About: Symptom Criteria for COVID‐19 Testing of Heath Care Workers

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Symptom Criteria for COVID‐19 Testing of Heath Care Workers
Creator	Hughes, David Ma, Bies, Kristen Brooke, E Bs, Welch Clemency, Brian Do, Brian Dube, Lauren Giambra, Theresa Ma, Changxing Mccormack, Robert Nan, Nan Raab, Thomas Saeed, Hassaan Sanchez, Cheryl Scheafer, Danielle Varughese, Renoj
Source	Medline; PMC
abstract	BACKGROUND: Limitations on testing availability has been a challenge during the COVID‐19 pandemic. An evidence based symptom criteria for identifying heath care workers (HCW) for testing, based on the probability of positive COVID‐19 test results, would allow for a more appropriate use of testing resources. METHODS: This was an observational study of outpatient COVID‐19 testing of HCW. Prior to testing, HCW were asked about the presence of 10 symptoms. Their responses were then compared to their subsequent pharyngeal swab COVID‐19 Polymerase Chain Reaction test results. These data were used to derive and evaluate a symptom based testing criteria. RESULTS: 961 HCW were included in the analysis, of which 225 (23%) had positive test results. Loss of taste or smell was the symptom with the largest positive likelihood ratio (3.33). Dry cough, regardless of the presence or absence of other symptoms, was the most sensitive (74%) and the least specific (32%) symptom. The existing testing criteria consisting of any combination of one or more of three symptoms (fever, shortness of breath, dry cough) was 93% sensitive and 9% specific (AUC = 0.63, 95% CI: 0.59 – 0.67). The derived testing criteria consisting of any combination of one or more of two symptoms (fever, loss of taste or smell) was 89% sensitive and 48% specific (AUC = 0.75, 95% CI: 0.71 – 0.78). The hybrid testing criteria consisting of any combination of one or more of four symptoms (fever, shortness of breath, dry cough, loss of taste or smell) was 98% sensitive and 8% specific (AUC = 0.77, 95% CI: 0.73 – 0.80). CONCLUSION: An evidence based approach to COVID‐19 testing which at least includes fever and loss of taste or smell should be utilized when determining which HCW should be tested.
has issue date	2020-05-12(xsd:dateTime)
bibo:doi	10.1111/acem.14009
bibo:pmid	32396670
has license	no-cc
sha1sum (hex)	a44cc5528c8527877bb49c1ae96251d72fe0f598
schema:url	https://doi.org/10.1111/acem.14009
resource representing a document's title	Symptom Criteria for COVID‐19 Testing of Heath Care Workers
has PubMed Central identifier	PMC7272901
has PubMed identifier	32396670
schema:publication	Acad Emerg Med
resource representing a document's body	covid:a44cc5528c8527877bb49c1ae96251d72fe0f598#body_text
is schema:about of	named entity 'COVID-19' named entity 'MANUSCRIPT' named entity 'SYMPTOM' named entity 'Manuscript' named entity 'Symptom' named entity 'oropharyngeal' named entity 'cough' named entity 'asymptomatic' named entity 'Respiratory tract infections' named entity 'NPV' named entity 'disease transmission' named entity '2.03' named entity 'Pre-existing medical conditions' named entity 'data set' named entity 'gastrointestinal' named entity 'olfactory dysfunction' named entity 'viral illnesses' named entity 'HCW' named entity 'COVID' named entity 'infection' named entity 'COVID' named entity 'COVID-19 testing' named entity 'cough' named entity 'COVID' named entity 'sensitivity, specificity' named entity 'diarrhea' named entity 'Fecal' named entity 'HCW' named entity 'bacterial infections' named entity 'COVID' named entity 'fever' named entity 'data set' named entity 'infection' named entity 'COVID' named entity 'difficulty breathing' named entity 'health care' named entity 'shortness of breath' named entity 'Microsoft SharePoint' named entity 'sensitivity, specificity' named entity 'loss of taste' named entity 'coughing' named entity 'anosmia' named entity 'abdominal pain' named entity 'HCW' named entity 'COVID-19 infection' named entity 'HCW' named entity 'swab test' named entity 'neurons' named entity 'HCW' named entity 'PCR testing' named entity 'loss of taste' named entity 'Erie County' named entity 'swab test' named entity 'diarrhea' named entity 'Table 2' named entity 'PLR' named entity 'health care systems' named entity 'symptom' named entity 'anosmia' named entity 'PLR' named entity 'positive test' named entity 'Coronavirus' named entity 'ageusia' named entity 'vomiting' named entity 'HCW'

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