Abstract
Emergency Departments (ED) are challenged during influenza season by patients who present acutely during sporadic ED visits. ED management is largely empiric, often occurring without reliable diagnostics needed for targeted therapies, safe outpatient discharge, or hospital admissions. To evaluate the impact of the influenza diagnosis on physician decision making during ED visits using the Cobas Liat® influenza A + B assay. Prospective study assessing the impact of rapid (<30 min), reverse-transcriptase polymerase chain reaction (RT-PCR) influenza testing on physician decision making in the ED. Physician responses established pre-and post-diagnosis management courses which required confirmation via secondary documentation in the medical record. Changes in physician decision making were analyzed across four clinical touchpoints: (i) admission/discharge status, (ii) medical procedures, (iii) antiviral and antibiotic prescribing, and (iv) laboratory studies. An influenza diagnosis changed patient management courses, relative to empiric, pre-diagnosis plans, in in 61% of the cases resulting in cost savings of $49,420-to-$42,270 over 143 patients and 104 days during influenza season resulting in a cost savings of $200.40/ED visit. Ev...Continue Reading
Citations
Jan 4, 2019·Journal of Clinical Microbiology·Robert C BenirschkeSanchita Das
Apr 6, 2019·Journal of Medical Virology·Janette Rahamat-LangendoenGert Jan van der Wilt
May 8, 2019·PloS One·Maxime MaignanSylvie Larrat
Dec 8, 2019·Clinical Chemistry·Glen T Hansen
Mar 13, 2020·PloS One·Marijo ParčinaJan Gorm Lisby
May 31, 2019·Journal of Clinical Microbiology·B A Pinsky, R T Hayden
Mar 17, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Jan Y VerbakelChristopher C Butler
Nov 8, 2019·Journal of Medical Virology·Soo J YooHee-Won Moon
Aug 28, 2020·Influenza and Other Respiratory Viruses·David R PeaperMarie L Landry
Dec 3, 2020·BMC Infectious Diseases·Yogesh SharmaCampbell Thompson
Jan 13, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Yogesh SharmaCampbell Thompson
Nov 27, 2020·Journal of Clinical Microbiology·Glen HansenNam K Tran
Aug 24, 2020·The Journal of Pediatrics·Rana E El FeghalyRangaraj Selvarangan
Feb 14, 2021·Diagnostic Microbiology and Infectious Disease·Laurent BlaironMarie Tré-Hardy
Jan 23, 2021·The Journal of Hospital Infection·T K TeohC P Dunne
Feb 27, 2021·Archives of Pathology & Laboratory Medicine·David N Alter
Mar 9, 2021·Current Infectious Disease Reports·Theodore S RaderGonzalo Bearman
Apr 6, 2021·Influenza and Other Respiratory Viruses·Benjamin PerlitzMartin Möckel
Oct 17, 2020·Pediatric Emergency Care·Prina PatelJesse Sturm
May 14, 2021·American Journal of Infection Control·Myrte van der KraanDennis Souverein
Jun 5, 2021·JAMA Network Open·Suchitra RaoSamuel R Dominguez
Feb 19, 2021·Journal of Clinical Microbiology·Linoj P SamuelUNKNOWN ASM Clinical and Public Health Microbiology Committee
Sep 24, 2021·The Journal of Antimicrobial Chemotherapy·Jan Gorm Lisby, Uffe Vest Schneider
Nov 13, 2021·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·Jean-Claude NguyenVanAlban Le Monnier