Please use this identifier to cite or link to this item: https://ninho.inca.gov.br/jspui/handle/123456789/2229
Title: Evaluation of the Criteria Adopted to Identify Suspected Cases of COVID-19 in the Emergency Department Service of a Referral Palliative Oncology Care Unit
Authors: Sampaio, Simone Garruth dos Santos Machado
Dias, Andréa Marins
Freitas, Renata de
Borsatto, Alessandra Zanei
Esteves, Eliza Maffioletti Furtunato Leocádio
Oliveira, Livia Costa de
Keywords: Palliative care
Diagnostic techniques and procedures
Clinical diagnosis
Diagnóstico Clínico
COVID-19
Técnicas e Procedimentos Diagnósticos
Cuidados Paliativos
Issue Date: 2-Sep-2020
Publisher: American Journal of Hospice & Palliative Medicine
Series/Report no.: 38;02
Abstract: 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
URI: http://sr-vmlxaph03:8080/jspui/handle/123456789/2229
Appears in Collections:Hospital do Câncer IV (HCIV)

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