Preliminary report of drive-through screening COVID-19 screening process in a large suburban community

Ledvina, Anne; Otero, R. García; Hamilton, Jessica; Clark, Carol; Bastani, Aveh; Ziadeh, James; Ditkoff, Jeffrey; Swor, Robert A.

doi:10.1186/s12245-021-00340-1

Cited by 2 publications

(4 citation statements)

References 9 publications

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“…Proposed protocols and coping strategies include: 1) Implementation of emergency pre-examination and triage system: Previous studies showed that a reasonable emergency pre-examination triage system could effectively reduce the waste of medical resources during COVID-19. 29 2) Strengthening public information dissemination and education. 3) Construction of a fever clinic: Suspected COVID-19 patients were treated separately in the fever clinic, which reduced the risk of infection in ED.…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 Pandemic Lockdown on Emergency Department Visits in a Tertiary Hospital

Shen¹,

Chen²,

Li³

et al. 2023

RMHP

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Purpose This study aimed to highlight the impact of the COVID-19 pandemic lockdown on emergency department (ED) visits of non-COVID-19 patients in a tertiary hospital and evaluate protocol development during this period. Patients and Methods Clinical data of patients who visited the ED of Foshan Hospital of Traditional Chinese Medicine during the first-level response in Foshan, Guangdong province in 2020 (from January 23 to February 24) and the same period in 2019 and 2021 were collected. A retrospective cross-sectional analysis was performed to understand the characteristics of critically ill patients and compare the proportion of hospitalizations, deaths, and emergency ambulance calls (EACs). Results The number of patients presenting to the ED was significantly decreased, with a 37.75% reduction in 2020 (6196) compared to the same period in 2019 (9954). A rise in patient ED presentations was observed in the same period in 2021 (10,503). This decline was mostly in the 15–45 age group. In 2019, 2020, and 2021, critically ill patients treated by the ED totaled 568 (5.706%), 339 (5.495%), and 590 (5.617%), respectively. Compared to the same period in 2019 and 2021, the proportion of critically ill patients with respiratory system involvement, severe trauma, and poisoning decreased most significantly in 2020 (P<0.05). In contrast, the rates of EACs, hospitalizations, and deaths increased significantly (P<0.05). Conclusion The number of ED visits to hospitals was decreased during the 2020 lockdown, while the rates of EACs, hospitalizations, and deaths increased significantly though there were no documented COVID-19 cases. Optimizing emergency medical resources and ensuring the safety of healthcare providers and patients were essential to provide efficient emergency diagnosis and treatment during the lockdown.

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Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 Pandemic Lockdown on Emergency Department Visits in a Tertiary Hospital

Shen¹,

Chen²,

Li³

et al. 2023

RMHP

View full text Add to dashboard Cite

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“…After 3 days, we noted that 2‐layered screening before physician evaluation effectively restricted the drive‐through patients to a low‐acuity population. Physicians reported physical examinations beyond visual inspection and vital signs were not informing care or testing decision‐making 7 . Consequently, in‐person physician evaluation was replaced with telemedicine on March 16, 2020.…”

Section: Methodsmentioning

confidence: 99%

“…Physicians reported physical examinations beyond visual inspection and vital signs were not informing care or testing decisionmaking. 7 Consequently, in-person physician evaluation was replaced with telemedicine on March 16, 2020.…”

Section: Transition To Virtual Physician Evaluationmentioning

confidence: 99%

“…[1][2][3] As a result, concerned and symptomatic patients self-triaged to our ED to determine whether they were infected. Given the high contagion of COVID-19, 4,5 and in anticipation of high-volume patient arrival, 6,7 we planned a drivethrough care pathway to limit transmission within the ED and hospital facility. It was accompanied by curbside screening to triage patients to drive-through versus main ED care.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness, safety, and efficiency of a drive‐through care model as a response to the COVID‐19 testing demand in the United States

et al. 2022

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Objectives: Here we report the clinical performance of COVID-19 curbside screening with triage to a drive-through care pathway versus main emergency department (ED) care for ambulatory COVID-19 testing during a pandemic. Patients were evaluated from cars to prevent the demand for testing from spreading COVID-19 within the hospital. Methods:We examined the effectiveness of curbside screening to identify patients who would be tested during evaluation, patient flow from screening to care team evaluation and testing, and safety of drive-through care as 7-day ED revisits and 14-day hospital admissions. We also compared main ED efficiency versus drive-through care using ED length of stay (EDLOS). Standardized mean differences (SMD) >0.20 identify statistical significance.Results: Of 5931 ED patients seen, 2788 (47.0%) were walk-in patients. Of these patients, 1111 (39.8%) screened positive for potential COVID symptoms, of whom 708 (63.7%) were triaged to drive-through care (with 96.3% tested), and 403 (36.3%) triaged to the main ED (with 90.5% tested). The 1677 (60.2%) patients who screened negative were seen in the main ED, with 440 (26.2%) tested. Curbside screening sensitivity and specificity for predicting who ultimately received testing were 70.3% and 94.5%. Compared to the main ED, drive-through patients had fewer 7-day ED revisits (3.8% vs 12.5%, SMD = 0.321), fewer 14-day hospital readmissions (4.5% vs 15.6%, SMD = 0.37), and shorter EDLOS (0.56 vs 5.12 hours, SMD = 1.48). Conclusion:Curbside screening had high sensitivity, permitting early respiratory isolation precautions for most patients tested. Low ED revisit, hospital readmissions, and

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Preliminary report of drive-through screening COVID-19 screening process in a large suburban community

Cited by 2 publications

References 9 publications

The Impact of COVID-19 Pandemic Lockdown on Emergency Department Visits in a Tertiary Hospital

The Impact of COVID-19 Pandemic Lockdown on Emergency Department Visits in a Tertiary Hospital

Effectiveness, safety, and efficiency of a drive‐through care model as a response to the COVID‐19 testing demand in the United States

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