紧急部门的准确性 冠状病毒疾病-2019 症状查:回顾性图表审查
Journal of emergency nursing
|May 8, 2025
概括
胃肠道,神经和精神症状在最初对2019年冠状病毒病 (COVID-19) 查负面,但后来检测阳性的患者中很常见. 高风险群体,包括老年人和患有精神问题的人,可能需要自动COVID-19测试.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 由于COVID-19的流行,需要快速查协议.
- 最初的分组旨在识别和隔离有症状的个体,以防止传播.
- 这项研究调查了在初始急诊部查期间错过的COVID-19诊断.
研究的目的:
- 为了识别COVID-19查结果为阴性但后来检测为阳性的患者的症状.
- 为了确定特定的患者群体是否有更高的错误诊断风险.
主要方法:
- 对128名成年急诊室患者的回顾性图表审查.
- 分析提供者对负面查后12小时内阳性检测的患者症状的笔记.
- 识别有症状的病例,这些症状表明错过了阳性分拣选.
主要成果:
- 胃肠道,神经和精神症状在错过的病例中最常见.
- 在128名患者中,有32名患者 (25%) 的记录表明错过了阳性分拣选.
- 老年人,认知缺陷,物质使用或精神疾病患者被确定为高风险群体.
结论:
- 针对COVID-19的选查需要持续改进.
- 高风险人群可能受益于自动COVID-19测试协议.
- 护士对于准确查和识别潜在的COVID-19病例至关重要.
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