预测后来的COVID-19测试寻求的预测者
Amal Ga'al1, Abby Kapsack1, Abdalla Mahmud2
1Faculty of Medicine, University of Toronto, Toronto, Canada.
概括
延迟COVID-19测试是常见的,随着年龄的增长和某些症状,如呼吸障碍,与以后寻求联系在一起. 鼓励早期检测至关重要,以最大限度地减少疾病传播.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 延迟COVID-19检测增加了家庭和社区传播风险.
- 关于患者特征和与延迟SARS-CoV-2测试寻求相关的症状的了解有限.
研究的目的:
- 为了识别与延迟COVID-19测试相关的患者特征和症状概况.
- 为鼓励及时进行SARS-CoV-2检测的战略提供信息.
主要方法:
- 在虚拟护理计划中 (2020年3月至2021年6月) 对具有症状的COVID-19患者进行回顾性队列研究.
- 主要结局:测试症状出现后超过3天.
- 多变量逻辑回归分析了预测因素,包括患者人口统计和30个个别症状或7个症状集群.
主要成果:
- 几乎一半 (46.8%) 符合条件的患者接受了后期测试.
- 年龄较大和最近的旅行史与延迟测试的几率增加有关.
- 心肺呼吸道,胃肠道,神经和精神症状与延迟测试有关;呼吸障碍和厌氧等特定症状也与后期测试相关.
结论:
- 特定的患者人口统计和症状集群预测COVID-19测试延迟.
- 需要有针对性的干预措施来促进早期测试和减少传播.
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