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About:
Patient factors associated with SARS‐CoV‐2 in an admitted emergency department population
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Patient factors associated with SARS‐CoV‐2 in an admitted emergency department population
Creator
Andrew Taylor, ;
David Van Dijk, ;
Francis, ;
Frederick, ;
Gong, Guannan
Haimovich, Adrian
Patrick, ;
Phd, Warner
Phd, Young
Ravindra, Neal
Schulz, Wade
Sehanobish, Arijit
Wilson, Perry
Source
Medline; PMC
abstract
Background: The SARS‐CoV‐2 (COVID‐19) virus has wide community spread. The aim of this study was to describe patient characteristics and to identify factors associated with COVID‐19 among emergency department patients under investigation for COVID‐19 who were admitted to the hospital. Methods: This was a retrospective observational study from eight emergency departments within a nine‐hospital health system. Patients with COVID‐19 testing around the time of hospital admission were included. The primary outcome measure was COVID‐19 test result. Patient characteristics were described and a multivariable logistic regression model was used to identify factors associated with a positive COVID‐19 test. Results: During the study period from March 1, 2020 to April 8, 2020, 2,182 admitted patients had a test resulted for COVID‐19. Of these patients, 786 (36%) had a positive test result. For COVID positive patients, 63 (8.1%) died during hospitalization. COVID‐19 positive patients had lower pulse oximetry (0.91 [95%CI], [0.88‐0.94]), higher temperatures (1.36 [1.26‐1.47]), and lower leukocyte counts than negative patients (0.78 [0.75‐0.82]). Chronic lung disease (OR 0.68, [0.52‐0.90]) and histories of alcohol (0.64 [0.42‐0.99]) or substance abuse (0.39 [0.25‐0.62]) were less likely to be associated with a positive COVID‐19 result. Conclusion: We observed a high percentage of positive results among an admitted emergency department cohort under investigation for COVID‐19. Patient factors may be useful in early differentiation of patients with COVID‐19 from similarly presenting respiratory illnesses although no single factor will serve this purpose. This article is protected by copyright. All rights reserved
has issue date
2020-05-22
(
xsd:dateTime
)
bibo:doi
10.1002/emp2.12145
bibo:pmid
32838371
has license
no-cc
sha1sum (hex)
963e8980308804db8b3c95226afe799757a6bcf8
schema:url
https://doi.org/10.1002/emp2.12145
resource representing a document's title
Patient factors associated with SARS‐CoV‐2 in an admitted emergency department population
has PubMed Central identifier
PMC7280703
has PubMed identifier
32838371
schema:publication
J Am Coll Emerg Physicians Open
resource representing a document's body
covid:963e8980308804db8b3c95226afe799757a6bcf8#body_text
is
schema:about
of
named entity 'COVID-19'
named entity 'emergency department'
named entity 'describe'
named entity 'COVID-19'
named entity 'population'
named entity 'community spread'
named entity 'COVID'
named entity 'SARS-CoV-2'
named entity 'emergency department'
named entity 'factors'
named entity 'individual effects'
named entity 'procalcitonin'
named entity 'symptom'
named entity 'VIF'
named entity 'COVID-19 tests'
named entity 'chronic disease'
named entity 'inflammatory markers'
named entity 'institutional review board'
named entity 'clinically significant'
named entity 'COVID'
named entity 'emergency department'
named entity 'nasal cannula'
named entity 'chronic diseases'
named entity 'initial testing'
named entity 'pediatric'
named entity 'sequelae'
named entity 'vital signs'
named entity 'cluster computing'
named entity 'nucleic acid detection'
named entity 'COVID'
named entity 'socioeconomic'
named entity 'study population'
named entity 'comorbidity'
named entity 'positive COVID-19 test'
named entity 'infection'
named entity 'COVID'
named entity 'medical histories'
named entity 'World Health Organization'
named entity 'vital sign'
named entity 'lymphocytopenia'
named entity 'Population characteristics'
named entity 'COVID-19 test'
named entity 'leverages data'
named entity 'Epidemiology'
named entity 'fever'
named entity 'data set'
named entity 'general population'
named entity 'medical histories'
named entity 'morbidity'
named entity 'COVID-19 testing'
named entity 'COVID-19 testing'
named entity 'D-dimer'
named entity 'ferritin'
named entity 'COVID'
named entity 'electronic health records'
named entity 'spectrum bias'
named entity 'multiple comparisons'
named entity 'sensitivity and specificity'
named entity 'risk factors'
named entity 'comorbidities'
named entity 'vital signs'
named entity 'COPD'
named entity 'substance use disorders'
named entity 'etiologies'
named entity 'lymphocyte'
named entity 'odds ratio'
named entity 'logistic regression'
named entity 'COVID'
named entity 'nasopharyngeal'
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