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dc.contributor.authorO'Reilly, G M-
dc.contributor.authorMitchell, R D-
dc.contributor.authorMitra, B-
dc.contributor.authorAkhlaghi, H-
dc.contributor.authorTran, V-
dc.contributor.authorBuntine, P-
dc.contributor.authorWong, Anselm Y-
dc.contributor.authorGangathimmaiah, V-
dc.contributor.authorKnott, J-
dc.contributor.authorMoore, A-
dc.contributor.authorAhn, J-
dc.contributor.authorChan, Q-
dc.contributor.authorWang, A-
dc.contributor.authorGoh, H-
dc.contributor.authorLoughman, A-
dc.contributor.authorLowry, N-
dc.contributor.authorHackett, L-
dc.contributor.authorSri-Ganeshan, Muhuntha-
dc.contributor.authorChapman, N-
dc.contributor.authorRaos, M-
dc.contributor.authorNoonan, M P-
dc.contributor.authorSmit, D-
dc.contributor.authorCameron, P A-
dc.identifier.citationEmergency Medicine Australasia : EMA 2021; 33(5): 911-921een
dc.description.abstractThe aim of this study was to describe the characteristics and outcomes of patients presenting to Australian emergency departments (EDs) with suspected and confirmed COVID-19 during 2020, and to determine the predictors of in-hospital death for SARS-CoV-2 positive patients. This analysis from the COVED Project presents data from twelve sites across four Australian states for the period from 1 April to 30 November 2020. All adult patients who met local criteria for suspected COVID-19 and underwent testing for SARS-CoV-2 in the ED were eligible for inclusion. Study outcomes were mechanical ventilation and in-hospital mortality. Among 24,405 eligible ED presentations over the whole study period, 423 tested positive for SARS-CoV-2. During the "second wave" from 1 July to 30 September 2020, 26 (6%) of 406 SARS-CoV-2 patients received invasive mechanical ventilation, compared to 175 (2%) of the 9,024 SARS-CoV-2 negative patients (OR 3.5; 95% CI: 2.3-5.2, p<0.001), and 41 (10%) SARS-CoV-2 positive patients died in hospital compared to 312 (3%) SARS-CoV-2 negative patients (OR 3.2; 95% CI: 2.2-4.4, p=0.001). For SARS-CoV-2 positive patients, the strongest independent predictors of hospital death were age (OR 1.1; 95% CI: 1.1-1.1, p<0.001), higher triage category (OR 3.5; 95% CI 1.3-9.4, p=0.012), obesity (OR 4.2; 95% CI: 1.2-14.3, p=0.024) and receiving immunosuppressive treatment (OR 8.2; 95% CI: 1.8-36.7, p=0.006). ED patients who tested positive for SARS-CoV-2 had higher odds of mechanical ventilation and death in hospital. The strongest predictors of death were age, a higher triage category, obesity and receiving immunosuppressive treatment. This article is protected by copyright. All rights reserved.en
dc.subjectquality improvementen
dc.titleOutcomes for emergency department patients with suspected and confirmed COVID-19: An analysis of the Australian experience in 2020 (COVED-5).en
dc.typeJournal Articleen_US
dc.identifier.journaltitleEmergency Medicine Australasia : EMAen
dc.identifier.affiliationTrauma Service, Alfred Health, Melbourne, Australiaen
dc.identifier.affiliationSchool of Clinical Sciences at Monash Health, Monash University, Victoria, Australiaen
dc.identifier.affiliationEmergency Department, Townsville University Hospital, Townsville, Australiaen
dc.identifier.affiliationEmergency Department, Royal Melbourne Hospital, Melbourne, Australiaen
dc.identifier.affiliationEmergency Department, Sutherland Hospital, Sydney, Australiaen
dc.identifier.affiliationCentral Clinical School, Monash University, Melbourne, Australiaen
dc.identifier.affiliationEmergency and Trauma Centre, Alfred Health, Melbourne, Australiaen
dc.identifier.affiliationSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australiaen
dc.identifier.affiliationNational Trauma and Research Institute, Alfred Health, Melbourne, Australiaen
dc.identifier.affiliationEmergency Department,, St Vincent's Hospital, Melbourne, Australiaen
dc.identifier.affiliationMelbourne Medical School, University of Melbourne, Melbourne, Australiaen
dc.identifier.affiliationEmergency Department, Royal Hobart Hospital, Hobart, Australiaen
dc.identifier.affiliationTasmanian School of Medicine, University of Tasmania, Hobart, Australiaen
dc.identifier.affiliationMenzies Institute for Medical Research, University of Tasmania, Hobart, Australiaen
dc.identifier.affiliationEmergency Department, Barwon Health, Geelong, Australiaen
dc.identifier.affiliationSchool of Medicine, Deakin University, Geelong, Australiaen
dc.identifier.affiliationEmergency Department, Eastern Health, Melbourne, Australiaen
dc.identifier.affiliationEastern Health Clinical School, Monash University, Melbourne, Australiaen
dc.identifier.affiliationDepartment of Critical Care, University of Melbourne, Melbourne, Australiaen
dc.identifier.pubmedid34312991, Muhuntha
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.grantfulltextnone- Poisons Information Centre-
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