MersV1, PubMed, Corpus, bibRecord, 000561

Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems.

Identifieur interne : 000561 ( PubMed/Corpus ); précédent : 000560; suivant : 000562

Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems.

Auteurs : Anwar E. Ahmed

Source :

Journal of infection and public health [ 1876-035X ]

RBID : pubmed:31006635

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Coronavirus Infections (diagnosis), Delayed Diagnosis (statistics & numerical data), Female, Humans, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Young Adult.
MESH :
- diagnosis : Coronavirus Infections.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- statistics & numerical data : Delayed Diagnosis.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Humans, Male, Middle Aged, Young Adult.

Abstract

Although Middle East respiratory syndrome coronavirus (MERS-CoV) diagnostic delays remain a major challenge in health systems, the source of delays has not been recognized in the literature. The aim of this study is to quantify patient and health-system delays and to identify their associated factors.

DOI: 10.1016/j.jiph.2019.04.002
PubMed: 31006635

Links to Exploration step

pubmed:31006635

Le document en format XML

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<author><name sortKey="Ahmed, Anwar E" sort="Ahmed, Anwar E" uniqKey="Ahmed A" first="Anwar E" last="Ahmed">Anwar E. Ahmed</name>
<affiliation><nlm:affiliation>College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia. Electronic address: ahmeda5@vcu.edu.</nlm:affiliation>
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<date when="????"><PubDate><MedlineDate>2019 Nov - Dec</MedlineDate>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems.</title>
<author><name sortKey="Ahmed, Anwar E" sort="Ahmed, Anwar E" uniqKey="Ahmed A" first="Anwar E" last="Ahmed">Anwar E. Ahmed</name>
<affiliation><nlm:affiliation>College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia. Electronic address: ahmeda5@vcu.edu.</nlm:affiliation>
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<series><title level="j">Journal of infection and public health</title>
<idno type="eISSN">1876-035X</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Delayed Diagnosis (statistics & numerical data)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Delayed Diagnosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Although Middle East respiratory syndrome coronavirus (MERS-CoV) diagnostic delays remain a major challenge in health systems, the source of delays has not been recognized in the literature. The aim of this study is to quantify patient and health-system delays and to identify their associated factors.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31006635</PMID>
<DateCompleted><Year>2020</Year>
<Month>03</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1876-035X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>12</Volume>
<Issue>6</Issue>
<PubDate><MedlineDate>2019 Nov - Dec</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Journal of infection and public health</Title>
<ISOAbbreviation>J Infect Public Health</ISOAbbreviation>
</Journal>
<ArticleTitle>Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems.</ArticleTitle>
<Pagination><MedlinePgn>767-771</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S1876-0341(19)30135-2</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jiph.2019.04.002</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Although Middle East respiratory syndrome coronavirus (MERS-CoV) diagnostic delays remain a major challenge in health systems, the source of delays has not been recognized in the literature. The aim of this study is to quantify patient and health-system delays and to identify their associated factors.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The study of 266 patients was based on public source data from the World Health Organization (WHO) (January 2, 2017-May 16, 2018). The diagnostic delays, patient delays, and health-system delays were calculated and modelled using a Poisson regression analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 266 MERS-CoV patients reported during the study period, the median diagnostic delays, patient delays, and health-system delays were 5 days (interquartile [IQR] range: 3-8 days), 4 days (IQR range: 2-7 days), and 2 days (IQR range: 1-2 days), respectively. Both patient delay (r = 0.894, P = 0.001) and health-system delay (r = 0.163, P = 0.025) were positively correlated with diagnostic delay. Older age was associated with longer health-system delay (adjusted relative ratios (aRR), 1.011; 95% confidence intervals (CI), 1.004-1.017). Diagnostic delay (aRR, 1.137; 95% CI, 1.006-1.285) and health-system delays (aRR, 1.217; 95% CI, 1.003-1.476) were significantly longer in patients who died.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Delays in MERS-CoV diagnosis exist and may be attributable to patient delay and health-system delay as both were significantly correlated with longer diagnosis delay. Early MERS-CoV diagnosis may require more sensitive risk assessment tools to reduce avoidable delays, specifically those related to patients and health system.</AbstractText>
<CopyrightInformation>Copyright © 2019 The Author. Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ahmed</LastName>
<ForeName>Anwar E</ForeName>
<Initials>AE</Initials>
<AffiliationInfo><Affiliation>College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia. Electronic address: ahmeda5@vcu.edu.</Affiliation>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>04</Month>
<Day>18</Day>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>J Infect Public Health</MedlineTA>
<NlmUniqueID>101487384</NlmUniqueID>
<ISSNLinking>1876-0341</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
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<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
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<MeshHeading><DescriptorName UI="D057210" MajorTopicYN="N">Delayed Diagnosis</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D065207" MajorTopicYN="N">Middle East Respiratory Syndrome Coronavirus</DescriptorName>
<QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName>
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<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coronavirus</Keyword>
<Keyword MajorTopicYN="N">Diagnostic delay</Keyword>
<Keyword MajorTopicYN="N">Health-system delay</Keyword>
<Keyword MajorTopicYN="N">MERS-CoV</Keyword>
<Keyword MajorTopicYN="N">Patient delay</Keyword>
<Keyword MajorTopicYN="N">Saudi Arabia</Keyword>
</KeywordList>
</MedlineCitation>
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<Month>12</Month>
<Day>14</Day>
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<PubMedPubDate PubStatus="revised"><Year>2019</Year>
<Month>02</Month>
<Day>25</Day>
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Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems.

Diagnostic delays in Middle East respiratory syndrome coronavirus patients and health systems.

Source :

English descriptors

Abstract

Links to Exploration step

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