Abstract
We aimed to determine the percentage of COVID-19- associated hospitalizations reported to Los Angeles County (LAC) Public Health that might have been misclassified because of incidentally detected SARS-CoV-2. We retrospectively reviewed medical records from a randomly selected set of hospital discharges reported to LAC Public Health from August to October 2020 for a clinical diagnosis of COVID-19 or a positive SARS-CoV-2 test result. Among the 13,813 discharges from 85 hospitals reported to LAC Public Health as COVID-19-associated hospitalizations from August to October 2020, 346 were randomly selected and reviewed. SARS-CoV-2 detection was incidental to the reason for hospitalization in 12% (95% confidence limit, 9%-16%) of COVID-19 classified hospital discharges. Adjusting COVID-19-associated hospitalization rates to account for incidental SARS-CoV-2 detection could help public health policymakers and emergency preparedness personnel improve resource planning.
【초록키워드】 COVID-19, public health, SARS-CoV-2, Hospitalization, hospital, discharge, SARS-CoV-2 detection, resource, Clinical diagnosis, reason for, test result, medical records, medical record, Los Angeles, incidentally detected, hospital discharge, help, reason, positive, SARS-CoV-2 test, Public, limit, Randomly, IMPROVE, selected, reported, determine, Adjusting, Los Angele, 【제목키워드】 Los Angele,