lbbibqv3

Property	Value
?:abstract	BACKGROUND AND AIM: New York City (NYC) is an epicenter of the COVID-19 pandemic in the United States. Proper triage of patients with possible COVID-19 via chief complaint is critical but not fully optimized. This study aimed to investigate the association between presentation by chief complaints and COVID-19 status. METHODS: We retrospectively analyzed adult emergency department (ED) patient visits from five different NYC hospital campuses (hospital blinded) from March 1, 2020 to May 13, 2020 of patients who underwent nasopharyngeal COVID-19 RT-PCR testing. The positive and negative COVID-19 cohorts were then assessed for different chief complaints obtained from structured triage data. Sub-analysis was performed for patients older than 65 and within chief complaints with high mortality. RESULTS: Of 11,992 ED patient visits who received COVID-19 testing, 6524/11992 (54.4%) were COVID-19 positive. 73.5% of fever, 67.7% of shortness of breath, and 65% of cough had COVID-19, but others included 57.5% of weakness/fall/altered mental status, 55.5% of glycemic control, and 51.4% of gastrointestinal symptoms. In patients over 65, 76.7% of diarrhea, 73.7% of fatigue, and 69.3% of weakness had COVID-19. 45.5% of dehydration, 40.5% of altered mental status, 27% of fall, and 24.6% of hyperglycemia patients experienced mortality. CONCLUSION: A novel high risk COVID-19 patient population was identified from chief complaint data, which is different from current suggested CDC guidelines, and may help triage systems to better isolate COVID-19 patients. Older patients with COVID-19 infection presented with more atypical complaints warranting special consideration. COVID-19 was associated with higher mortality in a unique group of complaints also warranting special consideration.
is ?:annotates of	<https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C0010200> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C0011991> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C0013404> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C0015672> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C0015967> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C0278061> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C0426576> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C3539125> <https://research.tib.eu/covid-19/entity/lbbibqv3_hasAnnotation_C3714552>
?:creator	<https://research.tib.eu/covid-19/entity/Clifford%2C_Christopher_T.%3B_Pour%2C_Trevor_R.%3B_Freeman%2C_Robert%3B_Reich%2C_David_L.%3B_Glicksberg%2C_Benjamin_S.%3B_Levine%2C_Matthew_A.%3B_Klang%2C_Eyal>
?:doi	10.1016/j.ajem.2020.11.006
?:doi	<https://research.tib.eu/covid-19/entity/10.1016/j.ajem.2020.11.006>
?:journal	Am_J_Emerg_Med
?:license	no-cc
?:pdf_json_files	document_parses/pdf_json/822c7a8a2b04449211bdeac7a52f5765061b8d50.json
?:pmc_json_files	document_parses/pmc_json/PMC7648523.xml.json
?:pmcid	<https://research.tib.eu/covid-19/entity/PMC7648523>
?:pmid	<https://research.tib.eu/covid-19/entity/33191048.0>
?:pmid	33191048.0
?:publication_isRelatedTo_Disease	<https://research.tib.eu/covid-19/entity/COVID-19>
?:sha_id	<https://research.tib.eu/covid-19/entity/822c7a8a2b04449211bdeac7a52f5765061b8d50>
?:source	Elsevier; Medline; PMC
?:title	Association between COVID-19 diagnosis and presenting chief complaint from New York City triage data
?:type	<https://research.tib.eu/covid-19/vocab/Publication>
?:year	2020-11-07

Property

Value

?:abstract

BACKGROUND AND AIM: New York City (NYC) is an epicenter of the COVID-19 pandemic in the United States. Proper triage of patients with possible COVID-19 via chief complaint is critical but not fully optimized. This study aimed to investigate the association between presentation by chief complaints and COVID-19 status. METHODS: We retrospectively analyzed adult emergency department (ED) patient visits from five different NYC hospital campuses (hospital blinded) from March 1, 2020 to May 13, 2020 of patients who underwent nasopharyngeal COVID-19 RT-PCR testing. The positive and negative COVID-19 cohorts were then assessed for different chief complaints obtained from structured triage data. Sub-analysis was performed for patients older than 65 and within chief complaints with high mortality. RESULTS: Of 11,992 ED patient visits who received COVID-19 testing, 6524/11992 (54.4%) were COVID-19 positive. 73.5% of fever, 67.7% of shortness of breath, and 65% of cough had COVID-19, but others included 57.5% of weakness/fall/altered mental status, 55.5% of glycemic control, and 51.4% of gastrointestinal symptoms. In patients over 65, 76.7% of diarrhea, 73.7% of fatigue, and 69.3% of weakness had COVID-19. 45.5% of dehydration, 40.5% of altered mental status, 27% of fall, and 24.6% of hyperglycemia patients experienced mortality. CONCLUSION: A novel high risk COVID-19 patient population was identified from chief complaint data, which is different from current suggested CDC guidelines, and may help triage systems to better isolate COVID-19 patients. Older patients with COVID-19 infection presented with more atypical complaints warranting special consideration. COVID-19 was associated with higher mortality in a unique group of complaints also warranting special consideration.

is ?:annotates of