Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemic
Abstract Background There is a lack of knowledge how patients with COVID-19 disease differ from patients with similar signs or symptoms (but who will have a diagnosis other than COVID-19) in the prehospital setting. The aim of this study was to compare the characteristics of these two patient groups...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13049-021-00915-0 |
| _version_ | 1829134888301756416 |
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| author | Markku Kuisma Heini Harve-Rytsälä Jussi Pirneskoski James Boyd Mitja Lääperi Ari Salo Tuukka Puolakka |
| author_facet | Markku Kuisma Heini Harve-Rytsälä Jussi Pirneskoski James Boyd Mitja Lääperi Ari Salo Tuukka Puolakka |
| author_sort | Markku Kuisma |
| collection | DOAJ |
| description | Abstract Background There is a lack of knowledge how patients with COVID-19 disease differ from patients with similar signs or symptoms (but who will have a diagnosis other than COVID-19) in the prehospital setting. The aim of this study was to compare the characteristics of these two patient groups met by the emergency medical services. Methods All prehospital patients after the World Health Organisation (WHO) pandemic declaration 11.3.2020 until 30.6.2020 were recruited for the study. The patients were screened using modified WHO criteria for suspected COVID-19. Data from the electronic prehospital patient reporting system were linked with hospital laboratory results to check the laboratory confirmation for COVID-19. For comparison, we divided the patients into two groups: screening- and laboratory-positive patients with a hospital diagnosis of COVID-19 and screening-positive but laboratory-negative patients who eventually received a different diagnosis in hospital. Results A total of 4157 prehospital patients fulfilled the criteria for suspected COVID-19 infection during the study period. Five-hundred-thirty-six (12.9%) of the suspected cases received a laboratory confirmation for COVID-19. The proportion of positive cases in relation to suspected ones peaked during the first 2 weeks after the declaration of the pandemic. In the comparison of laboratory-positive and laboratory-negative cases, there were clinically insignificant differences between the groups in age, tympanic temperature, systolic blood pressure, heart rate, on-scene time, urgency category of the call and mode of transportation. Foreign-language-speakers were overrepresented amongst the positive cases over native language speakers (26,6% vs. 7,4%, p < 0,001). The number of cases in which no signs or symptoms of COVID-19 disease were reported, but patients turned out to have a positive test result was 125 (0,3% of the whole EMS patient population and 11,9% of all verified COVID-19 patients encountered by the EMS). Conclusions In a sample of suspected COVID-19 patients, the laboratory-positive and laboratory-negative patients were clinically indistinguishable from each other during the prehospital assessment. Foreign-language-speakers had a high likelihood of having Covid-19. The modified WHO criteria still form the basis of screening of suspected COVID-19 patients in the prehospital setting. |
| first_indexed | 2024-12-14T18:13:15Z |
| format | Article |
| id | doaj.art-63798c0f1ccd4e3494a61a1605029d79 |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-12-14T18:13:15Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-63798c0f1ccd4e3494a61a1605029d792022-12-21T22:52:14ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412021-07-012911710.1186/s13049-021-00915-0Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemicMarkku Kuisma0Heini Harve-Rytsälä1Jussi Pirneskoski2James Boyd3Mitja Lääperi4Ari Salo5Tuukka Puolakka6Departments of Emergency Medicine & Services, Anaesthesiology & Intensive Care MedicineDepartments of Emergency Medicine & Services, Anaesthesiology & Intensive Care MedicineDepartments of Emergency Medicine & Services, Anaesthesiology & Intensive Care MedicineDepartments of Emergency Medicine & Services, Anaesthesiology & Intensive Care MedicineDepartments of Emergency Medicine & Services, Anaesthesiology & Intensive Care MedicineDepartments of Emergency Medicine & Services, Anaesthesiology & Intensive Care MedicineDepartments of Emergency Medicine & Services, Anaesthesiology & Intensive Care MedicineAbstract Background There is a lack of knowledge how patients with COVID-19 disease differ from patients with similar signs or symptoms (but who will have a diagnosis other than COVID-19) in the prehospital setting. The aim of this study was to compare the characteristics of these two patient groups met by the emergency medical services. Methods All prehospital patients after the World Health Organisation (WHO) pandemic declaration 11.3.2020 until 30.6.2020 were recruited for the study. The patients were screened using modified WHO criteria for suspected COVID-19. Data from the electronic prehospital patient reporting system were linked with hospital laboratory results to check the laboratory confirmation for COVID-19. For comparison, we divided the patients into two groups: screening- and laboratory-positive patients with a hospital diagnosis of COVID-19 and screening-positive but laboratory-negative patients who eventually received a different diagnosis in hospital. Results A total of 4157 prehospital patients fulfilled the criteria for suspected COVID-19 infection during the study period. Five-hundred-thirty-six (12.9%) of the suspected cases received a laboratory confirmation for COVID-19. The proportion of positive cases in relation to suspected ones peaked during the first 2 weeks after the declaration of the pandemic. In the comparison of laboratory-positive and laboratory-negative cases, there were clinically insignificant differences between the groups in age, tympanic temperature, systolic blood pressure, heart rate, on-scene time, urgency category of the call and mode of transportation. Foreign-language-speakers were overrepresented amongst the positive cases over native language speakers (26,6% vs. 7,4%, p < 0,001). The number of cases in which no signs or symptoms of COVID-19 disease were reported, but patients turned out to have a positive test result was 125 (0,3% of the whole EMS patient population and 11,9% of all verified COVID-19 patients encountered by the EMS). Conclusions In a sample of suspected COVID-19 patients, the laboratory-positive and laboratory-negative patients were clinically indistinguishable from each other during the prehospital assessment. Foreign-language-speakers had a high likelihood of having Covid-19. The modified WHO criteria still form the basis of screening of suspected COVID-19 patients in the prehospital setting.https://doi.org/10.1186/s13049-021-00915-0Emergency medical servicesCOVID-19SARS-CoV-2AmbulancePrehospital |
| spellingShingle | Markku Kuisma Heini Harve-Rytsälä Jussi Pirneskoski James Boyd Mitja Lääperi Ari Salo Tuukka Puolakka Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemic Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Emergency medical services COVID-19 SARS-CoV-2 Ambulance Prehospital |
| title | Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemic |
| title_full | Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemic |
| title_fullStr | Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemic |
| title_full_unstemmed | Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemic |
| title_short | Prehospital characteristics of COVID-19 patients in Helsinki – experience of the first wave of the pandemic |
| title_sort | prehospital characteristics of covid 19 patients in helsinki experience of the first wave of the pandemic |
| topic | Emergency medical services COVID-19 SARS-CoV-2 Ambulance Prehospital |
| url | https://doi.org/10.1186/s13049-021-00915-0 |
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