{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T01:33:47Z","timestamp":1780450427011,"version":"3.54.1"},"reference-count":16,"publisher":"Microbiology Society","issue":"12","license":[{"start":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T00:00:00Z","timestamp":1639699200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,17]]},"abstract":"<jats:p>\n                  <jats:bold>Introduction.<\/jats:bold> 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.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Hypothesis\/Gap Statement.<\/jats:bold> There is a paucity of data supporting the implementation of such a programme.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Aims.<\/jats:bold> To compare and contrast our hospital-resource utilization of an EPS programme for COVID-19 infection detection with a suitable comparison group.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Methodology.<\/jats:bold> We enrolled all patients admitted under the EPS programme from TTSH\u2019s 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.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results.<\/jats:bold> 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 (<jats:italic>P<\/jats:italic>&lt;0.001). However, there was no significant difference in the median length of stay of 7\u2009days (<jats:italic>P<\/jats:italic>=0.160). Within the EPS cohort, stroke and fluid overload occur more frequently as alternative primary diagnoses.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusions.<\/jats:bold> 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 \u2018peace-time\u2019 healthcare services concurrently.<\/jats:p>","DOI":"10.1099\/jmm.0.001452","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T17:15:47Z","timestamp":1639415747000},"source":"Crossref","is-referenced-by-count":2,"title":["Comparing hospital-resource utilization by an enhanced pneumonia surveillance programme for COVID-19 with pre-pandemic pneumonia admissions \u2013 a Singaporean hospital\u2019s experience"],"prefix":"10.1099","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4083-0901","authenticated-orcid":false,"given":"Wenhui","family":"Huang","sequence":"first","affiliation":[{"name":"Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-6895","authenticated-orcid":false,"given":"Gin Tsen","family":"Chai","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, 11 Mandalay Road, 308232, Singapore"},{"name":"Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6338-8482","authenticated-orcid":false,"given":"Bernard Yu-Hor","family":"Thong","sequence":"additional","affiliation":[{"name":"Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Chan","sequence":"additional","affiliation":[{"name":"Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Ang","sequence":"additional","affiliation":[{"name":"Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4063-736X","authenticated-orcid":false,"given":"Angela","family":"Chow","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, 11 Mandalay Road, 308232, Singapore"},{"name":"Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"345","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2014.06.003"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.25424"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2016.04.016"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12482"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa459"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa179"},{"key":"R7","article-title":"SNOMED","year":"2021"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1177\/0271678X16671964"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.009617"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1177\/1747493018806196"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.4103\/1817-1737.53349"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2004.08.029"},{"key":"R13","article-title":"News Highlights 20 March 2020","year":"2021"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1500245"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2034577"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2022483"}],"container-title":["Journal of Medical Microbiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/jmm\/10.1099\/jmm.0.001452?crawler=true&mimetype=application\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T20:23:57Z","timestamp":1702585437000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/jmm\/10.1099\/jmm.0.001452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,17]]},"references-count":16,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12,17]]}},"URL":"https:\/\/doi.org\/10.1099\/jmm.0.001452","relation":{},"ISSN":["0022-2615","1473-5644"],"issn-type":[{"value":"0022-2615","type":"print"},{"value":"1473-5644","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,17]]}}}