J Korean Soc Emerg Med.  2022 Feb;33(1):19-27.

The analysis of the status of emergency department-based screening clinic according to the spread of coronavirus disease 2019: a retrospective single-center study

• Han JH
• Lee SM
• Lee DH
• Heo T

Abstract

Objective
Emergency department-based screening clinic (ED-BSC) is a new concept. It is a multifunctional clinic at the entrance of the emergency department (ED) that serves as a screening center for suspected coronavirus disease 2019 (COVID-19) patients and triaging patients and provides basic emergency treatment. We aimed to analyze the current status of the COVID-19 ED-BSC and determine the factors when assigning suspected COVID-19 patients to the negative pressure isolation rooms (NPIRs) at the ED.
Methods
Data of patients who visited the ED-BSC between February 7, 2020, and April 30, 2020, were obtained retrospectively. The data of the patients who underwent the COVID-19 screening test per the standards of the Korea Disease Control and Prevention Agency were analyzed.
Results
A total of 1,378 patients who visited the ED-BSC were included in the study. Of these, 1,226 patients were allowed to go home after the COVID-19 screening test, and 152 patients were assigned to the NPIRs. In univariate analysis, factors influencing the allocation of NPIRs were old age, history of overseas travel within the last 14 days, fever and peripheral oxygen saturation. The multivariate regression analysis confirmed that older adults, history of overseas travel within the last 14 days and fever influenced the allocation of patients to NPIRs.
Conclusion
This study elucidates the current status of suspected COVID-19 patient visits to an ED-BSC. This study may serve as a basis for the establishment and revision of clinical guidelines for ED-BSC.

Keyword

COVID-19; Emergency department; Screening test; Isolation