ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2020
Containing COVID-19 in the Emergency Department: The Role of Improved Case Detection and Segregation of Suspect Cases.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.
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Who cites it
69 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.
- COVID-19 and healthcare workers: a rapid systematic review into risks and preventive measures.BMJ open · 2021Pooled it
- Pretriage criteria for identifying COVID-19-positive patients in the paediatric emergency department.Singapore medical journal · 2026Article
- Effectiveness of triage at primary care ambulatory clinics for early detection and segregation of COVID-19-infected patients.Singapore medical journal · 2026Article
- Diagnostic accuracy of point-of-care testing methods for SARS-CoV-2 detection in community quarantine and isolation settings.Infection prevention in practice · 2026Article
- Development of remote radar based vital sign acquisition for emergency department patient triage.Frontiers in medical technology · 2026Article
- Building a coronavirus disease 2019 healthcare registry in an evolving pandemic.Scientific reports · 2025Article
- A conceptual health state diagram for modelling the transmission of a (re)emerging infectious respiratory disease in a human population.BMC infectious diseases · 2024Article
- [Diagnostic performance of two antigen-tests compared to one PCR-Test to detect SARS-CoV-2 in an emergency department and emergency service].Die Anaesthesiologie · 2023Article
- Proportion of Respiratory Syncytial Virus, SARS-CoV-2, Influenza A/B, and Adenovirus Cases via Rapid Tests in the Community during Winter 2023-A Cross Sectional Study.Diseases (Basel, Switzerland) · 2023Article
- COVID-19 Incidence After Emergency Department Visit.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023Article
- COVID-19 patient and personal safety - lessons learnt for pandemic preparedness and the way to the next normal.Antimicrobial resistance and infection control · 2023Article
- Silent hypoxia: pulse oximetry and its relation to COVID-19 in Singapore.Singapore medical journal · 2023Article
- Article
- Chest X-ray severity score Brixia: From marker of early COVID-19 infection to predictor of worse outcome in internal medicine wards.European journal of clinical investigation · 2023Article
- SARS-CoV-2 Breakthrough Infections in Health Care Workers: An Italian Retrospective Cohort Study on Characteristics, Clinical Course and Outcomes.Journal of clinical medicine · 2023Article
- Improving the mental health care process in response to Covid-19 pandemic: The case of a penitentiary mental health division.PloS one · 2023Article
- Improving safety and communication for healthcare providers caring for SARS-COV-2 patients.International journal of emergency medicine · 2022Article
- Changes over time in anxiety, depression, and stress symptoms among healthcare workers in French emergency departments during the first COVID-19 outbreak.Journal of affective disorders · 2022Article
- Management and Outcome of COVID-19 Positive and Negative Patients in French Emergency Departments During the First COVID-19 Outbreak: A Prospective Controlled Cohort Study.The western journal of emergency medicine · 2022Observational
- Lessons learnt for enhancing hospital resilience to pandemics: A qualitative analysis from Italy.International journal of disaster risk reduction : IJDRR · 2022Article
9 more citing papers are in PubMed but not listed here.
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPatients with COVID-19 may present with respiratory syndromes indistinguishable from common viruses. This poses a challenge for early detection during triage in the emergency department (ED). Over a 3-month period, our ED aimed to minimize nosocomial transmission by using broader suspect case criteria for better detection and using appropriate personal protective equipment (PPE) for health care workers (HCWs).
methodsAll ED admissions with respiratory syndromes over a 3-month period were tested for COVID-19. The sensitivity and specificity of screening criteria in detecting COVID-19 were assessed. A risk-stratified approach was adopted for PPE usage in the ED, based on high-risk "fever areas" and lower-risk zones. When a case of COVID-19 was confirmed, surveillance was conducted for potentially exposed patients and HCWs.
resultsA total of 1,841 cases presenting with respiratory syndromes required admission over the study period. Among these, 70 cases of COVID-19 were subsequently confirmed. The majority (84.2%, 59/70) were detected at ED triage because they fulfilled suspect case criteria. Of these, 34 met the official screening criteria; an additional 25 were detected by the broader internal screening criteria. Over the 12-week period, the cumulative sensitivity of internal screening criteria was 84.3% (95% confidence interval [CI] = 73.6% to 91.9%), whereas the sensitivity of the official screening criteria was 48.6% (95% CI = 36.4% to 60.8%). Given the broadened internal criteria, the preexisting ED "fever area" was insufficient and had to be expanded. However, there were no cases of nosocomial transmission from intra-ED exposure, despite extensive surveillance.
conclusionFrontline physicians need to be given leeway to decide on the disposition of cases based on clinical suspicion during an ongoing outbreak of COVID-19. If a broader criterion is used at ED triage, ED facilities and isolation facilities need to be readied to accommodate a surge of suspect cases. Usage of appropriate PPE is essential in minimizing nosocomial transmission.
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