Evaluation of Covid-19 Triage Assessment Scale in Patients Attending the Emergency Department
Yazarlar (2)
Doç. Dr. Döndü ŞANLITÜRK
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Selçuk Üniversitesi, Türkiye
| Makale Türü | Özgün Makale |
| Makale Alt Türü | ESCI dergilerinde yayınlanan tam makale |
| Dergi Adı | Journal of Basic and Clinical Health Sciences |
| Dergi ISSN | 2458-8938 Wos Dergi |
| Dergi Tarandığı Indeksler | ESCI |
| Makale Dili | İngilizce |
| Basım Tarihi | 01-2022 |
| Cilt No | 6 |
| Sayı | 1 |
| Sayfalar | 55 / 65 |
| DOI Numarası | 10.30621/jbachs.959016 |
| Makale Linki | http://dx.doi.org/10.30621/jbachs.959016 |
| Özet |
| Objective: To predict SARS-CoV-2 PCR positivity on the basis of symptoms and contact history of individuals who attend emergency department Methods: The data for the study which was of a prospective-methodological type were collected from 503 patients who attended emergency department of a hospital with suspected Covid-19 between 02 January - 15 March 2021 and were given Polymerase chain reaction (PCR) test. Covid 19 Visual Triage Scale (VTS) and questionnaire were used for collecting data. Distribution of socio-demographic data was interpreted in frequency, percentage. Independent samples t-test and chi-square test were used to compare quantitative data. Cut-off value of the scale was determined. In the study, sensitivity and specificity of the scale were tested through scoring adopted based on the real time PCR test result. Results: According to the PCR test, 67% of the patients were tested negative while 33% of them were positive. According to Covid-19 VTS, 55% of the patients were found to be negative while 45% were found positive. Validation of scale resulted in 0.65 AUC with a 45% sensitivity and 82% specificity using a cut-off value >4. In its comparison with PCR test, the scale was found to detect 93 real positive and 204 real negative patients. Self-reported fever, cough, sore throat, loss of taste and smell and history of contact with a confirmed Covid-19 case were found to be strong predictors for detecting Covid-19(p<.05). Conclusions: In the study, sensitivity and specificity of COVID-19 VTS were found to be low. However, for COVID-19 and future pandemics, it is supposed to be useful in sorting patients during the early stages of the pandemic where testing facilities are limited and during the times of fluctuation. |
| Anahtar Kelimeler |
| COVID-19 | SARS-CoV-2 | Emergency triage | sensitivity | specificity |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| TRDizin | 2 |
| Google Scholar | 3 |