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Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience

INTRODUCTION: During the early days of coronavirus disease 2019 (COVID-19) in Singapore, Tan Tock Seng Hospital implemented an enhanced pneumonia surveillance (EPS) programme enrolling all patients who were admitted from the Emergency Department (ED) with a diagnosis of pneumonia but not meeting the...

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Autores principales: Huang, Wenhui, Chai, Gin Tsen, Thong, Bernard Yu-Hor, Chan, Mark, Ang, Brenda, Chow, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Microbiology Society 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744277/
https://www.ncbi.nlm.nih.gov/pubmed/34898420
http://dx.doi.org/10.1099/jmm.0.001452
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author Huang, Wenhui
Chai, Gin Tsen
Thong, Bernard Yu-Hor
Chan, Mark
Ang, Brenda
Chow, Angela
author_facet Huang, Wenhui
Chai, Gin Tsen
Thong, Bernard Yu-Hor
Chan, Mark
Ang, Brenda
Chow, Angela
author_sort Huang, Wenhui
collection PubMed
description INTRODUCTION: During the early days of coronavirus disease 2019 (COVID-19) in Singapore, Tan Tock Seng Hospital implemented an enhanced pneumonia surveillance (EPS) programme enrolling all patients who were admitted from the Emergency Department (ED) with a diagnosis of pneumonia but not meeting the prevalent COVID-19 suspect case definition. HYPOTHESIS/GAP STATEMENT: There is a paucity of data supporting the implementation of such a programme. AIMS: To compare and contrast our hospital-resource utilization of an EPS programme for COVID-19 infection detection with a suitable comparison group. METHODOLOGY: We enrolled all patients admitted under the EPS programme from TTSH’s ED from 7 February 2020 (date of EPS implementation) to 20 March 2020 (date of study ethics application) inclusive. We designated a comparison cohort over a similar duration the preceding year. Relevant demographic and clinical data were extracted from the electronic medical records. RESULTS: There was a 3.2 times higher incidence of patients with an admitting diagnosis of pneumonia from the ED in the EPS cohort compared to the comparison cohort (P<0.001). However, there was no significant difference in the median length of stay of 7 days (P=0.160). Within the EPS cohort, stroke and fluid overload occur more frequently as alternative primary diagnoses. CONCLUSIONS: Our study successfully evaluated our hospital-resource utilization demanded by our EPS programme in relation to an appropriate comparison group. This helps to inform strategic use of hospital resources to meet the needs of both COVID-19 related services and essential ‘peace-time’ healthcare services concurrently.
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spelling pubmed-87442772022-01-11 Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience Huang, Wenhui Chai, Gin Tsen Thong, Bernard Yu-Hor Chan, Mark Ang, Brenda Chow, Angela J Med Microbiol Clinical Microbiology INTRODUCTION: During the early days of coronavirus disease 2019 (COVID-19) in Singapore, Tan Tock Seng Hospital implemented an enhanced pneumonia surveillance (EPS) programme enrolling all patients who were admitted from the Emergency Department (ED) with a diagnosis of pneumonia but not meeting the prevalent COVID-19 suspect case definition. HYPOTHESIS/GAP STATEMENT: There is a paucity of data supporting the implementation of such a programme. AIMS: To compare and contrast our hospital-resource utilization of an EPS programme for COVID-19 infection detection with a suitable comparison group. METHODOLOGY: We enrolled all patients admitted under the EPS programme from TTSH’s ED from 7 February 2020 (date of EPS implementation) to 20 March 2020 (date of study ethics application) inclusive. We designated a comparison cohort over a similar duration the preceding year. Relevant demographic and clinical data were extracted from the electronic medical records. RESULTS: There was a 3.2 times higher incidence of patients with an admitting diagnosis of pneumonia from the ED in the EPS cohort compared to the comparison cohort (P<0.001). However, there was no significant difference in the median length of stay of 7 days (P=0.160). Within the EPS cohort, stroke and fluid overload occur more frequently as alternative primary diagnoses. CONCLUSIONS: Our study successfully evaluated our hospital-resource utilization demanded by our EPS programme in relation to an appropriate comparison group. This helps to inform strategic use of hospital resources to meet the needs of both COVID-19 related services and essential ‘peace-time’ healthcare services concurrently. Microbiology Society 2021-12-13 /pmc/articles/PMC8744277/ /pubmed/34898420 http://dx.doi.org/10.1099/jmm.0.001452 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License. The Microbiology Society waived the open access fees for this article.
spellingShingle Clinical Microbiology
Huang, Wenhui
Chai, Gin Tsen
Thong, Bernard Yu-Hor
Chan, Mark
Ang, Brenda
Chow, Angela
Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience
title Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience
title_full Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience
title_fullStr Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience
title_full_unstemmed Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience
title_short Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions – a Singaporean hospital’s experience
title_sort comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for covid-19 with pre-pandemic pneumonia admissions – a singaporean hospital’s experience
topic Clinical Microbiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744277/
https://www.ncbi.nlm.nih.gov/pubmed/34898420
http://dx.doi.org/10.1099/jmm.0.001452
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