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10.1111/acem.14009 http://scihub22266oqcxt.onion/10.1111/acem.14009 32396670!7272901!32396670     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Acad+Emerg+Med 2020 ; 27 (6): 469-474 Nephropedia Template TP {{tp|p=32396670|t=2020. Symptom Criteria for COVID-19 Testing of Heath Care Workers |pdf=|usr=}}{{32396670}} gab.com Text Symptom Criteria for COVID-19 Testing of Heath Care Workers JO: Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32396670 #FOAvip BACKGROUND: Symptom criteria for COVID-19 testing of heath care workers (HCWs) limitations on testing availability have been challenging during the COVID-19 pandemic. An evidence-based symptom criteria for identifying HCWs for testing, based on the probability of positive COVID-19 test results, would allow for a more appropriate use of testing resources. METHODS: This was an observational study of outpatient COVID-19 testing of HCWs. Prior to testing, HCWs were asked about the presence of 10 symptoms. Their responses were then compared to their subsequent pharyngeal swab COVID-19 polymerase chain reaction test results. These data were used to derive and evaluate a symptom-based testing criteria. RESULTS: A total of 961 HCWs were included in the analysis, of whom 225 (23%) had positive test results. Loss of taste or smell was the symptom with the largest positive likelihood ratio (3.33). Dry cough, regardless of the presence or absence of other symptoms, was the most sensitive (74%) and the least specific (32%) symptom. The existing testing criteria consisting of any combination of one or more of three symptoms (fever, shortness of breath, dry cough) was 93% sensitive and 9% specific (area unce the curve [AUC] = 0.63, 95% confidence interval [CI] = 0.59 to 0.67). The derived testing criteria consisting of any combination of one or more of two symptoms (fever, loss of taste or smell) was 89% sensitive and 48% specific (AUC = 0.75, 95% CI = 0.71 to 0.78). The hybrid testing criteria consisting of any combination of one or more of four symptoms (fever, shortness of breath, dry cough, loss of taste or smell) was 98% sensitive and 8% specific (AUC = 0.77, 95% CI = 0.73 to 0.80). CONCLUSION: An evidence-based approach to COVID-19 testing that at least includes fever and loss of taste or smell should be utilized when determining which HCWs should be tested. Twit Text FOAVip Symptom Criteria for COVID-19 Testing of Heath Care Workers ????Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=32396670 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32396670 #FOAvip English Wikipedia <ref>{{Cite pmid|32396670}}</ref> Symptom Criteria for COVID-19 Testing of Heath Care Workers #MMPMID32396670 Clemency BM; Varughese R; Scheafer DK; Ludwig B; Welch JV; McCormack RF; Ma C; Nan N; Giambra T; Raab T Acad Emerg Med 2020[Jun]; 27 (6): 469-474 PMID32396670show ga BACKGROUND: Symptom criteria for COVID-19 testing of heath care workers (HCWs) limitations on testing availability have been challenging during the COVID-19 pandemic. An evidence-based symptom criteria for identifying HCWs for testing, based on the probability of positive COVID-19 test results, would allow for a more appropriate use of testing resources. METHODS: This was an observational study of outpatient COVID-19 testing of HCWs. Prior to testing, HCWs were asked about the presence of 10 symptoms. Their responses were then compared to their subsequent pharyngeal swab COVID-19 polymerase chain reaction test results. These data were used to derive and evaluate a symptom-based testing criteria. RESULTS: A total of 961 HCWs were included in the analysis, of whom 225 (23%) had positive test results. Loss of taste or smell was the symptom with the largest positive likelihood ratio (3.33). Dry cough, regardless of the presence or absence of other symptoms, was the most sensitive (74%) and the least specific (32%) symptom. The existing testing criteria consisting of any combination of one or more of three symptoms (fever, shortness of breath, dry cough) was 93% sensitive and 9% specific (area unce the curve [AUC] = 0.63, 95% confidence interval [CI] = 0.59 to 0.67). The derived testing criteria consisting of any combination of one or more of two symptoms (fever, loss of taste or smell) was 89% sensitive and 48% specific (AUC = 0.75, 95% CI = 0.71 to 0.78). The hybrid testing criteria consisting of any combination of one or more of four symptoms (fever, shortness of breath, dry cough, loss of taste or smell) was 98% sensitive and 8% specific (AUC = 0.77, 95% CI = 0.73 to 0.80). CONCLUSION: An evidence-based approach to COVID-19 testing that at least includes fever and loss of taste or smell should be utilized when determining which HCWs should be tested. |*Clinical Laboratory Techniques[MESH] |*Health Personnel[MESH] |Ageusia/etiology[MESH] |Anorexia/etiology[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |COVID-19 Testing[MESH] |Coronavirus Infections/complications/*diagnosis/physiopathology[MESH] |Cough/etiology[MESH] |Diarrhea/etiology[MESH] |Dyspnea/etiology[MESH] |Fatigue/etiology[MESH] |Fever/etiology[MESH] |Humans[MESH] |Myalgia/etiology[MESH] |Olfaction Disorders/etiology[MESH] |Pandemics[MESH] |Pharyngitis/etiology[MESH] |Pneumonia, Viral/complications/*diagnosis/physiopathology[MESH] |Polymerase Chain Reaction[MESH]Symptom Criteria for COVID-19 Testing of Heath Care Workers (epmc).pdf DeepDyve Pubget Overpricing