Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
Describing the Role of a COVID Assessment Centre During the Early Phase of the COVID-19 Pandemic in Ontario, Canada.
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McIsaac Warren J, Kukan Sahana
Аннотация
BACKGROUND: Little has been written about the role of COVID assessment centres set up during the COVID-19 pandemic.
METHODS: This descriptive study reviewed and compared COVID cases presenting to the Mount Sinai Hospital COVID assessment centre and emergency departments over a 4-month period at the start of the pandemic in 2020.
RESULTS: Of 185 COVID-positive presentations, 115 (62.2%) were assessed in the COVID assessment centre and 70 (37.8%) in the emergency department. Patients seen in the COVID assessment centre tended to be younger (mean age 33.5 years) than in the emergency department (mean age 51.8 years, P < .001), had fewer comorbidities (P ≤ .05 for hypertension, congestive heart failure, diabetes, and cancer), and were less likely to have shortness of breath, fever, or focal lung findings (P < .01 for all). Chest imaging was ordered for 57.1% of emergency department cases versus 0% for COVID assessment centre cases (P < .001). Overall, 21 out of 69 (30.4%) COVID-positive cases were admitted from the emergency department, while all COVID assessment centre cases were discharged home.
CONCLUSIONS: The Mount Sinai COVID assessment centre assessed the majority of COVID cases early on in the pandemic at this site. While these were milder COVID infections, this decreased the overall number of COVID infections that might otherwise have needed to be seen in the emergency department.
METHODS: This descriptive study reviewed and compared COVID cases presenting to the Mount Sinai Hospital COVID assessment centre and emergency departments over a 4-month period at the start of the pandemic in 2020.
RESULTS: Of 185 COVID-positive presentations, 115 (62.2%) were assessed in the COVID assessment centre and 70 (37.8%) in the emergency department. Patients seen in the COVID assessment centre tended to be younger (mean age 33.5 years) than in the emergency department (mean age 51.8 years, P < .001), had fewer comorbidities (P ≤ .05 for hypertension, congestive heart failure, diabetes, and cancer), and were less likely to have shortness of breath, fever, or focal lung findings (P < .01 for all). Chest imaging was ordered for 57.1% of emergency department cases versus 0% for COVID assessment centre cases (P < .001). Overall, 21 out of 69 (30.4%) COVID-positive cases were admitted from the emergency department, while all COVID assessment centre cases were discharged home.
CONCLUSIONS: The Mount Sinai COVID assessment centre assessed the majority of COVID cases early on in the pandemic at this site. While these were milder COVID infections, this decreased the overall number of COVID infections that might otherwise have needed to be seen in the emergency department.