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Tytuł pozycji:

Epidemiology and clinical features of emergency department patients with suspected and confirmed COVID-19: A multisite report from the COVID-19 Emergency Department Quality Improvement Project for July 2020 (COVED-3).

Tytuł:
Epidemiology and clinical features of emergency department patients with suspected and confirmed COVID-19: A multisite report from the COVID-19 Emergency Department Quality Improvement Project for July 2020 (COVED-3).
Autorzy:
O'Reilly GM; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.; National Trauma Research Institute, Alfred Health, Melbourne, Victoria, Australia.
Mitchell RD; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Mitra B; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.; National Trauma Research Institute, Alfred Health, Melbourne, Victoria, Australia.
Akhlaghi H; Emergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.
Tran V; Emergency Department, Royal Hobart Hospital, Tasmanian Health Services, Hobart, Tasmania, Australia.; Tasmanian School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Furyk JS; Emergency Department, Barwon Health, Geelong, Victoria, Australia.; School of Medicine, Deakin University, Melbourne, Victoria, Australia.
Buntine P; Emergency Department, Eastern Health, Melbourne, Victoria, Australia.; School of Medicine, Monash University, Melbourne, Victoria, Australia.
Bannon-Murphy H; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.
Amos T; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.
Udaya Kumar M; School of Medicine, Monash University, Melbourne, Victoria, Australia.
Perkins E; School of Medicine, Monash University, Melbourne, Victoria, Australia.
Prentice A; Emergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.
Szwarcberg O; Emergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.
Loughman A; Emergency Department, Royal Hobart Hospital, Tasmanian Health Services, Hobart, Tasmania, Australia.; Ambulance Tasmania, Hobart, Tasmania, Australia.
Lowry N; Emergency Department, Barwon Health, Geelong, Victoria, Australia.
Colwell S; Emergency Department, Eastern Health, Melbourne, Victoria, Australia.
Noonan MP; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.; National Trauma Research Institute, Alfred Health, Melbourne, Victoria, Australia.; Trauma Service, Alfred Health, Melbourne, Victoria, Australia.
Hiller R; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.
Paton A; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.; Adult Retrieval Victoria, Ambulance Victoria, Melbourne, Victoria, Australia.
Smit V; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.; National Trauma Research Institute, Alfred Health, Melbourne, Victoria, Australia.
Cameron PA; Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Corporate Authors:
COVED Project Team
Źródło:
Emergency medicine Australasia : EMA [Emerg Med Australas] 2021 Feb; Vol. 33 (1), pp. 114-124. Date of Electronic Publication: 2020 Oct 19.
Typ publikacji:
Journal Article; Multicenter Study
Język:
English
Imprint Name(s):
Original Publication: Wes Melbourne, Victoria : Blackwell Pub., c2004-
MeSH Terms:
COVID-19/*epidemiology
Emergency Service, Hospital/*statistics & numerical data
Quality Improvement/*statistics & numerical data
COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19/therapy ; COVID-19 Testing/methods ; COVID-19 Testing/statistics & numerical data ; Cross Infection/prevention & control ; Emergency Service, Hospital/organization & administration ; Female ; Humans ; Male ; Middle Aged ; Quality Improvement/organization & administration ; SARS-CoV-2 ; Tasmania/epidemiology ; Victoria/epidemiology
References:
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Grant Information:
1142691; MRFF Fellowship: 1139686 NHMRC Fellowship:
Contributed Indexing:
Keywords: COVID-19; emergency; isolation; quality improvement; registry
Entry Date(s):
Date Created: 20200922 Date Completed: 20210301 Latest Revision: 20220716
Update Code:
20240105
PubMed Central ID:
PMC7536936
DOI:
10.1111/1742-6723.13651
PMID:
32959497
Czasopismo naukowe
Objective: The aim of the present study was to describe the epidemiology and clinical features of patients presenting to the ED with suspected and confirmed COVID-19.
Methods: The COVID-19 ED (COVED) Project is an ongoing prospective cohort study in Australian EDs. This analysis presents data from eight sites across Victoria and Tasmania for July 2020 (during Australia's 'second wave'). All adult patients who met criteria for 'suspected COVID-19' and underwent testing for SARS-CoV-2 in the ED were eligible for inclusion. Study outcomes included a positive SARS-CoV-2 test result and mechanical ventilation.
Results: In the period 1 July to 31 July 2020, there were 30 378 presentations to the participating EDs and 2917 (9.6%; 95% confidence interval 9.3-9.9) underwent testing for SARS-CoV-2. Of these, 50 (2%) patients returned a positive result. Among positive cases, two (4%) received mechanical ventilation during their hospital admission compared to 45 (2%) of the SARS-CoV-2 negative patients (odds ratio 1.7, 95% confidence interval 0.4-7.3; P = 0.47). Two (4%) SARS-CoV-2 positive patients died in hospital compared to 46 (2%) of the SARS-CoV-2 negative patients (odds ratio 1.7, 95% confidence interval 0.4-7.1; P = 0.49). Strong clinical predictors of a positive SARS-CoV-2 result included self-reported fever, non-smoking status, bilateral infiltrates on chest X-ray and absence of a leucocytosis on first ED blood tests (P < 0.05).
Conclusion: In this prospective multi-site study from July 2020, a substantial proportion of ED patients required SARS-CoV-2 testing, isolation and enhanced infection prevention and control precautions. Presence of SARS-CoV-2 on nasopharyngeal swab was not associated with death or mechanical ventilation.
(© 2020 Australasian College for Emergency Medicine.)

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