Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective Study
Managing mild illness in COVID-19 and predicting progression to severe disease are concerning issues. Here, we investigated the outcomes of Japanese patients with mild COVID-19, and identified triage risk factors for further hospitalization and emergency department (ED) visits at a single tertiary h...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/18/5444 |
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| author | Yasuhiro Tanaka Kazuko Yamamoto Shimpei Morimoto Takeshi Nabeshima Kayoko Matsushima Hiroshi Ishimoto Nobuyuki Ashizawa Tatsuro Hirayama Kazuaki Takeda Hiroshi Gyotoku Naoki Iwanaga Shinnosuke Takemoto Susumu Fukahori Takahiro Takazono Hiroyuki Yamaguchi Takashi Kido Noriho Sakamoto Naoki Hosogaya Shogo Akabame Takashi Sugimoto Hirotomo Yamanashi Kosuke Matsui Mai Izumida Ayumi Fujita Masato Tashiro Takeshi Tanaka Koya Ariyoshi Akitsugu Furumoto Kouichi Morita Koichi Izumikawa Katsunori Yanagihara Hiroshi Mukae |
| author_facet | Yasuhiro Tanaka Kazuko Yamamoto Shimpei Morimoto Takeshi Nabeshima Kayoko Matsushima Hiroshi Ishimoto Nobuyuki Ashizawa Tatsuro Hirayama Kazuaki Takeda Hiroshi Gyotoku Naoki Iwanaga Shinnosuke Takemoto Susumu Fukahori Takahiro Takazono Hiroyuki Yamaguchi Takashi Kido Noriho Sakamoto Naoki Hosogaya Shogo Akabame Takashi Sugimoto Hirotomo Yamanashi Kosuke Matsui Mai Izumida Ayumi Fujita Masato Tashiro Takeshi Tanaka Koya Ariyoshi Akitsugu Furumoto Kouichi Morita Koichi Izumikawa Katsunori Yanagihara Hiroshi Mukae |
| author_sort | Yasuhiro Tanaka |
| collection | DOAJ |
| description | Managing mild illness in COVID-19 and predicting progression to severe disease are concerning issues. Here, we investigated the outcomes of Japanese patients with mild COVID-19, and identified triage risk factors for further hospitalization and emergency department (ED) visits at a single tertiary hospital. A triage checklist with 30 factors was used. Patients recommended for isolation were followed up for 10 days for subsequent ED visits or hospital admission. Overall, 338 patients (median age, 44.0; 45% women) visited the clinic 5.0 days (median) after symptom onset. Thirty-six patients were immediately hospitalized following triage; others were isolated. In total, 72 non-hospitalized patients visited the ED during their isolation, and 30 were hospitalized after evaluation for oxygen desaturation. The median ED visit and hospitalization durations after symptom onset were 5.0 and 8.0 days, respectively. The checklist factors associated with hospitalization during isolation were age > 50 years, body mass index > 25 kg/m<sup>2</sup>, hypertension, tachycardia with pulse rate > 100/min or blood pressure > 135 mmHg at triage, and >3-day delay in hospital visit after symptom onset. No patients died. Altogether, 80% of patients with mild COVID-19 could be safely isolated at home. Age, BMI, underlying hypertension, date after symptom onset, tachycardia, and systolic blood pressure at triage might be related to later hospitalization. |
| first_indexed | 2024-03-09T23:36:08Z |
| format | Article |
| id | doaj.art-7f370c8fe9834dc5b4539ad8b5d05610 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T23:36:08Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-7f370c8fe9834dc5b4539ad8b5d056102023-11-23T17:01:00ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011118544410.3390/jcm11185444Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective StudyYasuhiro Tanaka0Kazuko Yamamoto1Shimpei Morimoto2Takeshi Nabeshima3Kayoko Matsushima4Hiroshi Ishimoto5Nobuyuki Ashizawa6Tatsuro Hirayama7Kazuaki Takeda8Hiroshi Gyotoku9Naoki Iwanaga10Shinnosuke Takemoto11Susumu Fukahori12Takahiro Takazono13Hiroyuki Yamaguchi14Takashi Kido15Noriho Sakamoto16Naoki Hosogaya17Shogo Akabame18Takashi Sugimoto19Hirotomo Yamanashi20Kosuke Matsui21Mai Izumida22Ayumi Fujita23Masato Tashiro24Takeshi Tanaka25Koya Ariyoshi26Akitsugu Furumoto27Kouichi Morita28Koichi Izumikawa29Katsunori Yanagihara30Hiroshi Mukae31Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanClinical Research Center, Nagasaki University Hospital, Nagasaki 852-8102, JapanDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanMedical Education Development Center, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanClinical Research Center, Nagasaki