{"id":8080,"date":"2020-07-09T09:06:09","date_gmt":"2020-07-09T16:06:09","guid":{"rendered":"https:\/\/depts.washington.edu\/pandemicalliance\/?p=8080"},"modified":"2021-03-31T09:06:55","modified_gmt":"2021-03-31T16:06:55","slug":"clinical-characteristics-of-patients-with-coronavirus-disease-2019-covid-19-receiving-emergency-medical-services-in-king-county-washington","status":"publish","type":"post","link":"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/07\/09\/clinical-characteristics-of-patients-with-coronavirus-disease-2019-covid-19-receiving-emergency-medical-services-in-king-county-washington\/","title":{"rendered":"Clinical Characteristics of Patients\u00a0With\u00a0Coronavirus Disease 2019 (COVID-19) Receiving Emergency Medical Services in King County, Washington"},"content":{"rendered":"<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"34\" data-aria-posinset=\"2019\" data-aria-level=\"1\"><span data-contrast=\"auto\">Based on a study of\u00a0<\/span><span data-contrast=\"auto\">patients<\/span><span data-contrast=\"auto\">\u00a0who required 911\u00a0<\/span><span data-contrast=\"auto\">emergency medical services (EMS)\u00a0<\/span><span data-contrast=\"auto\">care for COVID-19 in King County, Washington<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">(<\/span><span data-contrast=\"auto\">February 1<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">to<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">March 18<\/span><span data-contrast=\"auto\">)<\/span><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\">creening<\/span><span data-contrast=\"auto\">\u00a0based on conventional COVID-19 symptoms or<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">examination findings of febrile respiratory illness may not\u00a0<\/span><span data-contrast=\"auto\">be sufficiently\u00a0<\/span><span data-contrast=\"auto\">sensitiv<\/span><span data-contrast=\"auto\">e<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">to identify\u00a0<\/span><span data-contrast=\"auto\">patients with<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">COVID-19<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-contrast=\"auto\">Of 147<\/span><span data-contrast=\"auto\">\u00a0unique\u00a0<\/span><span data-contrast=\"auto\">911<\/span><span data-contrast=\"auto\">\u00a0encounters<\/span><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">29%\u00a0<\/span><span data-contrast=\"auto\">had no symptoms of fever, cough, or shortness of breath. Based on<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">EMS\u00a0<\/span><span data-contrast=\"auto\">examination findings, fever<\/span><span data-contrast=\"auto\">\u00a0(51<\/span><span data-contrast=\"auto\">%),<\/span><span data-contrast=\"auto\">\u00a0tachypnea<\/span><span data-contrast=\"auto\">\u00a0(rapid breathing) (32<\/span><span data-contrast=\"auto\">%)<\/span><span data-contrast=\"auto\">, or hypoxia<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">(5<\/span><span data-contrast=\"auto\">4<\/span><span data-contrast=\"auto\">%)<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">were only present in a limited portion of cases.\u00a0<\/span><span data-contrast=\"auto\">P<\/span><span data-contrast=\"auto\">atients\u00a0<\/span><span data-contrast=\"auto\">received care associated with aerosol-generating procedures<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">in\u00a0<\/span><span data-contrast=\"auto\">16% of<\/span><span data-contrast=\"auto\">\u00a0encounters<\/span><span data-contrast=\"auto\">. As of June 1, mortality among the study cohort was 52% (<\/span><span data-contrast=\"auto\">n=<\/span><span data-contrast=\"auto\">65).<\/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><\/i><i><span data-contrast=\"none\">Yang et al. (July\u00a0<\/span><\/i><i><span data-contrast=\"none\">8,\u00a0<\/span><\/i><i><span data-contrast=\"none\">2020). Clinical Characteristics of Patients\u00a0With\u00a0Coronavirus Disease 2019 (COVID-19) Receiving Emergency Medical Services in King County, Washington. JAMA Network Open.\u00a0<\/span><\/i><a href=\"https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.14549\"><span data-contrast=\"none\">https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.14549<\/span><\/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>Based on a study of\u00a0patients\u00a0who required 911\u00a0emergency medical services (EMS)\u00a0care for COVID-19 in King County, Washington\u00a0(February 1\u00a0to\u00a0March 18),\u00a0screening\u00a0based on conventional COVID-19 symptoms or\u00a0examination findings of febrile respiratory illness may not\u00a0be sufficiently\u00a0sensitive\u00a0to identify\u00a0patients with\u00a0COVID-19.\u00a0Of 147\u00a0unique\u00a0911\u00a0encounters,\u00a029%\u00a0had no symptoms of fever, cough, or shortness of breath. Based on\u00a0EMS\u00a0examination findings, fever\u00a0(51%),\u00a0tachypnea\u00a0(rapid breathing) (32%), or hypoxia\u00a0(54%)\u00a0were only present in a&#8230;<\/p>\n<div><a class=\"more\" href=\"https:\/\/depts.washington.edu\/pandemicalliance\/2020\/07\/09\/clinical-characteristics-of-patients-with-coronavirus-disease-2019-covid-19-receiving-emergency-medical-services-in-king-county-washington\/\">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-8080","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\/8080","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=8080"}],"version-history":[{"count":1,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/8080\/revisions"}],"predecessor-version":[{"id":8081,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/posts\/8080\/revisions\/8081"}],"wp:attachment":[{"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/media?parent=8080"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/categories?post=8080"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/tags?post=8080"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/depts.washington.edu\/pandemicalliance\/wp-json\/wp\/v2\/topic?post=8080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}