• Artificial intelligence
• Closed-loop management
• Coronavirus disease 2019
• Information technology
• Pediatric designated hospital

• MeSH)
• coronavirus infections (DeCS
• health impact assessment (DeCS
• respiratory tract diseases (DeCS
• triage (DeCS

• Male
• Humans
• Female
• Infant, Newborn
• Infant
• Child, Preschool
• Child
• Adolescent
• Young Adult
• Adult
• Middle Aged
• Aged
• Aged, 80 and over
• COVID-19/epidemiology
• Triage
• SARS-CoV-2
• Pandemics
• Retrospective Studies
• Red Cross

• COVID-19
• medical staff
• precise prevention and control strategy
• transmission risk

• SARS-CoV-2
• healthcare personnel
• model of hospital operation

The COVID-19 pandemic poses a serious threat to healthcare workers and hospitalized patients. Early detection of COVID-19 cases is essential to control the spread in healthcare facilities. However, real-world data on the screening criteria for hospitalized patients remain scarce. We aimed to explore whether patients with negative results of pre-hospital screening for COVID-19 should be rescreened after admission in a low-prevalence (less than 3% of the world average) setting.

We retrospectively included patients in central Taiwan who were negative at the first screening but were newly diagnosed with pneumonia or had a body temperature above 38 degrees Celsius during their hospitalization. Each patient might be included as an eligible case several times, and the proportions of cases who were rescreened for COVID-19 and those diagnosed with COVID-19 were calculated. A logistic regression model was constructed to identify factors associated with rescreening. Reverse transcription-polymerase chain reaction tests were used to confirm the diagnosis of COVID-19.

A total of 3549 cases eligible for COVID-19 rescreening were included. There were 242 cases (6.8%) who received rescreening. In the multivariable analysis, cases aged 75 years or older, those with potential exposure to SARS-CoV-2, or patients visiting specific departments, such as the Cardiovascular Center and Department of Neurology, were more likely to be rescreened. None was diagnosed with COVID-19 after rescreening. There was no known cluster infection outbreak in the hospital or in the local community during the study period and in the following two months.

In Taiwan, a country with a low COVID-19 prevalence, it was deemed safe to rescreen only high-risk hospitalized patients. This strategy was effective and reduced unnecessary costs.

• SARS-CoV-2
• fever
• pneumonia
• risk
• screen

Fever is one of the typical symptoms of coronavirus disease (COVID-19). We aimed to investigate the association between early fever (EF) and clinical outcomes in COVID-19 patients. A total of 1,014 COVID-19 patients at the Leishenshan Hospital were enrolled and classified into the EF and non-EF groups based on whether they had fever within 5 days of symptom onset. Risk factors for clinical outcomes in patients with different levels of disease severity were analyzed using multivariable analyses. Time from symptom onset to symptom alleviation, CT image improvement, and discharge were longer for patients with moderate and severe disease in the EF group than in the non-EF group. Multivariable analysis showed that sex, EF, eosinophil number, C-reactive protein, and IL-6 levels were positively correlated with the time from symptom onset to hospital discharge in moderate cases. The EF patients showed no significant differences in the development of acute respiratory distress syndrome, compared with the non-EF patients. The Kaplan–Meier curve showed no obvious differences in survival between the EF and non-EF patients. However, EF patients with increased temperature showed markedly lower survival than the non-EF patients with increased temperature. EF had no significant impact on the survival of critically ill patients, while an increase in temperature was identified as an independent risk factor. EF appears to be a predictor of longer recovery time in moderate/severe COVID-19 infections. However, its value in predicting mortality needs to be considered for critically ill patients with EF showing increasing temperature.

• COVID-19
• clinical outcomes
• early fever
• interleukin-6
• severity

• COVID-19
• screening OPD
• tertiary care hospital

• COVID-19
• Medical imaging service
• Optimization strategies
• Pandemic
• Radiography
• Radiology department

Emerging infectious diseases are a constant threat to the public’s health and health care systems around the world. Coronavirus disease 2019 (COVID-2019), which was defined by the World Health Organization as pandemic, has rapidly emerged as a global health threat. Outbreak evolution and prevention of international implications require substantial flexibility of frontline health care facilities in their response.

To explore the effect of the implementation and management strategy of pre-screening triage in children during COVID-19.

The standardized triage screening procedures included a standardized triage screening questionnaire, setup of pre-screening triage station, multi-point temperature monitoring, extensive screenings, and two-way protection. In order to ensure the implementation of the pre-screening triage, the prevention and control management strategies included training, emergency exercise, and staff protection. Statistical analysis was performed on the data from all the children hospitalized from January 20, 2020 to March 20, 2020 at solstice during the pandemic period. Data were obtained from questionnaires and electronic medical record systems.

A total of 17561 children, including 2652 who met the criteria for screening, 192 suspected cases, and two confirmed cases without omission, were screened from January 20, 2020 to March 20, 2020 at solstice during the pandemic period. There was zero transmission of the infection to any medical staff.

The effective strategies for pre-screening triage have an essential role in the prevention and control of hospital infection.

• COVID-19
• Pre-screening triage
• Management
• Implementation
• Strategies
• Pandemic

• nosocomial infection
• healthcare professionals
• prevention and control

• Asymptomatic Infections
• COVID-19/epidemiology
• COVID-19/prevention & control
• COVID-19/transmission
• China
• Cross Infection/epidemiology
• Cross Infection/prevention & control
• Cross Infection/transmission
• Disinfection
• Hand Hygiene
• Health Personnel
• Hospitals
• Humans
• Medical Waste Disposal
• Personal Protective Equipment
• Quality of Life