University Hospital, Nagasaki 852-8102, JapanDepartment of General Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of General Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of General Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Infectious Diseases, Nagasaki University Hospital, Nagasaki 852-8523, JapanDepartment of Infectious Diseases, Nagasaki University Hospital, Nagasaki 852-8523, JapanInfection Control and Education Center, Nagasaki University Hospital, Nagasaki 852-8501, JapanInfection Control and Education Center, Nagasaki University Hospital, Nagasaki 852-8501, JapanInfection Control and Education Center, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Infectious Diseases, Nagasaki University Hospital, Nagasaki 852-8523, JapanInfectious Diseases Experts Training Center, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, JapanInfection Control and Education Center, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Laboratory Medicine, Nagasaki University Hospital, Nagasaki 852-8501, JapanDepartment of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki 852-8501, JapanManaging mild illness in COVID-19 and predicting progression to severe disease are concerning issues. Here, we investigated the outcomes of Japanese patients with mild COVID-19, and identified triage risk factors for further hospitalization and emergency department (ED) visits at a single tertiary hospital. A triage checklist with 30 factors was used. Patients recommended for isolation were followed up for 10 days for subsequent ED visits or hospital admission. Overall, 338 patients (median age, 44.0; 45% women) visited the clinic 5.0 days (median) after symptom onset. Thirty-six patients were immediately hospitalized following triage; others were isolated. In total, 72 non-hospitalized patients visited the ED during their isolation, and 30 were hospitalized after evaluation for oxygen desaturation. The median ED visit and hospitalization durations after symptom onset were 5.0 and 8.0 days, respectively. The checklist factors associated with hospitalization during isolation were age > 50 years, body mass index > 25 kg/m<sup>2</sup>, hypertension, tachycardia with pulse rate > 100/min or blood pressure > 135 mmHg at triage, and >3-day delay in hospital visit after symptom onset. No patients died. Altogether, 80% of patients with mild COVID-19 could be safely isolated at home. Age, BMI, underlying hypertension, date after symptom onset, tachycardia, and systolic blood pressure at triage might be related to later hospitalization.https://www.mdpi.com/2077-0383/11/18/5444COVID-19outpatienttriage checklistemergency department visithospitalization |
| spellingShingle | Yasuhiro Tanaka Kazuko Yamamoto Shimpei Morimoto Takeshi Nabeshima Kayoko Matsushima Hiroshi Ishimoto Nobuyuki Ashizawa Tatsuro Hirayama Kazuaki Takeda Hiroshi Gyotoku Naoki Iwanaga Shinnosuke Takemoto Susumu Fukahori Takahiro Takazono Hiroyuki Yamaguchi Takashi Kido Noriho Sakamoto Naoki Hosogaya Shogo Akabame Takashi Sugimoto Hirotomo Yamanashi Kosuke Matsui Mai Izumida Ayumi Fujita Masato Tashiro Takeshi Tanaka Koya Ariyoshi Akitsugu Furumoto Kouichi Morita Koichi Izumikawa Katsunori Yanagihara Hiroshi Mukae Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective Study Journal of Clinical Medicine COVID-19 outpatient triage checklist emergency department visit hospitalization |
| title | Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective Study |
| title_full | Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective Study |
| title_fullStr | Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective Study |
| title_full_unstemmed | Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective Study |
| title_short | Evaluation of a Triage Checklist for Mild COVID-19 Outpatients in Predicting Subsequent Emergency Department Visits and Hospitalization during the Isolation Period: A Single-Center Retrospective Study |
| title_sort | evaluation of a triage checklist for mild covid 19 outpatients in predicting subsequent emergency department visits and hospitalization during the isolation period a single center retrospective study |
| topic | COVID-19 outpatient triage checklist emergency department visit hospitalization |
| url | https://www.mdpi.com/2077-0383/11/18/5444 |
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