About: Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems

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

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems
Creator	Ahmed, Anwar
Source	Elsevier; Medline; PMC
abstract	Abstract Background Although Middle East respiratory syndrome coronavirus (MERS-CoV) diagnostic delays remain a major challenge in health systems, the source of delays has not been recognized in the literature. The aim of this study is to quantify patient and health-system delays and to identify their associated factors. Methods The study of 266 patients was based on public source data from the World Health Organization (WHO) (January 2, 2017–May 16, 2018). The diagnostic delays, patient delays, and health-system delays were calculated and modelled using a Poisson regression analysis. Results In 266 MERS-CoV patients reported during the study period, the median diagnostic delays, patient delays, and health-system delays were 5 days (interquartile [IQR] range: 3–8 days), 4 days (IQR range: 2–7 days), and 2 days (IQR range: 1–2 days), respectively. Both patient delay (r = 0.894, P = 0.001) and health-system delay (r = 0.163, P = 0.025) were positively correlated with diagnostic delay. Older age was associated with longer health-system delay (adjusted relative ratios (aRR), 1.011; 95% confidence intervals (CI), 1.004–1.017). Diagnostic delay (aRR, 1.137; 95% CI, 1.006–1.285) and health-system delays (aRR, 1.217; 95% CI, 1.003–1.476) were significantly longer in patients who died. Conclusion Delays in MERS-CoV diagnosis exist and may be attributable to patient delay and health-system delay as both were significantly correlated with longer diagnosis delay. Early MERS-CoV diagnosis may require more sensitive risk assessment tools to reduce avoidable delays, specifically those related to patients and health system.
has issue date	2019-12-31(xsd:dateTime)
bibo:doi	10.1016/j.jiph.2019.04.002
bibo:pmid	31006635
has license	els-covid
sha1sum (hex)	b1b58a2b803ac6e88b012b240c7337f294816ff2
schema:url	https://doi.org/10.1016/j.jiph.2019.04.002
resource representing a document's title	Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems
has PubMed Central identifier	PMC7102677
has PubMed identifier	31006635
schema:publication	Journal of Infection and Public Health
resource representing a document's body	covid:b1b58a2b803ac6e88b012b240c7337f294816ff2#body_text
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