{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:27:58Z","timestamp":1747182478216,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of the present study was to describe the epidemiology and clinical features of patients presenting to the ED with suspected and confirmed COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The COVID\u201019 ED (COVED) Project is an ongoing prospective cohort study in Australian EDs. This analysis presents data from eight sites across Victoria and Tasmania for July 2020 (during Australia's \u2018second wave\u2019). All adult patients who met criteria for \u2018suspected COVID\u201019\u2019 and underwent testing for SARS\u2010CoV\u20102 in the ED were eligible for inclusion. Study outcomes included a positive SARS\u2010CoV\u20102 test result and mechanical ventilation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the period 1 July to 31 July 2020, there were 30\u2009378 presentations to the participating EDs and 2917 (9.6%; 95% confidence interval 9.3\u20139.9) underwent testing for SARS\u2010CoV\u20102. Of these, 50 (2%) patients returned a positive result. Among positive cases, two (4%) received mechanical ventilation during their hospital admission compared to 45 (2%) of the SARS\u2010CoV\u20102 negative patients (odds ratio 1.7, 95% confidence interval 0.4\u20137.3;<jats:italic>P<\/jats:italic>= 0.47). Two (4%) SARS\u2010CoV\u20102 positive patients died in hospital compared to 46 (2%) of the SARS\u2010CoV\u20102 negative patients (odds ratio 1.7, 95% confidence interval 0.4\u20137.1;<jats:italic>P<\/jats:italic>= 0.49). Strong clinical predictors of a positive SARS\u2010CoV\u20102 result included self\u2010reported fever, non\u2010smoking status, bilateral infiltrates on chest X\u2010ray and absence of a leucocytosis on first ED blood tests (<jats:italic>P<\/jats:italic>&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this prospective multi\u2010site study from July 2020, a substantial proportion of ED patients required SARS\u2010CoV\u20102 testing, isolation and enhanced infection prevention and control precautions. Presence of SARS\u2010CoV\u20102 on nasopharyngeal swab was not associated with death or mechanical ventilation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13651","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T08:57:38Z","timestamp":1600765058000},"page":"114-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Epidemiology and clinical features of emergency department patients with suspected and confirmed<scp>COVID<\/scp>\u201019: A multisite report from the<scp>COVID\u201019 Emergency Department<\/scp>Quality Improvement Project for July 2020 (<scp>COVED<\/scp>\u20103)"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5763-917X","authenticated-orcid":false,"given":"Gerard M","family":"O'Reilly","sequence":"first","affiliation":[{"name":"Emergency and Trauma Centre Alfred Health Melbourne Victoria Australia"},{"name":"School of 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