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10.1177/1049909120957310

http://scihub22266oqcxt.onion/10.1177/1049909120957310
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32875819!ä!32875819

suck abstract from ncbi


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pmid32875819      Am+J+Hosp+Palliat+Care 2021 ; 38 (2): 199-203
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  • Evaluation of the Criteria Adopted to Identify Suspected Cases of COVID-19 in the Emergency Department Service of a Referral Palliative Oncology Care Unit #MMPMID32875819
  • Sampaio SGDSM; Dias AM; de Freitas R; Borsatto AZ; Esteves EMFL; de Oliveira LC
  • Am J Hosp Palliat Care 2021[Feb]; 38 (2): 199-203 PMID32875819show ga
  • 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.
  • |COVID-19 Testing/*statistics & numerical data[MESH]
  • |COVID-19/complications/*diagnosis[MESH]
  • |Emergency Medical Services[MESH]
  • |Emergency Service, Hospital[MESH]
  • |Female[MESH]
  • |Hospice and Palliative Care Nursing[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Neoplasms/*complications[MESH]
  • |Palliative Care/*methods[MESH]


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