Effect of rapid influenza diagnostic tests on patient management in an emergency department
Objective We evaluated the effect of rapid influenza diagnostic tests (RIDTs) on patient management in an emergency department for 3 years after 2009, and also identified factors associated with the choice of treatment for patients with influenza-like illnesses. Methods The study period consisted of...
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2019-03-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-17-281.pdf |
| _version_ | 1828005404102098944 |
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| author | Jong-Hak Park Hanjin Cho Sungwoo Moon Ju-Hyun Song Ju Young Kim Yu-Sang Ahn |
| author_facet | Jong-Hak Park Hanjin Cho Sungwoo Moon Ju-Hyun Song Ju Young Kim Yu-Sang Ahn |
| author_sort | Jong-Hak Park |
| collection | DOAJ |
| description | Objective We evaluated the effect of rapid influenza diagnostic tests (RIDTs) on patient management in an emergency department for 3 years after 2009, and also identified factors associated with the choice of treatment for patients with influenza-like illnesses. Methods The study period consisted of three influenza epidemic seasons. Patients older than 15 years who underwent RIDTs in the emergency department and were then discharged without admission were included. Results A total of 453 patients were enrolled, 114 of whom had positive RIDT results and 339 had negative results. Antiviral medication was prescribed to 103 patients (90.4%) who had positive RIDT results, while 1 patient (0.3%) who tested negative was treated with antivirals (P<0.001). Conservative care was administered to 11 RIDT-positive patients (9.6%) and 244 RIDT-negative patients (72.0%) (P<0.001). Symptom onset in less than 48 hours, being older than 65 years, and the presence of comorbidities were not associated with the administration of antiviral therapy. Conclusion RIDT results had a critical effect on physician decision-making regarding antiviral treatment for patients with influenza-like illnesses in the emergency department. However, symptom onset in less than 48 hours, old age, and comorbidities, which are all indications for antiviral therapy, were not found to influence the administration of antiviral treatment. |
| first_indexed | 2024-04-10T07:29:17Z |
| format | Article |
| id | doaj.art-e51b186401114a6bbdbdf47db4c7e312 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:29:17Z |
| publishDate | 2019-03-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-e51b186401114a6bbdbdf47db4c7e3122023-02-24T02:04:39ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252019-03-0161434810.15441/ceem.17.281213Effect of rapid influenza diagnostic tests on patient management in an emergency departmentJong-Hak Park0Hanjin Cho1Sungwoo Moon2Ju-Hyun Song3Ju Young Kim4Yu-Sang Ahn5 Department of Emergency Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Emergency Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Emergency Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Emergency Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Emergency Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Emergency Medicine, Korea University Ansan Hospital, Ansan, KoreaObjective We evaluated the effect of rapid influenza diagnostic tests (RIDTs) on patient management in an emergency department for 3 years after 2009, and also identified factors associated with the choice of treatment for patients with influenza-like illnesses. Methods The study period consisted of three influenza epidemic seasons. Patients older than 15 years who underwent RIDTs in the emergency department and were then discharged without admission were included. Results A total of 453 patients were enrolled, 114 of whom had positive RIDT results and 339 had negative results. Antiviral medication was prescribed to 103 patients (90.4%) who had positive RIDT results, while 1 patient (0.3%) who tested negative was treated with antivirals (P<0.001). Conservative care was administered to 11 RIDT-positive patients (9.6%) and 244 RIDT-negative patients (72.0%) (P<0.001). Symptom onset in less than 48 hours, being older than 65 years, and the presence of comorbidities were not associated with the administration of antiviral therapy. Conclusion RIDT results had a critical effect on physician decision-making regarding antiviral treatment for patients with influenza-like illnesses in the emergency department. However, symptom onset in less than 48 hours, old age, and comorbidities, which are all indications for antiviral therapy, were not found to influence the administration of antiviral treatment.http://www.ceemjournal.org/upload/pdf/ceem-17-281.pdfinfluenza, humandiagnostic tests, routineemergency service, hospital |
| spellingShingle | Jong-Hak Park Hanjin Cho Sungwoo Moon Ju-Hyun Song Ju Young Kim Yu-Sang Ahn Effect of rapid influenza diagnostic tests on patient management in an emergency department Clinical and Experimental Emergency Medicine influenza, human diagnostic tests, routine emergency service, hospital |
| title | Effect of rapid influenza diagnostic tests on patient management in an emergency department |
| title_full | Effect of rapid influenza diagnostic tests on patient management in an emergency department |
| title_fullStr | Effect of rapid influenza diagnostic tests on patient management in an emergency department |
| title_full_unstemmed | Effect of rapid influenza diagnostic tests on patient management in an emergency department |
| title_short | Effect of rapid influenza diagnostic tests on patient management in an emergency department |
| title_sort | effect of rapid influenza diagnostic tests on patient management in an emergency department |
| topic | influenza, human diagnostic tests, routine emergency service, hospital |
| url | http://www.ceemjournal.org/upload/pdf/ceem-17-281.pdf |
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