SrasV1, Main, Exploration, bibRecordById, PMC:2464446

The rationale of fever surveillance to identify patients with severe acute respiratory syndrome in Taiwan

Identifieur interne : 004146 ( Main/Exploration ); précédent : 004145; suivant : 004147

The rationale of fever surveillance to identify patients with severe acute respiratory syndrome in Taiwan

Auteurs : L-M Wang [Taïwan] ; Y-C Chen [Taïwan] ; S-P Tung [Taïwan] ; C-Y Chen ; S-C Chang ; S-C Chiang [Taïwan] ; C-H Lee

Source :

Emergency Medicine Journal [ 1472-0205 ] ; 2006-03.

RBID : ISTEX:AA5E4BA4E2A67A04E7E7E074D718BB5ECB98230E

English descriptors

Abstract

Study objective: To establish a predictive scoring system and to determine its effectiveness for severe acute respiratory syndrome (SARS) cases confirmed by RT-PCR in patients with fever. Methods: A study was conducted of 484 consecutive patients seen in the emergency department (ED) of our tertiary care center during the SARS outbreak in Taiwan. The scoring system was divided into triage and screening station stages. Data were analysed with multivariable and logistic regression analysis. Results: Of 737 patients who presented to our ED for possible SARS from March to June 2003, we enrolled 484 patients with a temperature >38.0°C (>100.3°F) (age >18 years). Dyspnoea, diarrhoea, travel, close contact, hospital exposure, and household history were identified as predictive indicators in the triage stage. The triage score was the total of six items. With a one-point cutoff value, the sensitivity and specificity were 81.8% (18/22) and 73.6% (340/462). Leukocytosis, thrombocytopenia, lymphopenia, and CXR were identified as predictive indicators in the fever screening stage. Screening station scores (the sum of 10 items) consisted of triage scores, white blood cell count, and CXR. With a three-point cutoff value, the sensitivity and specificity were 95.5% (21/22) and 87.2% (403/462). Conclusions: Syndromic and traditional surveillance play a role in early identification of SARS in an endemic area. The SARS scoring system described is easily applicable and highly effective in screening patients during outbreaks.

Url:

DOI: 10.1136/emj.2005.027037

Affiliations:

