Research Article

Effects of Different SARS-CoV-2 Testing Strategies in the Emergency Department on Length of Stay and Clinical Outcomes: A Randomised Controlled Trial

Table 1

Baseline data.

Total n = 598Group one-antigentest + point of care rtPCR test, n = 198Group two-pointof care rtPCR test, n = 197Control group: group three-centrallaboratory rtPCR test, n = 203Total n(mis) = value (two-sided) =

Age (years)65 (51–77)63 (49–75)65 (52–77)67 (55–78)00.054
Sex (female)268 (44.80%)83 (41.90%)96 (48.70%)89 (43.80%)00.374
SARS-CoV-2 vaccinated444 (76.90%)144 (74.60%)143 (75.30%)157 (87.30%)210.27
Vaccine360.11
 Comirnaty (BioNTech)302 (74.02%)102 (77.27%)89 (68.46%)111 (76.03%)
 Spikevax (Moderna)51 (12.50%)19 (14.39%)14 (10.77%)18 (12.33%)
 Vaxzevria (AstraZeneca)28 (6.86%)5 (3.79%)13 (10%)10 (6.85%)
 Janssen (Johnson & Johnson)6 (1.47%)0 (0%)5 (3.85%)1 (0.68%)
 Multiple vaccine types21 (5.15%)6 (4.55%)9 (6.92%)6 (4.11%)
Risk factors
 Smoking122 (20.40%)36 (18.20%)45 (22.80%)41 (20.20%)230.529
 Obesity = BMI > 29.9115 (19.40%)42 (21.20%)43 (21.80%)30 (14.80%)300.126
Vital parameters
 Systolic blood pressure (mmHg)134 (120–149)134 (122–150)131.50 (121–146)134 (118–150)230.563
 Diastolic blood pressure (mmHg)80 (70–89)81 (71–90)80 (70–90)80 (70–86.50)230.174
 Heart rate per minute88 (76–101)89 (78–102.25)86 (76–102)87 (74–99)440.178
 Body temperature (°C)36.70 (36.50–37.10)36.80 (36.50–37.10)36.70 (36.50–37.20)36.70 (36.40–37.10)300.338
 Respiratory rate per minute16 (15–18)16 (15–18)16 (15–19)16 (15–18)1960.588
 Oxygen saturation (%)99 (97–100)99 (98–100)98 (97–100)99 (97–100)260.012
Symptoms
 Fever106 (17.70%)36 (18.20%)37 (18.80%)33 (16.30%)40.837
 Dry cough46 (7.70%)20 (10.10%)14 (7.10%)12 (5.90%)310.747
 Haemoptysis6 (10%)3 (1.50%)0 (0.00%)3 (1.50%)300.693
 Sore throat11 (1.80%)0 (0.00%)5 (2.50%)6 (3.00%)320.32
 Rhinitis7 (1.20%)3 (1.50%)1 (0.50%)3 (1.50%)320.584
 Headache/melalgia/muscular pain68 (11.40%)16 (8.10%)26 (13.20%)26 (12.80%)330.351
 Dyspnea156 (26.10%)44 (22.20%)57 (28.90%)55 (27.10%)300.324
 Gastrointestinal problems212 (35.50%)73 (36.90%)70 (35.50%)69 (34.00%)290.925
Charlson Comorbidity Index2.00 (1.00–4.00)2.00 (0.00–3.25)2.00 (0.50–4.00)2.00 (1.00–4.00)00.704
Pregnancy (women only)2 (0.30%)0 (0.00%)0 (0.00%)2 (1.00%)590.058
Laboratory values
 pH7.39 (7.36–7.42)7.39 (7.36–7.43)7.39 (7.37–7.42)7.39 (7.36–7.42)380.391
 Sodium (mg/dL)139 (136–141)139 (135–142)139 (135.75–141)139 (136–141)300.978
 Potassium (mg/dL)4.10 (3.80–4.50)4.10 (3.80–4.40)4.10 (3.80–4.50)4.10 (3.80–4.50)240.61
 Glucose (mg/dL)122 (106–152)122 (107–153)121 (105–153)122.5 (108.00–149.25)330.675
 Lactate (mg/dL)14.00 (10.00–19.25)14.00 (10.00–20.50)14.00 (9.00–18.00)14.00 (10.00–21.00)400.183
 CRP (mg/L)20.20 (4.10–76.70)21.80 (3.48–77.53)20.15 (4.68–76.63)19.00 (4.30–76.80)1050.968
 Leucocytes (nL)8.78 (6.59–11.85)9.34 (7.30–12.44)8.58 (6.48–11.79)8.10 (6.35–11.39)110.048
 PCT (μg/L)0.15 (0.06–0.47)0.18 (0.07–0.66)0.16 (0.07–0.60)0.13 (0.60−0.33)3500.228
SARS-CoV-2 test result00.477
 Negative588 (98.30%)194 (98.00%)192 (97.50%)202 (99.50%)
 No test1 (0.20%)0 (0.00%)1 (0.50%)0 (0.00%)
 Positive9 (1.50%)4 (2.00%)4 (2.00%)1 (0.50%)
  Positive with ct > 306 (66.67%)4 (100%)2 (50.00%)0 (0.00%)0.317
  Positive with ct < 303 (33.33%)0 (0.00%)2 (50.00%)1 (100%)

Note. Baseline characteristics are shown for the total study population and each group. Median (IQR) or absolute frequency (relative frequency as valid percentage) is shown. Because not all datasets were complete, the number of missing values for each item is noted as “Total n (mis) =”. Positive SARS-CoV-2 results were divided into cycle threshold (ct) values > 30 and ct < 30. Bold values indicate that p values < 0.05 are significant.