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Real-world evidence: the low validity of temperature screening for COVID-19 triage

2021-06-30Journal article Open access
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dc.contributor.authorPană, Bogdan C.
dc.contributor.authorLopes, Henrique
dc.contributor.authorFurtunescu, Florentina
dc.contributor.authorFranco, Diogo
dc.contributor.authorRapcea, Anca
dc.contributor.authorStanca, Mihai
dc.contributor.authorTănase, Alina
dc.contributor.authorColiţă, Anca
dc.date.accessioned2021-07-26T09:08:26Z
dc.date.available2021-07-26T09:08:26Z
dc.date.issued2021-06-30
dc.description.abstractBackground: The COVID-19 pandemic forced health-related organizations to rapidly launch country-wide procedures that were easy to use and inexpensive. Body temperature measurement with non-contact infrared thermometers (NCITs) is among the most common procedures, both in hospital settings and in many other entities. However, practical hospital experiences have raised great doubts about the procedure's validity. Aim: This study aimed to evaluate the validity of the body temperature measured using NCITs among oncological and transplant patients who took the polymerase chain reaction test for SARS-Cov-2 PCR+ and PCR- in a Romanian Hospital. Methods: Body temperature was measured for 5,231 inpatients using NCITs. The cutoff point for fever was equal to or above 37.3 degrees C. Patients then completed a questionnaire about their symptoms, contact, and travel history. Findings: Fever was detected in five of 53 persons with PCR+, resulting in a sensitivity of 9.43% (95% CI, 3.13-20.66%). No fever was verified in 5,131 of 5,171 persons with PCR-, resulting in a specificity of 99.15% (95% CI, 98.86-99.38%). A defensive vision of NCIT procedure (maximum standard error only in favor) had a sensitivity of 15.09% (95% CI, 6.75-27.59%). Conclusions: The use of NCITs in a triage provides little value for detection of COVID-19. Moreover, it provides a false sense of protection against the disease while possibly discriminating individuals that could present fever due to other reasons, such as oncologic treatments, where fever is a common therapeutical consequence. The consumption of qualified human resources should be considered, especially in the context of the shortage of healthcare professionals worldwide.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3389/fpubh.2021.672698pt_PT
dc.identifier.eid85110243062
dc.identifier.issn2296-2565
dc.identifier.pmcPMC8277959
dc.identifier.pmid34277541
dc.identifier.urihttp://hdl.handle.net/10400.14/34272
dc.identifier.wos000673096500001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectTriagept_PT
dc.subjectScreeningpt_PT
dc.subjectNon-contact temperature measurementpt_PT
dc.subjectCOVID-19pt_PT
dc.subjectSARS-CoV-2pt_PT
dc.titleReal-world evidence: the low validity of temperature screening for COVID-19 triagept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleFrontiers in Public Healthpt_PT
oaire.citation.volume9pt_PT
person.familyNameLopes
person.familyNameFurtunescu
person.givenNameHenrique
person.givenNameFlorentina Ligia
person.identifier2300919
person.identifier452651
person.identifier.ciencia-idED1F-0A49-AB4D
person.identifier.orcid0000-0002-7586-401X
person.identifier.orcid0000-0002-4441-1325
person.identifier.scopus-author-id57216940523
person.identifier.scopus-author-id25932084000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication17b755f5-c02f-46a1-911f-0519dbf45271
relation.isAuthorOfPublicationda298a7e-a2f8-4565-acac-1278ddd48529
relation.isAuthorOfPublication.latestForDiscoveryda298a7e-a2f8-4565-acac-1278ddd48529

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