Taïwan

Le document en format XML

<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The rationale of fever surveillance to identify patients with severe acute respiratory syndrome in Taiwan</title>
<author><name sortKey="Wang, L M" sort="Wang, L M" uniqKey="Wang L" first="L-M" last="Wang">L-M Wang</name>
</author>
<author><name sortKey="Chen, Y C" sort="Chen, Y C" uniqKey="Chen Y" first="Y-C" last="Chen">Y-C Chen</name>
</author>
<author><name sortKey="Tung, S P" sort="Tung, S P" uniqKey="Tung S" first="S-P" last="Tung">S-P Tung</name>
</author>
<author><name sortKey="Chen, C Y" sort="Chen, C Y" uniqKey="Chen C" first="C-Y" last="Chen">C-Y Chen</name>
</author>
<author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S-C" last="Chang">S-C Chang</name>
</author>
<author><name sortKey="Chiang, S C" sort="Chiang, S C" uniqKey="Chiang S" first="S-C" last="Chiang">S-C Chiang</name>
</author>
<author><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C-H" last="Lee">C-H Lee</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:AA5E4BA4E2A67A04E7E7E074D718BB5ECB98230E</idno>
<date when="2006" year="2006">2006</date>
<idno type="doi">10.1136/emj.2005.027037</idno>
<idno type="url">https://api.istex.fr/ark:/67375/NVC-S3CH91ZT-5/fulltext.pdf</idno>
<idno type="wicri:Area/Istex/Corpus">000B38</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000B38</idno>
<idno type="wicri:Area/Istex/Curation">000B38</idno>
<idno type="wicri:Area/Istex/Checkpoint">001572</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001572</idno>
<idno type="wicri:doubleKey">1472-0205:2006:Wang L:the:rationale:of</idno>
<idno type="wicri:source">PMC</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464446</idno>
<idno type="RBID">PMC:2464446</idno>
<idno type="wicri:Area/Pmc/Corpus">000635</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000635</idno>
<idno type="wicri:Area/Pmc/Curation">000635</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000635</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001026</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001026</idno>
<idno type="wicri:Area/Ncbi/Merge">001396</idno>
<idno type="wicri:Area/Ncbi/Curation">001396</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">001396</idno>
<idno type="wicri:doubleKey">1472-0205:2006:Wang L:the:rationale:of</idno>
<idno type="wicri:Area/Main/Merge">004362</idno>
<idno type="wicri:Area/Main/Curation">004146</idno>
<idno type="wicri:Area/Main/Exploration">004146</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">The rationale of fever surveillance to identify patients with severe acute respiratory syndrome in Taiwan</title>
<author><name sortKey="Wang, L M" sort="Wang, L M" uniqKey="Wang L" first="L-M" last="Wang">L-M Wang</name>
<affiliation wicri:level="1"><country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Department of Emergency Medicine, Veteran’s General Hospital, Taipei</wicri:regionArea>
<wicri:noRegion>Taipei</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chen, Y C" sort="Chen, Y C" uniqKey="Chen Y" first="Y-C" last="Chen">Y-C Chen</name>
<affiliation wicri:level="1"><country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Chest Department, Veteran’s General Hospital, Taipei</wicri:regionArea>
<wicri:noRegion>Taipei</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tung, S P" sort="Tung, S P" uniqKey="Tung S" first="S-P" last="Tung">S-P Tung</name>
<affiliation wicri:level="1"><country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Information Service Center, Veteran’s General Hospital, Taipei</wicri:regionArea>
<wicri:noRegion>Taipei</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chen, C Y" sort="Chen, C Y" uniqKey="Chen C" first="C-Y" last="Chen">C-Y Chen</name>
<affiliation><wicri:noCountry code="no comma">National Yang-Ming University</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S-C" last="Chang">S-C Chang</name>
<affiliation><wicri:noCountry code="no comma">National Defense Medical Center</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Chiang, S C" sort="Chiang, S C" uniqKey="Chiang S" first="S-C" last="Chiang">S-C Chiang</name>
<affiliation wicri:level="1"><country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Information Service Center, Veteran’s General Hospital, Taipei</wicri:regionArea>
<wicri:noRegion>Taipei</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C-H" last="Lee">C-H Lee</name>
<affiliation><wicri:noCountry code="no comma">National Yang-Ming University</wicri:noCountry>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Emergency Medicine Journal</title>
<title level="j" type="abbrev">Emerg Med J</title>
<idno type="ISSN">1472-0205</idno>
<idno type="eISSN">1472-0213</idno>
<imprint><publisher>BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine</publisher>
<date type="published" when="2006-03">2006-03</date>
<biblScope unit="volume">23</biblScope>
<biblScope unit="issue">3</biblScope>
<biblScope unit="page" from="202">202</biblScope>
</imprint>
<idno type="ISSN">1472-0205</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">1472-0205</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>CBC, complete blood count</term>
<term>CDC, Centers for Disease Control and Prevention</term>
