Evidence map›Paper›PMID 32838340›Full record

Trial reportCell reports. Medicine2020

Point of Care Nucleic Acid Testing for SARS-CoV-2 in Hospitalized Patients: A Clinical Validation Trial and Implementation Study.

Dami A Collier, Sonny M Assennato, Ben Warne, Nyarie Sithole, Katherine Sharrocks, Allyson Ritchie, Pooja Ravji, Matthew Routledge, Dominic Sparkes, Jordan Skittrall and 23 more

Open access · goldAbstract readClinical TrialValidation Study
In one paragraph

Trial report in Cell reports. Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
1.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Nucleic acid amplification tests on respiratory samples for the diagnosis of coronavirus infections: a systematic review and meta-analysis.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
    Pooled it
  5. Pooled it
  6. Article
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  9. ESCMID COVID-19 guidelines: diagnostic testing for SARS-CoV-2.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
    Article
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  17. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 7 institutions in 4 countries.

Dami A CollierDivision of Infection and Immunity, University College London, London WC1E 6BT, UK.
Sonny M AssennatoDiagnostics for the Real World EU, Chesterford Research Park, Saffron Walden CB10 1XL, UK.
Ben WarneCambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Cambridge CB2 0AW, UK.
Nyarie SitholeDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Katherine SharrocksDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Allyson RitchieDiagnostics for the Real World EU, Chesterford Research Park, Saffron Walden CB10 1XL, UK.
Pooja RavjiDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Matthew RoutledgeDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Dominic SparkesDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Jordan SkittrallDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Anna SmielewskaDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Isobel RamseyDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Neha GoelDiagnostics for the Real World EU, Chesterford Research Park, Saffron Walden CB10 1XL, UK.
Martin CurranClinical Microbiology & Public Health Laboratory, Public Health England, Cambridge CB2 0QQ, UK.
David EnochClinical Microbiology & Public Health Laboratory, Public Health England, Cambridge CB2 0QQ, UK.
Rhys TassellPOC Testing, Department of Pathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Michelle LinehamPOC Testing, Department of Pathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Devan VaghelaDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Clare LeongDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Hoi Ping MokDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
John BradleyDepartment of Medicine, University of Cambridge, Cambridge CB2 0AW, UK.
Kenneth G C SmithCambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Cambridge CB2 0AW, UK.
Vivienne MendozaNIHR Cambridge Clinical Research Facility, Cambridge CB2 0QQ, UK.
Nikos DemirisDepartment of Statistics, Athens University of Economics and Business, 28is Oktovriou 76, 104 34 Athens, Greece.
Martin BesserDepartment of Haematology, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Gordon DouganCambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Cambridge CB2 0AW, UK.
Paul J LehnerCambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Cambridge CB2 0AW, UK.
Mark J SiednerMassachusetts General Hospital, Boston, MA, USA.
Hongyi ZhangClinical Microbiology & Public Health Laboratory, Public Health England, Cambridge CB2 0QQ, UK.
Claire S WaddingtonDepartment of Infectious Diseases, Cambridge University NHS Hospitals Foundation Trust, Cambridge CB2 0QQ, UK.
Helen LeeDiagnostics for the Real World EU, Chesterford Research Park, Saffron Walden CB10 1XL, UK.
Ravindra K GuptaCambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Cambridge CB2 0AW, UK.
CITIID-NIHR COVID BioResource Collaboration
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBPublic Health England · GBDiagnostics for the Real World (United Kingdom) · GBHarvard University · USAthens University of Economics and Business · GRUniversity College London · GB

Funding

Medical Research Council MR/V011561/1Wellcome Trust 210688/Z/18/Z
6 · The paper itself

Abstract

There is an urgent need for rapid SARS-CoV-2 testing in hospitals to limit nosocomial spread. We report an evaluation of point of care (POC) nucleic acid amplification testing (NAAT) in 149 participants with parallel combined nasal and throat swabbing for POC versus standard lab RT-PCR testing. Median time to result is 2.6 (IQR 2.3-4.8) versus 26.4 h (IQR 21.4-31.4, p < 0.001), with 32 (21.5%) positive and 117 (78.5%) negative. Cohen's κ correlation between tests is 0.96 (95% CI 0.91-1.00). When comparing nearly 1,000 tests pre- and post-implementation, the median time to definitive bed placement from admission is 23.4 (8.6-41.9) versus 17.1 h (9.0-28.8), p = 0.02. Mean length of stay on COVID-19 "holding" wards is 58.5 versus 29.9 h (p < 0.001). POC testing increases isolation room availability, avoids bed closures, allows discharge to care homes, and expedites access to hospital procedures. POC testing could mitigate the impact of COVID-19 on hospital systems.

Indexed as

COVID-19 Nucleic Acid TestingPoint-of-Care TestingAdultAgedCOVID-19Cross InfectionFemaleHospitalizationHumansInfection ControlMaleMiddle AgedSARS-CoV-2COVID-19diagnostic testinfection controlnosocomialPOCpoint of careSARS-CoV-2

Identifiers

PMID32838340
PMCPMC7362826
OpenAlexW3042612346

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.