2020 年 8 月至 10 月，洛杉矶县住院患者中偶然检出 SARS-COV-2。
Incidentally Detected SARS-COV-2 Among Hospitalized Patients in Los Angeles County, August to October 2020.
机构信息
Hospital Surveillance Team, Los Angeles County Department of Public Health, Los Angeles, California.
出版信息
J Hosp Med. 2021 Aug;16(8):480-483. doi: 10.12788/jhm.3641.
We aimed to determine the percentage of COVID-19- associated hospitalizations reported to Los Angeles County (LAC) Public Health that might have been misclassified because of incidentally detected SARS-CoV-2. We retrospectively reviewed medical records from a randomly selected set of hospital discharges reported to LAC Public Health from August to October 2020 for a clinical diagnosis of COVID-19 or a positive SARS-CoV-2 test result. Among the 13,813 discharges from 85 hospitals reported to LAC Public Health as COVID-19-associated hospitalizations from August to October 2020, 346 were randomly selected and reviewed. SARS-CoV-2 detection was incidental to the reason for hospitalization in 12% (95% confidence limit, 9%-16%) of COVID-19 classified hospital discharges. Adjusting COVID-19-associated hospitalization rates to account for incidental SARS-CoV-2 detection could help public health policymakers and emergency preparedness personnel improve resource planning.
我们旨在确定向洛杉矶县 (LAC) 公共卫生局报告的与 COVID-19 相关的住院病例中，有多少可能因为偶然检测到的 SARS-CoV-2 而被错误分类。我们回顾性地审查了 2020 年 8 月至 10 月期间向 LAC 公共卫生局报告的与 COVID-19 临床诊断或 SARS-CoV-2 阳性检测结果相关的随机选择的一组医院出院患者的医疗记录。在 2020 年 8 月至 10 月期间，向 LAC 公共卫生局报告的与 COVID-19 相关的住院病例中，有 13813 例出院病例，其中 346 例被随机选择并进行了审查。在 COVID-19 分类出院病例中，有 12%（95%置信区间，9%-16%）的 SARS-CoV-2 检测是住院的偶然原因。调整 COVID-19 相关住院率以考虑偶然的 SARS-CoV-2 检测结果，可以帮助公共卫生政策制定者和应急准备人员改善资源规划。
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