{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T06:10:09Z","timestamp":1765779009469,"version":"3.48.0"},"reference-count":18,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":1120,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The COVID-19 pandemic has strained healthcare worldwide. Its direct complications, management and prognosis have been described. Downstream effects, including length of hospital stay (LOS), implications on discharge planning, and effect of in-house testing require formal study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of patients suspected of COVID-19 infection admitted at a metropolitan Australian hospital was conducted. Outcomes before and after availability of in-house COVID-19 testing were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 129 admissions were analysed. Indications for COVID-testing were dyspnoea (61.2%), fever (19.3%) and delirium (10.8%). All tested negative for COVID-19. Prior to in-house testing, mean LOS was 7.17 days (s.d. \u00b1 4.2), and mean isolation of 1.8 days (s.d. \u00b1 0.8). After availability of in-house testing, mean LOS was 4.78 days (s.d. \u00b1 4.3) with mean isolation of 1.3 days (s.d. \u00b1 0.9), both statistically significant differences. There were five inpatient falls, equivalent to 14.8 falls per 1000 patient\/days. Twenty-two patients (17%) required subsequent sub-acute admission, 15 before in-house testing and five after (P = 0.058); however, a sub-group analysis for age &amp;gt;65 years was performed, and the results were significant (P &amp;lt; 0.05), showing all patients who required subacute admissions were aged &amp;gt;65.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In-house COVID-19 testing is suggested to significantly reduce the duration patients spend in isolation and overall LOS in hospital. A shorter period of isolation and hospital LOS may reduce the need for subacute transfer in patients aged greater than 65 years, as well as the rates of inpatient falls. Large scale studies are needed to further elucidate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah21242","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T21:42:07Z","timestamp":1651700527000},"page":"273-278","source":"Crossref","is-referenced-by-count":1,"title":["In-house testing for COVID-19: effects on length of stay, isolation and the need for inpatient rehabilitation"],"prefix":"10.1071","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3359-4784","authenticated-orcid":true,"given":"Cian","family":"Scanlon","sequence":"first","affiliation":[{"name":"ADepartment of General Medicine, Maroondah Hospital, Eastern Health, Vic., Australia."},{"name":"BPresent address: Department of Aged Care, Caulfield Hospital, Alfred Health, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Cheng","sequence":"additional","affiliation":[{"name":"ADepartment of General Medicine, Maroondah Hospital, Eastern Health, Vic., Australia."},{"name":"CPresent address: Department of Geriatric Medicine, Monash Health, Clayton, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan","family":"McRobb","sequence":"additional","affiliation":[{"name":"ADepartment of General Medicine, Maroondah Hospital, Eastern Health, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murad","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"ADepartment of General Medicine, Maroondah Hospital, Eastern Health, Vic., Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2022,5,5]]},"reference":[{"issue":"5","key":"2025121501064506500_R1","doi-asserted-by":"publisher","first-page":"1545","DOI":"10.1007\/s11606-020-05762-w","article-title":"Review of the Clinical Characteristics of Coronavirus Disease 2019 (COVID-19).","volume":"35","author":"Jiang","year":"2020","journal-title":"J Gen Intern Med"},{"issue":"6","key":"2025121501064506500_R2","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1016\/j.jinf.2020.03.005","article-title":"Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients.","volume":"80","author":"Liu","year":"2020","journal-title":"J Infect"},{"key":"2025121501064506500_R3","doi-asserted-by":"publisher","first-page":"111255","DOI":"10.1016\/j.mad.2020.111255","article-title":"Risk factors for predicting mortality in elderly patients with COVID-19: A review of clinical data in China.","volume":"188","author":"Leung","year":"2020","journal-title":"Mech Ageing Dev"},{"key":"2025121501064506500_R4","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1192\/bjb.2020.60","article-title":"COVID-19: the perfect vector for a mental health epidemic.","volume":"45","author":"Hisham","year":"2021","journal-title":"BJPsych Bull"},{"issue":"10242","key":"2025121501064506500_R5","doi-asserted-by":"publisher","first-page":"1973","DOI":"10.1016\/S0140-6736(20)31142-9","article-title":"Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis.","volume":"395","author":"Chu","year":"2020","journal-title":"The Lancet"},{"issue":"3","key":"2025121501064506500_R6","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1007\/s11606-016-3862-4","article-title":"The Effect of Hospital Isolation Precautions on Patient Outcomes and Cost of Care: A Multi-Site, Retrospective, Propensity Score-Matched Cohort Study.","volume":"32","author":"Tran","year":"2017","journal-title":"J Gen Intern Med"},{"key":"2025121501064506500_R7","doi-asserted-by":"publisher","first-page":"Doc18","DOI":"10.3205\/dgkh000333","article-title":"The effect of isolation precautions on care processes and medical outcomes in patients colonized with MRSA.","volume":"14","author":"Labus","year":"2019","journal-title":"GMS Hyg Infect Control"},{"issue":"3","key":"2025121501064506500_R8","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1002\/gps.2104","article-title":"Does dementia predict adverse hospitalization outcomes? 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