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- Title
Evaluation of the Criteria Adopted to Identify Suspected Cases of COVID-19 in the Emergency Department Service of a Referral Palliative Oncology Care Unit.
- Authors
Sampaio, Simone Garruth dos Santos Machado; Dias, Andréa Marins; de Freitas, Renata; Borsatto, Alessandra Zanei; Esteves, Elisa Maffioletti Furtunato Leocádio; de Oliveira, Lívia Costa
- Abstract
Context: Due to the need for isolation of inpatients with suspected COVID-19, accuracy in identifying these cases in Emergency Department (ED) has great relevance, especially in Palliative Oncology Care Unit (PCU). Objective: To evaluate the efficiency of clinical criteria adopted to identify suspected cases of COVID-19 by the ED in PCU. Methods: All patients admitted to PCU between April and June 2020 from ED were included. The clinical criteria adopted to identify suspected COVID-19 cases were: being in contact with a suspected or confirmed case less than 14 days ago and / or presenting fever with no defined focus and / or respiratory symptoms not explained by oncological disease and / or suggestive image in radiological examination (if necessary). All suspected cases were submitted to deep nasal and throat swab for SARS COV-2 investigation by Reverse Transcription Polymerase Chain Reaction Test, adopted as gold standard. Inpatients hospitalized by ED, without suspicion, and then diagnosed with COVID-19 within 10 days of hospitalization were considered as false-negative cases. Results: During the period, 327 patients were admitted from ED. Of these, 69 (21%) were considered suspects, of whom 34 (49%) tested positive for COVID-19. The sensitivity of the clinical criterion to identify suspected cases was 87%, specificity was 88%, positive predictive value was 49%, negative was 98% and accuracy was 88%. Conclusion: The clinical criteria adopted to identify suspected cases of COVID-19 at ED proved to be efficient, with low risk of spreading in-hospital infection, avoiding unnecessary isolation of patients.
- Subjects
HOSPITAL care; HOSPITAL wards; HOSPITAL emergency services; COVID-19 testing; MEDICAL screening; PALLIATIVE treatment; POLYMERASE chain reaction; PREDICTIVE tests; CROSS-sectional method; RETROSPECTIVE studies; REVERSE transcriptase polymerase chain reaction; DATA analysis software; COVID-19 pandemic
- Publication
American Journal of Hospice & Palliative Medicine, 2021, Vol 38, Issue 2, p199
- ISSN
1049-9091
- Publication type
Article
- DOI
10.1177/1049909120957310