Epidemiology and clinical features of emergency department patients with suspected COVID‐19: Results from the first month of the COVID‐19 Emergency Department Quality Improvement Project (COVED‐2)

Objective The aim of the present study was to describe the epidemiological and clinical features of ED patients with suspected and confirmed COVID‐19. Methods The COVID‐19 Emergency Department (COVED) Project is an ongoing prospective cohort study that includes all adult patients presenting to The A...

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Bibliographic Details
Published in:Emergency medicine Australasia 2020-10, Vol.32 (5), p.814-822
Main Authors: O'Reilly, Gerard M, Mitchell, Rob D, Wu, Jamin, Rajiv, Prithi, Bannon‐Murphy, Holly, Amos, Timothy, Brichko, Lisa, Brennecke, Helen, Noonan, Michael P, Mitra, Biswadev, Paton, Andrew, Hiller, Ryan, Smit, De Villiers, Luckhoff, Carl, Santamaria, Mark J, Cameron, Peter A
Format: Article
Language:English
Subjects:
Adult
Age Factors
Australia - epidemiology
Clinical Laboratory Techniques - methods
Clinical Laboratory Techniques - statistics & numerical data
Cohort Studies
Coronavirus Infections - diagnosis
Coronavirus Infections - epidemiology
COVID-19
COVID-19 Testing
emergency
Emergency Service, Hospital - statistics & numerical data
Female
Humans
Incidence
isolation
Male
Middle Aged
Original Research
Pandemics
Pneumonia, Viral - diagnosis
Pneumonia, Viral - epidemiology
Prospective Studies
Quality Improvement
registry
Risk Assessment
Severe Acute Respiratory Syndrome - diagnosis
Severe Acute Respiratory Syndrome - epidemiology
Sex Factors
Tertiary Care Centers
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Summary:Objective The aim of the present study was to describe the epidemiological and clinical features of ED patients with suspected and confirmed COVID‐19. Methods The COVID‐19 Emergency Department (COVED) Project is an ongoing prospective cohort study that includes all adult patients presenting to The Alfred Hospital ED who undergo testing for SARS‐CoV‐2. Current guidelines recommend testing for patients with fevers or chills, acute respiratory symptoms or a high‐risk exposure history, as well as implementation of infection prevention and control precautions for all suspected and confirmed cases. Study outcomes include a positive SARS‐CoV‐2 test result and intensive respiratory support. Results In the period 1–30 April 2020, 702 of 3453 ED patients (20%; 95% CI 19–22) were tested, with a significant increase during the study period (incident rate ratio 1.019; 95% confidence interval 1.017–1.021, P 
ISSN:1742-6731
1742-6723
DOI:10.1111/1742-6723.13573