Retrospective analysis of asymptomatic COVID‐19 patients presenting to emergency department

Kurt, Nazlı Görmeli; Güneş, Celal

doi:10.1111/ijcp.13913

Cited by 6 publications

(7 citation statements)

References 9 publications

(14 reference statements)

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“…In a Turkish study, 81 patients with traumatic injuries were incidentally diagnosed with COVID-19 pneumonia on initial chest CT scans with no symptoms. Among them, 21% with no symptoms on admission were categorized as severe COVID-19 during hospitalization [ 3 ]. In a study including patients < 65 years of age in Wuhan, approximately 50% of asymptomatic COVID-19 cases had pneumonia on chest CT scans [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, some cases of COVID-19 were asymptomatic. Also, there are cases where there are no symptoms at the time of admission, but symptoms develop during hospitalization [ 3 , 4 ]. When symptoms do occur, they may not be severe.…”

Section: Introductionmentioning

confidence: 99%

“…When symptoms do occur, they may not be severe. The symptoms of COVID-19 can be diverse, and among them, there have been studies on asymptomatic patients [ 3 , 5 , 6 ]. The proportion of asymptomatic patients among the total number of patients varied in different reports [ 5 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the Characteristics of Asymptomatic and Presymptomatic Patients with Coronavirus Disease 2019 in the Republic of Korea

Hyun

Lee

Park

et al. 2021

J Epidemiol Glob Health

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Purpose This retrospective study aimed to evaluate the baseline characteristics of asymptomatic patients with coronavirus disease 2019 at admission and to follow-up their clinical manifestations and radiological findings during hospitalization. Methods Patients with coronavirus disease 2019 who were asymptomatic at admission were divided into two groups—those with no symptoms until discharge (group A) and those who developed symptoms after admission (group B). Patients who could not express their own symptoms were excluded. Results Overall, 127 patients were enrolled in the study, of whom 19 and 108 were assigned to groups A and B, respectively. The mean age and median C-reactive protein level were higher in group B than in group A. All patients in group A and one-third of patients in group B had normal initial chest radiographs; 15.8% and 48.1% of patients in groups A and B, respectively, had pneumonia during hospitalization. One patient in group B, whose condition was not severe at the time of admission, deteriorated due to aggravated pneumonia and was transferred to a tertiary hospital. Conclusion We summarize the clinical characteristics during hospitalization of patients with coronavirus disease 2019 who were purely asymptomatic at the time of admission. The majority of asymptomatic patients with coronavirus disease 2019 were discharged without significant events during hospitalization. However, it may be difficult to predict subsequent events from initial chest radiographs or oxygen saturation at admission.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of the Characteristics of Asymptomatic and Presymptomatic Patients with Coronavirus Disease 2019 in the Republic of Korea

Hyun

Lee

Park

et al. 2021

J Epidemiol Glob Health

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“…In a study conducted in Turkey, it was reported that only 48 percent of incidentally detected positivity in trauma patients had a history of suspicious contact. For this reason, it is essential that healthcare personnel working in assumed low-risk areas pay attention to the use of personal protective equipment as well [13].…”

Section: Covid-19 Observation Areas With Yellow Triage Codementioning

confidence: 99%

Pandemic hospitals and reorganizing emergency departments

Kayıpmaz¹,

Demircan²

2021

Turk J Med Sci

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Emergency departments have always been the first point of contact for hospitals in many situations, including man-made and natural disasters. The first places where patients with symptoms of COVID-19 were met in health institutions were also emergency departments. Emergency departments play an important role in diagnosing the disease and isolating patients (by hospitalization if necessary).The process, which starts with the triage of outpatients admitted to the emergency department and brought by ambulance, continues as isolation of the patients in appropriate areas including physical evaluation, management of laboratory and scanning processes and, if necessary, providing cardiopulmonary resuscitation with airway support. Afterwards, patients can be treated as an outpatient, or hospitalized, or treated at the intensive care unit in line with their preliminary diagnosis and clinical conditions.Disruptions that may occur in one or more of these stages can lead to crowds and lengthy queues in the emergency department by prolonging the follow-up period of the patients.One of the strengths of Turkey at this point is that emergency departments are accustomed to the heavy patient load. The experiences gained from these conditions have facilitated the organization of pre-hospital emergency medical services, pandemic hospitals, and their emergency departments. In this organization, the main goal should be to provide uninterrupted and high-quality patient care through personnel training, personal protection measures, and the creation of physical conditions. Turkey's emergency departments are accustomed to managing the intensive patient flow, as they work at full capacity during normal times. Thanks to the experiences of emergency healthcare workers, health service was provided without any patient being turned away from the door of the emergency departments during the COVID-19 pandemic.In this review, we aimed to present the organization of pandemic hospitals and emergency departments during the COVID-19 pandemic. We made a schematic representation of the architectural areas through the emergency department of Ankara City Hospital, which has a bed capacity of 3810 with 256 beds in emergency department.

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“…We read with interest the article of Gormeli Kurt and Gunes, 1 who emphasised that timely detection and isolation of asymptomatic patients with coronavirus diseases 2019 (COVID‐19) has primary importance for contrasting the spread of the ongoing pandemic outbreak. According to their study design, patients were defined asymptomatic when they received a definitive molecular diagnosis of COVID‐19 without presenting symptoms such as fever, cough and myalgia.…”

mentioning

confidence: 99%

Searching for a clinically validated definition of “asymptomatic” COVID‐19 infection

et al. 2021

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Retrospective analysis of asymptomatic COVID‐19 patients presenting to emergency department

Cited by 6 publications

References 9 publications

Comparison of the Characteristics of Asymptomatic and Presymptomatic Patients with Coronavirus Disease 2019 in the Republic of Korea

Comparison of the Characteristics of Asymptomatic and Presymptomatic Patients with Coronavirus Disease 2019 in the Republic of Korea

Pandemic hospitals and reorganizing emergency departments

Searching for a clinically validated definition of “asymptomatic” COVID‐19 infection

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