Risk Management and Healthcare Policy (Apr 2021)
Safety and Effectiveness of an In-Hospital Screening Station for Coronavirus Disease 2019 in Response to the Massive Community Outbreak
Abstract
Hye-In Choi,1 Hae-Jin Ko,2 Ji-Eun Song,3 Ji-Yeon Park,3 Jin-Hee Kim3 1Department of Family Medicine, Kyungpook National University Hospital, Daegu, Korea; 2Department of Family Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea; 3Department of Family Medicine, Kyungpook National University Hospital, Kyungpook National University Chilgok Hospital, Daegu, KoreaCorrespondence: Hae-Jin KoDepartment of Family Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, 130 Dongdeok-Ro, Jung-Gu, Daegu, 41944, KoreaTel +82 53 200 6578Fax +82 53 200 5480Email [email protected]: To evaluate the results of operating an in-hospital coronavirus disease 2019 screening station on an outpatient basis and to identify the effectiveness and necessity of such a screening station.Patients and Methods: This cross-sectional study included 1345 individuals who were tested for COVID-19 using real-time reverse transcription polymerase chain reaction (RT-PCR) at an in-hospital screening station on an outpatient basis. The subjects were healthcare workers (HCWs) with suspected COVID-19 symptoms or exposure to patients with confirmed COVID-19, caregivers at the hospital for complete enumeration, and patients who were scheduled to be admitted to a nonrestricted area in the hospital or to visit for outpatient treatment, but had suspected COVID-19 symptoms. The subjects were divided and compared as follows: HCW versus non-HCW groups and RT-PCR positive versus negative groups.Results: A total of 140 had symptoms, 291 wanted to be tested, and 664 were asymptomatic but were screened. Seven subjects had positive results for COVID-19. Compared with the non-HCWs, the HCWs were younger and had a lower rate of underlying medical conditions. In addition, there were more women, individuals with exposure to confirmed cases, and individuals with symptoms or those who just wanted to be tested. The frequency of all symptoms was high among the HCWs. The results of the logistic regression analysis showed that the HCWs were significantly associated with the presence of symptoms, having an odds ratio of 23.317 (confidence interval, 15.142– 35.907L; P < 0.001). The positive group had a high rate of exposure to patients with confirmed COVID-19 and had more subjects with symptoms or those who wanted to be tested.Conclusion: In-hospital screening stations are a relatively safe way to protect and support HCWs and to reduce and manage the spread of infection within the hospital effectively during an outbreak in the community.Keywords: coronavirus disease 2019, healthcare workers, nocebo effect, hospital infection, screening
