{"id":7606,"date":"2020-06-17T15:34:41","date_gmt":"2020-06-17T22:34:41","guid":{"rendered":"https:\/\/depts.washington.edu\/pandemicalliance\/?p=7606"},"modified":"2021-03-25T15:35:22","modified_gmt":"2021-03-25T22:35:22","slug":"diagnosing-covid-19-in-the-emergency-department-a-scoping-review-of-clinical-exam-labs-imaging-accuracy-and-biases","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/06\/17\/diagnosing-covid-19-in-the-emergency-department-a-scoping-review-of-clinical-exam-labs-imaging-accuracy-and-biases\/","title":{"rendered":"Diagnosing COVID-19 in the Emergency Department: A Scoping Review of Clinical Exam, Labs, Imaging Accuracy and Biases"},"content":{"rendered":"<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"36\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">A scoping review of the accuracy of diagnostic approaches for COVID-19<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">in<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">emergency department\u00a0<\/span><span data-contrast=\"auto\">setting<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">\u00a0included<\/span><span data-contrast=\"auto\">\u00a087 studies\u00a0<\/span><span data-contrast=\"auto\">through May 5, 2020<\/span><span data-contrast=\"auto\">. The review concluded that r<\/span><span data-contrast=\"auto\">eport\u00a0<\/span><span data-contrast=\"auto\">of\u00a0<\/span><span data-contrast=\"auto\">fever and loss of smell and taste\u00a0<\/span><span data-contrast=\"auto\">were\u00a0<\/span><span data-contrast=\"auto\">the most helpful features to distinguish COVID-19 patients from\u00a0<\/span><span data-contrast=\"auto\">those<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">with similar illnesses<\/span><span data-contrast=\"auto\">\u00a0and that\u00a0<\/span><span data-contrast=\"auto\">a\u00a0<\/span><span data-contrast=\"auto\">low white blood cell\u00a0<\/span><span data-contrast=\"auto\">count\u00a0<\/span><span data-contrast=\"auto\">is the most common lab abnormality. Sensitivity\u00a0<\/span><span data-contrast=\"auto\">of testing by\u00a0<\/span><span data-contrast=\"auto\">rRT<\/span><span data-contrast=\"auto\">-PCR\u00a0<\/span><span data-contrast=\"auto\">in the emergency department was\u00a0<\/span><span data-contrast=\"auto\">60%-78%<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"36\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">CT scanning may increase the sensitivity of\u00a0<\/span><span data-contrast=\"auto\">rRT<\/span><span data-contrast=\"auto\">-PCR prior to seroconversion, but guidelines to identify patients most likely to benefit from CT scanning are still emerging.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"36\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">The\u00a0<\/span><span data-contrast=\"auto\">authors<\/span><span data-contrast=\"auto\">\u00a0report that current studies do not adhere to accepted diagnostic accuracy reporting standards and anticipate significantly biased results if the same tests were applied to emergency department patients with suspected COVID-19.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span data-contrast=\"none\">Carpenter et al. (June 2020). Diagnosing COVID-19 in the Emergency Department: A Scoping Review of Clinical Exam, Labs, Imaging Accuracy and Biases. Academic Emergency Medicine.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1111\/acem.14048\"><i><span data-contrast=\"none\">https:\/\/doi.org\/10.1111\/acem.14048<\/span><\/i><\/a><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A scoping review of the accuracy of diagnostic approaches for COVID-19\u00a0in\u00a0emergency department\u00a0settings\u00a0\u00a0included\u00a087 studies\u00a0through May 5, 2020. The review concluded that report\u00a0of\u00a0fever and loss of smell and taste\u00a0were\u00a0the most helpful features to distinguish COVID-19 patients from\u00a0those\u00a0with similar illnesses\u00a0and that\u00a0a\u00a0low white blood cell\u00a0count\u00a0is the most common lab abnormality. Sensitivity\u00a0of testing by\u00a0rRT-PCR\u00a0in the emergency department was\u00a060%-78%.\u00a0\u00a0 CT scanning&#8230;<\/p>\n<div><a class=\"more\" href=\"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/06\/17\/diagnosing-covid-19-in-the-emergency-department-a-scoping-review-of-clinical-exam-labs-imaging-accuracy-and-biases\/\">Read more<\/a><\/div>\n","protected":false},"author":8,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[],"topic":[20],"class_list":["post-7606","post","type-post","status-publish","format-standard","hentry","category-article-summary","topic-clinical-characteristics-and-health-care-setting"],"_links":{"self":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/7606","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/comments?post=7606"}],"version-history":[{"count":1,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/7606\/revisions"}],"predecessor-version":[{"id":7607,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/7606\/revisions\/7607"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/media?parent=7606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/categories?post=7606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/tags?post=7606"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/topic?post=7606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}