Diagnostic accuracy of visual triage checklist in early recognition of COVID-19 cases in the pediatric population: A retrospective cohort study.

IF 2 3区医学 Q2 PEDIATRICS

BMC Pediatrics Pub Date : 2025-05-02 DOI:10.1186/s12887-025-05693-7

Ayesha Imtiaz, Abdullah Y Akkam, Lulwah H AlThumali, Ahlam M AlHarthi, Honey G Porte, Wesal S AlOsaimi, Maha M A AlAsmari, Rawda B G Salih, Biswadev Mitra

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引用次数: 0

Abstract

Background: During the coronavirus disease 2019 (COVID-19) pandemic, healthcare facilities developed surveillance systems to identify patients suspected of having COVID-19 to segregate them during their hospital stay. As a part of this infection control strategy, the Ministry of Health in the Kingdom of Saudi Arabia developed a visual triage (VT) checklist for early screening and isolation of patients in the hospital. The aim of this study was to evaluate the diagnostic accuracy of this visual triage checklist in identifying children with COVID-19.

Methods: This was a retrospective, single center study that included all children who were tested for COVID-19 and were admitted to the hospital through the pediatric emergency department. The diagnostic accuracy of the visual triage checklist was assessed using COVID-19 PCR as the gold standard.

Results: A total of 1333 patients were included. The visual triage checklist had a sensitivity of 94.3% (95% CI: 87.2-98.1) and a specificity of 16.0% (95% CI: 14-18) with an area under the receiver operating characteristic curve of 0.55 (0.53-0.58). The positive predictive value of the checklist was low at 7.35% (95% CI: 5.9-9.0).

Conclusion: The VT checklist has high sensitivity, and is therefore potentially useful as an initial screening tool. However, the diagnosis of COVID-19 requires early secondary confirmation to avoid the large number of false positive cases associated with this tool.

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视觉分诊检查表在儿童COVID-19病例早期识别中的诊断准确性：一项回顾性队列研究

背景：在2019冠状病毒病（COVID-19）大流行期间，卫生保健机构开发了监测系统，以识别疑似感染COVID-19的患者，并在其住院期间对其进行隔离。作为这一感染控制战略的一部分，沙特阿拉伯王国卫生部制定了一份目视分诊检查清单，用于在医院对患者进行早期筛查和隔离。本研究的目的是评估该视觉分类检查表在识别COVID-19儿童中的诊断准确性。方法：这是一项回顾性的单中心研究，纳入了所有通过儿科急诊科入院的COVID-19检测儿童。以COVID-19 PCR为金标准，评估视觉分诊清单的诊断准确性。结果：共纳入1333例患者。视觉分类检查表的灵敏度为94.3% (95% CI: 87.2-98.1)，特异性为16.0% (95% CI: 14-18)，受试者工作特征曲线下面积为0.55（0.53-0.58）。检查表阳性预测值较低，为7.35% （95% CI: 5.9 ~ 9.0）。结论：VT检查表具有较高的敏感性，因此可能是有用的初始筛选工具。然而，COVID-19的诊断需要早期二次确诊，以避免与该工具相关的大量假阳性病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Pediatrics PEDIATRICS-

CiteScore

3.70

自引率

4.20%

发文量

683

审稿时长

3-8 weeks

期刊介绍： BMC Pediatrics is an open access journal publishing peer-reviewed research articles in all aspects of health care in neonates, children and adolescents, as well as related molecular genetics, pathophysiology, and epidemiology.