name :
COVID-19
SCR Protocol :
COVID-19 diagnostic testing
SCR Organism :
severe acute respiratory syndrome coronavirus 2
Entry Date(s) :
Date Created: 20200818 Date Completed: 20200827 Latest Revision: 20200827
Update Code :
20201020
PMID :
32800070
Czasopismo naukowe
Introduction: Due to the coronavirus disease 2019 (COVID-19) exposure in Denmark, first-line referral centres were established to handle all patients suspected of COVID-19 or other upper respiratory tract infection. Here we report the first experiences from a first-line referral centre from Amager-Hvidovre Hospital, situated on the outskirts of Copenhagen.
Methods: A retrospective quality assessment was performed with collection of symptom patterns and COVID-19 status.
Results: During the first 24 days, a total of 3,551 patients were referred for assessment of symptoms of upper respiratory tract infection and COVID-19. A total of 2,048 patients were assessed as having mild symptoms and referred for COVID-19 testing alone, whereas 337 patients were assessed clinically by a physician. Thirty-seven were positive for COVID-19 infection, 286 were negative. The most common symptoms reported were fever, coughing and dyspnoea. Fever was an independent predictor of COVID-19 infection (odds ratio (OR) = 2.25 (95% confidence interval (CI): 1.08-5.04); p = 0.037); whereas sore throat was not (OR = 0.40 (95% CI: 0.15-0.92); p = 0.045). Only a small number of patients reported loss of taste or anosmia. In total, 113 patients were admitted to hospital, the majority of patients were discharged within 24 hours with mild symptoms of upper respiratory tract infections. Three of the COVID-19-positive patients developed a severe infection and two had a fatal outcome.
Conclusions: The present study is the first to report the experiences and symptom patterns of a COVID-19 first-line referral centre with efficient triage of patients in need of hospitalisation.
Funding: none.
Trial Registration: not relevant.
(Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.)

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