Effect of rapid influenza diagnostic tests on patient management in an emergency department

Jong Hak Park, Han Jin Cho, Sungwoo Moon, Ju Hyun Song, Ju Young Kim, Yu Sang Ahn

Research output: Contribution to journalArticle

Abstract

Objective We evaluated the effect of rapid influenza diagnostic tests (RIDTs) on patient management in an emergency department for 3 years after 2009, and also identified factors associated with the choice of treatment for patients with influenza-like illnesses. Methods The study period consisted of three influenza epidemic seasons. Patients older than 15 years who underwent RIDTs in the emergency department and were then discharged without admission were included. Results A total of 453 patients were enrolled, 114 of whom had positive RIDT results and 339 had negative results. Antiviral medication was prescribed to 103 patients (90.4%) who had positive RIDT results, while 1 patient (0.3%) who tested negative was treated with antivirals (P<0.001). Conservative care was administered to 11 RIDT-positive patients (9.6%) and 244 RIDT-negative patients (72.0%) (P<0.001). Symptom onset in less than 48 hours, being older than 65 years, and the presence of comorbidities were not associated with the administration of antiviral therapy. Conclusion RIDT results had a critical effect on physician decision-making regarding antiviral treatment for patients with influenza-like illnesses in the emergency department. However, symptom onset in less than 48 hours, old age, and comorbidities, which are all indications for antiviral therapy, were not found to influence the administration of antiviral treatment.

Original languageEnglish
Pages (from-to)43-48
Number of pages6
JournalClinical and Experimental Emergency Medicine
Volume6
Issue number1
DOIs
Publication statusPublished - 2019 Mar 1

Fingerprint

Routine Diagnostic Tests
Human Influenza
Hospital Emergency Service
Antiviral Agents
Comorbidity
Therapeutics
Decision Making
Physicians

Keywords

  • Diagnostic tests
  • Emergency service
  • Hospital
  • Human
  • Influenza
  • Routine

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Effect of rapid influenza diagnostic tests on patient management in an emergency department. / Park, Jong Hak; Cho, Han Jin; Moon, Sungwoo; Song, Ju Hyun; Kim, Ju Young; Ahn, Yu Sang.

In: Clinical and Experimental Emergency Medicine, Vol. 6, No. 1, 01.03.2019, p. 43-48.

Research output: Contribution to journalArticle

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abstract = "Objective We evaluated the effect of rapid influenza diagnostic tests (RIDTs) on patient management in an emergency department for 3 years after 2009, and also identified factors associated with the choice of treatment for patients with influenza-like illnesses. Methods The study period consisted of three influenza epidemic seasons. Patients older than 15 years who underwent RIDTs in the emergency department and were then discharged without admission were included. Results A total of 453 patients were enrolled, 114 of whom had positive RIDT results and 339 had negative results. Antiviral medication was prescribed to 103 patients (90.4{\%}) who had positive RIDT results, while 1 patient (0.3{\%}) who tested negative was treated with antivirals (P<0.001). Conservative care was administered to 11 RIDT-positive patients (9.6{\%}) and 244 RIDT-negative patients (72.0{\%}) (P<0.001). Symptom onset in less than 48 hours, being older than 65 years, and the presence of comorbidities were not associated with the administration of antiviral therapy. Conclusion RIDT results had a critical effect on physician decision-making regarding antiviral treatment for patients with influenza-like illnesses in the emergency department. However, symptom onset in less than 48 hours, old age, and comorbidities, which are all indications for antiviral therapy, were not found to influence the administration of antiviral treatment.",
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AU - Ahn, Yu Sang

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N2 - Objective We evaluated the effect of rapid influenza diagnostic tests (RIDTs) on patient management in an emergency department for 3 years after 2009, and also identified factors associated with the choice of treatment for patients with influenza-like illnesses. Methods The study period consisted of three influenza epidemic seasons. Patients older than 15 years who underwent RIDTs in the emergency department and were then discharged without admission were included. Results A total of 453 patients were enrolled, 114 of whom had positive RIDT results and 339 had negative results. Antiviral medication was prescribed to 103 patients (90.4%) who had positive RIDT results, while 1 patient (0.3%) who tested negative was treated with antivirals (P<0.001). Conservative care was administered to 11 RIDT-positive patients (9.6%) and 244 RIDT-negative patients (72.0%) (P<0.001). Symptom onset in less than 48 hours, being older than 65 years, and the presence of comorbidities were not associated with the administration of antiviral therapy. Conclusion RIDT results had a critical effect on physician decision-making regarding antiviral treatment for patients with influenza-like illnesses in the emergency department. However, symptom onset in less than 48 hours, old age, and comorbidities, which are all indications for antiviral therapy, were not found to influence the administration of antiviral treatment.

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