<term>CXR, chest x ray</term>
<term>DOH, Department of Health</term>
<term>RT-PCR</term>
<term>SARS</term>
<term>SARS, severe acute respiratory syndrome</term>
<term>WHO, World Health Organization</term>
<term>fever</term>
<term>scoring system</term>
<term>triage</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Best balance</term>
<term>Chest radiography</term>
<term>Clinical features</term>
<term>Complete blood count</term>
<term>Contagious disease</term>
<term>Coronavirus antibody</term>
<term>Curves analysis</term>
<term>Cutoff value</term>
<term>Disease control</term>
<term>Early stage</term>
<term>Emergency department</term>
<term>Emergency departments</term>
<term>Emergency medicine</term>
<term>Emergency physicians</term>
<term>Endemic area</term>
<term>Exact test</term>
<term>Febrile</term>
<term>Febrile patients</term>
<term>Fever screening station</term>
<term>Fever surveillance</term>
<term>Final analysis</term>
<term>Final diagnosis</term>
<term>General hospital</term>
<term>Hong kong</term>
<term>Hospital transmission</term>
<term>Household history</term>
<term>Outbreak</term>
<term>Possible sars</term>
<term>Possible sars cases</term>
<term>Predictive ability</term>
<term>Predictive indicators</term>
<term>Probable cases</term>
<term>Reflection point</term>
<term>Respiratory syndrome</term>
<term>Sars</term>
<term>Sars cases</term>
<term>Sars contact history</term>
<term>Sars infection</term>
<term>Sars outbreak</term>
<term>Sars patients</term>
<term>Screening</term>
<term>Screening patients</term>
<term>Screening station score</term>
<term>Screening station stage</term>
<term>Station score</term>
<term>Syndrome</term>
<term>Syndromic surveillance</term>
<term>Taiwan wang</term>
<term>Triage</term>
<term>Triage score</term>
<term>Triage scores</term>
<term>Triage stage</term>
<term>World health organization</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Study objective: To establish a predictive scoring system and to determine its effectiveness for severe acute respiratory syndrome (SARS) cases confirmed by RT-PCR in patients with fever. Methods: A study was conducted of 484 consecutive patients seen in the emergency department (ED) of our tertiary care center during the SARS outbreak in Taiwan. The scoring system was divided into triage and screening station stages. Data were analysed with multivariable and logistic regression analysis. Results: Of 737 patients who presented to our ED for possible SARS from March to June 2003, we enrolled 484 patients with a temperature >38.0°C (>100.3°F) (age >18 years). Dyspnoea, diarrhoea, travel, close contact, hospital exposure, and household history were identified as predictive indicators in the triage stage. The triage score was the total of six items. With a one-point cutoff value, the sensitivity and specificity were 81.8% (18/22) and 73.6% (340/462). Leukocytosis, thrombocytopenia, lymphopenia, and CXR were identified as predictive indicators in the fever screening stage. Screening station scores (the sum of 10 items) consisted of triage scores, white blood cell count, and CXR. With a three-point cutoff value, the sensitivity and specificity were 95.5% (21/22) and 87.2% (403/462). Conclusions: Syndromic and traditional surveillance play a role in early identification of SARS in an endemic area. The SARS scoring system described is easily applicable and highly effective in screening patients during outbreaks.</div>
</front>
</TEI>
<affiliations><list><country><li>Taïwan</li>
</country>
</list>
<tree><noCountry><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S-C" last="Chang">S-C Chang</name>
<name sortKey="Chen, C Y" sort="Chen, C Y" uniqKey="Chen C" first="C-Y" last="Chen">C-Y Chen</name>
<name sortKey="Lee, C H" sort="Lee, C H" uniqKey="Lee C" first="C-H" last="Lee">C-H Lee</name>
</noCountry>
<country name="Taïwan"><noRegion><name sortKey="Wang, L M" sort="Wang, L M" uniqKey="Wang L" first="L-M" last="Wang">L-M Wang</name>
</noRegion>
<name sortKey="Chen, Y C" sort="Chen, Y C" uniqKey="Chen Y" first="Y-C" last="Chen">Y-C Chen</name>
<name sortKey="Chiang, S C" sort="Chiang, S C" uniqKey="Chiang S" first="S-C" last="Chiang">S-C Chiang</name>
<name sortKey="Tung, S P" sort="Tung, S P" uniqKey="Tung S" first="S-P" last="Tung">S-P Tung</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrasV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004146 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004146 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    SrasV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     ISTEX:AA5E4BA4E2A67A04E7E7E074D718BB5ECB98230E
   |texte=   The rationale of fever surveillance to identify patients with severe acute respiratory syndrome in Taiwan
}}

This area was generated with Dilib version V0.6.33.
Data generation: Tue Apr 28 14:49:16 2020. Site generation: Sat Mar 27 22:06:49 2021

Serveur d'exploration SRAS

The rationale of fever surveillance to identify patients with severe acute respiratory syndrome in Taiwan

The rationale of fever surveillance to identify patients with severe acute respiratory syndrome in Taiwan

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Serveur d'exploration SRAS
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.