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10.1017/S0950268820002769

http://scihub22266oqcxt.onion/10.1017/S0950268820002769
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33183384!7729168!33183384
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suck abstract from ncbi


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pmid33183384      Epidemiol+Infect 2020 ; 148 (ä): e273
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  • Development and validation of a simple risk score for diagnosing COVID-19 in the emergency room #MMPMID33183384
  • Sung J; Choudry N; Bachour R
  • Epidemiol Infect 2020[Nov]; 148 (ä): e273 PMID33183384show ga
  • As the COVID-19 pandemic continues to escalate and place pressure on hospital system resources, a proper screening and risk stratification score is essential. We aimed to develop a risk score to identify patients with increased risk of COVID-19, allowing proper identification and allocation of limited resources. A retrospective study was conducted of 338 patients who were admitted to the hospital from the emergency room to regular floors and tested for COVID-19 at an acute care hospital in the Metropolitan Washington D.C. area. The dataset was split into development and validation sets with a ratio of 6:4. Demographics, presenting symptoms, sick contact, triage vital signs, initial laboratory and chest X-ray results were analysed to develop a prediction model for COVID-19 diagnosis. Multivariable logistic regression was performed in a stepwise fashion to develop a prediction model, and a scoring system was created based on the coefficients of the final model. Among 338 patients admitted to the hospital from the emergency room, 136 (40.2%) patients tested positive for COVID-19 and 202 (59.8%) patients tested negative. Sick contact with suspected or confirmed COVID-19 case (3 points), nursing facility residence (3 points), constitutional symptom (1 point), respiratory symptom (1 point), gastrointestinal symptom (1 point), obesity (1 point), hypoxia at triage (1 point) and leucocytosis (-1 point) were included in the prediction score. A risk score for COVID-19 diagnosis achieved area under the receiver operating characteristic curve of 0.87 (95% confidence interval (CI) 0.82-0.92) in the development dataset and 0.85 (95% CI 0.78-0.92) in the validation dataset. A risk prediction score for COVID-19 can be used as a supplemental tool to assist clinical decision to triage, test and quarantine patients admitted to the hospital from the emergency room.
  • |*Emergency Service, Hospital[MESH]
  • |*SARS-CoV-2[MESH]
  • |Aged[MESH]
  • |COVID-19/*diagnosis/epidemiology[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Maryland[MESH]
  • |Middle Aged[MESH]
  • |Nursing Homes[MESH]
  • |Pandemics[MESH]
  • |Retrospective Studies[MESH]


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