Epidemiology and clinical features of emergency department patients with suspected <scp>COVID</scp>‐19: Initial results from the COVID‐19 Emergency Department Quality Improvement Project (<scp>COVED</scp>‐1)

O’Reilly, Gerard; Mitchell, Rob; Rajiv, Prithi; Wu, Joey; Brennecke, Helen; Brichko, Lisa; Noonan, Michael P; Hiller, Ryan; Mitra, Biswadev; Luckhoff, Carl; Paton, Andrew; Smit, De Villiers; Santamaria, Mark; Cameron, Peter

doi:10.1111/1742-6723.13540

Cited by 30 publications

(40 citation statements)

References 8 publications

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“…Actually, patient-specific medical decisions and interventions are necessary in these scenarios [ 27 ]. In line with the findings of this study, other researchers have also emphasized on promoting and monitoring the quality of intensive care [ 25 ] and the regular updating of health care guidelines [ 28 ] for these patients.…”

Section: Discussionsupporting

confidence: 85%

“…It was found that the patients also had special care needs such as suctioning pulmonary secretions, frequent checking on vital signs, and ventilation. Patients with COVID-19 represent symptoms such as cough, dyspnea, fever, sore throat, and sometimes other nonspecific presentations; nevertheless, only 5% of these patients will require ventilation [ 25 , 26 ]. In patients with severe symptoms, in addition to ventilation, monitoring and maintaining the function of several vital organs such as the heart and kidneys, as well as extremities (legs and fingers) are very important.…”

Section: Discussionmentioning

confidence: 99%

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Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitative study

et al. 2020

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Background COVID-19 is a new disease affecting and killing a large number of people across the world every day. One way to improve health care for these patients is to recognize their needs. Nurses, as a large population of health care staff, can be rich sources of information and experience on patients’ care needs. Therefore, the aim of this study was to explore nurses’ perception about the care needs of patients with COVID-19. Methods The present qualitative research was performed using the conventional content analysis approach in Iran from March to May 2020. The participants of this study included the nurses caring for patients with COVID-19, recruited by the purpose sampling method. The data was collected through 20 telephone interviews and analyzed based on the method proposed by Lundman and Graneheim. Results Qualitative data analysis revealed six main categories including need for psychological consulting, need for quality improvement of services, need for upgrading of information, need for improving of social support, need for spiritual care and need for social welfare. Conclusion The data showed that patients with COVID-19 were psychologically, physically, socially, economically, and spiritually affected by the disease. Therefore, they should be comprehensively supported by health care staff and other supportive systems.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitative study

et al. 2020

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“…The higher frequency of symptoms could suggest that those patients visited the ED earlier; however, in our sample, patients with headache presented to the ED later than those without headache. This could reflect that patients without headache suffer from a more severe case of COVID-19 and therefore they seek medical attention earlier [24].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the presence of headache in hospitalized COVID-19 patients and impact on prognosis: a retrospective cohort study

et al. 2020

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Introduction: Headache is one of the most frequent neurologic manifestations in COVID-19. We aimed to analyze which symptoms and laboratory abnormalities were associated with the presence of headache and to evaluate if patients with headache had a higher adjusted in-hospital risk of mortality. Methods: Retrospective cohort study. We included all consecutive patients admitted to the Hospital with confirmed SARS-CoV-2 infection between March 8th and April 11th, 2020. We collected demographic data, clinical variables and laboratory abnormalities. We used multivariate regression analysis. Results: During the study period, 576 patients were included, aged 67.2 (SD: 14.7), and 250/576 (43.3%) being female. Presence of headache was described by 137 (23.7%) patients. The all-cause in-hospital mortality rate was 127/576 (20.0%). In the multivariate analysis, patients with headache had a lower risk of mortality (OR: 0.39, 95% CI: 0.17-0.88, p = 0.007). After adjusting for multiple comparisons in a multivariate analysis, variables that were independently associated with a higher odds of having headache in COVID-19 patients were anosmia, myalgia, female sex and fever; variables that were associated with a lower odds of having headache were younger age, lower score on modified Rankin scale, and, regarding laboratory variables on admission, increased C-reactive protein, abnormal platelet values, lymphopenia and increased D-dimer. Conclusion: Headache is a frequent symptom in COVID-19 patients and its presence is an independent predictor of lower risk of mortality in COVID-19 hospitalized patients.

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“…During the first month of SOE measures, the number of patients diagnosed with COVID-19 at both sites was low. 13 Adult patients presenting to AH or SH ED during the study period were included. Patients were excluded if they were transferred from another hospital or had a positive SARS-CoV-2 swab result during their ED encounter.…”

Section: Methodsmentioning

confidence: 99%

Impact of COVID‐19 State of Emergency restrictions on presentations to two Victorian emergency departments

Mitchell

O’Reilly

Mitra

et al. 2020

Emerg Medicine Australasia

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Objective: To determine if COVID-19 State of Emergency (SOE) restrictions were associated with a reduction in presentations to two urban EDs in Melbourne, Victoria. Methods: This retrospective observational study included adult patients presenting to The Alfred and Sandringham Hospital EDs during the first month of stage 2 and 3 SOE restrictions (26 March-25 April 2020). Patients transferred from other hospitals or diagnosed with COVID-19 were excluded. The primary outcome was the average number of presentations per day. Secondary outcomes included the average daily number of presentations for pre-specified subgroups defined by triage category and diagnosis. The independent impact of SOE restrictions, adjusted for underlying trends in attendance, was determined using negative binomial regression and reported as an incident rate ratio (IRR) with a 95% confidence interval (CI). Results: Average daily attendance during the exposure period was 174.7. In the absence of SOE restrictions, 278.8 presentations per day were predicted, a reduction of 37.3% (IRR 0.63, 95% CI 0.59-0.67). Attendance was lower than anticipated for all triage categories (especially category 5 [IRR 0.51, 95% CI 0.44-0.59]) and diagnostic groups (including circulatory problems [IRR 0.62, 95% CI 0.50-0.76] and injury [IRR 0.58, 95% CI 0.53-0.63]). There were fewer than predicted presentations for several sentinel diagnoses, including gastroenteritis (IRR 0.27, 95% CI 0.17-0.42) and renal colic (IRR 0.55, 95% CI 0.33-0.92). Conclusions: SOE restrictions were associated with a significant reduction in ED presentations across a range of triage categories and diagnoses. Public health messaging should emphasise the importance of timely ED attendance for acute illness and injury.

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Epidemiology and clinical features of emergency department patients with suspected COVID‐19: Initial results from the COVID‐19 Emergency Department Quality Improvement Project (COVED‐1)

Abstract: the COVED Project demonstrates that the rapid establishment of an agile clinical registry for emergency care is feasible.

Cited by 30 publications

References 8 publications

Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitative study

Exploring nurses’ perception about the care needs of patients with COVID-19: a qualitative study

Factors associated with the presence of headache in hospitalized COVID-19 patients and impact on prognosis: a retrospective cohort study

Impact of COVID‐19 State of Emergency restrictions on presentations to two Victorian emergency departments

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