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Clinical Features of Patients with COVID-19: is Temperature Screening Useful?

BACKGROUND: As many businesses reopen after government-induced restrictions, many public agencies and private companies, such as banks, golf courses, and stores, are using temperature screening to assess for possible coronavirus disease 2019 (COVID-19) infection both for patrons and for employees. O...

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Autores principales: Vilke, Gary M., Brennan, Jesse J., Cronin, Alexandrea O., Castillo, Edward M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505592/
https://www.ncbi.nlm.nih.gov/pubmed/33139117
http://dx.doi.org/10.1016/j.jemermed.2020.09.048
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author Vilke, Gary M.
Brennan, Jesse J.
Cronin, Alexandrea O.
Castillo, Edward M.
author_facet Vilke, Gary M.
Brennan, Jesse J.
Cronin, Alexandrea O.
Castillo, Edward M.
author_sort Vilke, Gary M.
collection PubMed
description BACKGROUND: As many businesses reopen after government-induced restrictions, many public agencies and private companies, such as banks, golf courses, and stores, are using temperature screening to assess for possible coronavirus disease 2019 (COVID-19) infection both for patrons and for employees. OBJECTIVE: We assessed the frequency of a fever ≥100.4°F and other symptoms associated with COVID-19 among patients in the emergency department (ED) who were tested in the ED for the illness. METHODS: This is a retrospective review of data from patients who were tested for acute COVID-19 infection from March 10, 2020 through June 30, 2020 at two EDs within the same health care system. Data collected included temperature, the presence or recent history of COVID-19–related symptoms, and COVID-19 test results. Descriptive statistics are reported for presenting fever and other COVID-19–related symptoms alone and in combination with presenting fever. RESULTS: A total of 6894 patients were tested for COVID-19. Among these, 330 (4.8%) tested positive for active infection. Of these patients, 64 (19.4%) presented with a fever ≥100.4°F (≥38.0°C). Increasing the number of COVID-19–related symptoms in combination with a presenting fever ≥100.4°F increased the number of people who could be identified as having a COVID-19 infection. CONCLUSIONS: About a quarter of patients who were tested positive for COVID-19 in our ED did not have a fever at presentation ≥100.4°F. Using only temperature to screen for COVID-19 in the community setting will likely miss the majority of patients with active disease.
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spelling pubmed-75055922020-09-23 Clinical Features of Patients with COVID-19: is Temperature Screening Useful? Vilke, Gary M. Brennan, Jesse J. Cronin, Alexandrea O. Castillo, Edward M. J Emerg Med Public Health in Emergency Medicine BACKGROUND: As many businesses reopen after government-induced restrictions, many public agencies and private companies, such as banks, golf courses, and stores, are using temperature screening to assess for possible coronavirus disease 2019 (COVID-19) infection both for patrons and for employees. OBJECTIVE: We assessed the frequency of a fever ≥100.4°F and other symptoms associated with COVID-19 among patients in the emergency department (ED) who were tested in the ED for the illness. METHODS: This is a retrospective review of data from patients who were tested for acute COVID-19 infection from March 10, 2020 through June 30, 2020 at two EDs within the same health care system. Data collected included temperature, the presence or recent history of COVID-19–related symptoms, and COVID-19 test results. Descriptive statistics are reported for presenting fever and other COVID-19–related symptoms alone and in combination with presenting fever. RESULTS: A total of 6894 patients were tested for COVID-19. Among these, 330 (4.8%) tested positive for active infection. Of these patients, 64 (19.4%) presented with a fever ≥100.4°F (≥38.0°C). Increasing the number of COVID-19–related symptoms in combination with a presenting fever ≥100.4°F increased the number of people who could be identified as having a COVID-19 infection. CONCLUSIONS: About a quarter of patients who were tested positive for COVID-19 in our ED did not have a fever at presentation ≥100.4°F. Using only temperature to screen for COVID-19 in the community setting will likely miss the majority of patients with active disease. Elsevier Inc. 2020-12 2020-09-21 /pmc/articles/PMC7505592/ /pubmed/33139117 http://dx.doi.org/10.1016/j.jemermed.2020.09.048 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Public Health in Emergency Medicine
Vilke, Gary M.
Brennan, Jesse J.
Cronin, Alexandrea O.
Castillo, Edward M.
Clinical Features of Patients with COVID-19: is Temperature Screening Useful?
title Clinical Features of Patients with COVID-19: is Temperature Screening Useful?
title_full Clinical Features of Patients with COVID-19: is Temperature Screening Useful?
title_fullStr Clinical Features of Patients with COVID-19: is Temperature Screening Useful?
title_full_unstemmed Clinical Features of Patients with COVID-19: is Temperature Screening Useful?
title_short Clinical Features of Patients with COVID-19: is Temperature Screening Useful?
title_sort clinical features of patients with covid-19: is temperature screening useful?
topic Public Health in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505592/
https://www.ncbi.nlm.nih.gov/pubmed/33139117
http://dx.doi.org/10.1016/j.jemermed.2020.09.048
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