About: Lessons from SARS: A retrospective study of outpatient care during an infectious disease outbreak

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Lessons from SARS: A retrospective study of outpatient care during an infectious disease outbreak
Creator	Nasef, Nehad Unger, Sharon Wylie, Lesley O'brien, Karel
source	Medline; PMC
abstract	BACKGROUND: During severe acute respiratory syndrome (SARS) outbreak in Toronto, outpatient clinics at SickKids Hospital were closed to prevent further disease transmission. In response, a decision was made by the neonatal neuro-developmental follow up (NNFU) clinic staff to select patients with scheduled appointments to have a mail/telephone assessment using Ages and Stages Questionnaire (ASQ) or to postpone/skip their visit. The objective of this study was to compare the developmental assessment and its outcome in two groups of NNFU clinic patients, SARS versus non-SARS, over three standard clinic appointments. METHODS: We compared the diagnostic accuracy (identification of developmental delay), and patient management (referral for therapy or communication of a new diagnosis) of the strategies used during SARS, April/May 2003, to the standard assessment methods used for patients seen in April/May 2005 (non-SARS). In all cases data were obtained for 3 patient visits: before, during and after these 2 months and were compared using descriptive statistics. RESULTS: There were 95 patients in the SARS group and 99 non-SARS patients. The gestational age, sex, entry diagnosis and age at the clinic visit was not different between the groups. The NNFU clinic staff mailed ASQ to 27 families during SARS, 17 (63%) were returned, and 8 of the 17 were then contacted by telephone. Criteria used to identify infants at risk selected for either mailed ASQ or phone interviews were not clearly defined in the patients' charts. There was a significant under identification of developmental delay during SARS (18% versus 45%). Of those who responded to the mailed questionnaire, referrals for therapy rates were similar to non-SARS group. The lost to follow up rate was 24% for the SARS group compared with 7% for non-SARS. There was no difference in the overall rate of developmental delay in the two groups as identified at the 'after' visit. CONCLUSIONS: Poor advanced planning led to a haphazard assessment of patients during this infectious disease outbreak. Future pandemic plans should consider planning for outpatient care as well as in hospital management of patients.
has issue date	2010-07-20(xsd:dateTime)
bibo:doi	10.1186/1471-2431-10-51
bibo:pmid	20646293
has license	cc-by
sha1sum (hex)	fa47af75688fa3fab2afde5ed3f1a7fdd9624746
schema:url	https://doi.org/10.1186/1471-2431-10-51
resource representing a document's title	Lessons from SARS: A retrospective study of outpatient care during an infectious disease outbreak
has PubMed Central identifier	PMC2914048
has PubMed identifier	20646293
schema:publication	BMC Pediatr
resource representing a document's body	covid:fa47af75688fa3fab2afde5ed3f1a7fdd9624746#body_text
is schema:about of	named entity 'outpatient clinics' named entity 'response' named entity 'scheduled' named entity 'VISIT' named entity 'SARS' »more»

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