Coronavirus disease 2019 (COVID-19) screening system utilizing daily symptom attestation helps identify hospital employees who should be tested to protect patients and coworkers
OBJECTIVE: To investigate the effectiveness of a daily attestation system used by employees of a multi-institutional academic medical center, which comprised of symptom-screening, self-referrals to the Occupational Health Services team, and/or a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) test.
DESIGN: We conducted a retrospective cohort study of all employee attestations and SARS-CoV-2 tests performed between March and June 2020.
SETTING: A large multi-institutional academic medical center, including both inpatient and ambulatory settings.
PARTICIPANTS: All employees who worked at the study site.
METHODS: Data were combined from the attestation system (COVIDPass), the employee database, and the electronic health records and were analyzed using descriptive statistics including χ2, Wilcoxon, and Kruskal-Wallis tests. We investigated whether an association existed between symptomatic attestations by the employees and the employee testing positive for SARS-CoV-2.
RESULTS: After data linkage and cleaning, there were 2,117,298 attestations submitted by 65,422 employees between March and June 2020. Most attestations were asymptomatic (99.9%). The most commonly reported symptoms were sore throat (n = 910), runny nose (n = 637), and cough (n = 570). Among the 2,026 employees who ever attested that they were symptomatic, 905 employees were tested within 14 days of a symptomatic attestation, and 114 (13%) of these tests were positive. The most common symptoms associated with a positive SARS-CoV-2 test were anosmia (23% vs 4%) and fever (46% vs 19%).
CONCLUSIONS: Daily symptom attestations among healthcare workers identified a handful of employees with COVID-19. Although the number of positive tests was low, attestations may help keep unwell employees off campus to prevent transmissions.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:43 |
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| Enthalten in: |
Infection control and hospital epidemiology - 43(2022), 11 vom: 10. Nov., Seite 1656-1660 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kim, Ellen [VerfasserIn] |
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| Anmerkungen: |
Date Completed 21.11.2022 Date Revised 28.11.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1017/ice.2021.461 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM332915123 |
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| 500 | |a Date Completed 21.11.2022 | ||
| 500 | |a Date Revised 28.11.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To investigate the effectiveness of a daily attestation system used by employees of a multi-institutional academic medical center, which comprised of symptom-screening, self-referrals to the Occupational Health Services team, and/or a severe acute respiratory coronavirus virus 2 (SARS-CoV-2) test | ||
| 520 | |a DESIGN: We conducted a retrospective cohort study of all employee attestations and SARS-CoV-2 tests performed between March and June 2020 | ||
| 520 | |a SETTING: A large multi-institutional academic medical center, including both inpatient and ambulatory settings | ||
| 520 | |a PARTICIPANTS: All employees who worked at the study site | ||
| 520 | |a METHODS: Data were combined from the attestation system (COVIDPass), the employee database, and the electronic health records and were analyzed using descriptive statistics including χ2, Wilcoxon, and Kruskal-Wallis tests. We investigated whether an association existed between symptomatic attestations by the employees and the employee testing positive for SARS-CoV-2 | ||
| 520 | |a RESULTS: After data linkage and cleaning, there were 2,117,298 attestations submitted by 65,422 employees between March and June 2020. Most attestations were asymptomatic (99.9%). The most commonly reported symptoms were sore throat (n = 910), runny nose (n = 637), and cough (n = 570). Among the 2,026 employees who ever attested that they were symptomatic, 905 employees were tested within 14 days of a symptomatic attestation, and 114 (13%) of these tests were positive. The most common symptoms associated with a positive SARS-CoV-2 test were anosmia (23% vs 4%) and fever (46% vs 19%) | ||
| 520 | |a CONCLUSIONS: Daily symptom attestations among healthcare workers identified a handful of employees with COVID-19. Although the number of positive tests was low, attestations may help keep unwell employees off campus to prevent transmissions | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 700 | 1 | |a Morris, Charles A |e verfasserin |4 aut | |
| 700 | 1 | |a Klompas, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Haipeng |e verfasserin |4 aut | |
| 700 | 1 | |a Landman, Adam B |e verfasserin |4 aut | |
| 700 | 1 | |a Eappen, Sunil |e verfasserin |4 aut | |
| 700 | 1 | |a Hopcia, Karen |e verfasserin |4 aut | |
| 700 | 1 | |a Hashimoto, Dean M |e verfasserin |4 aut | |
| 700 | 1 | |a Salmasian, Hojjat |e verfasserin |4 aut | |
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