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The Anatolian Journal of Family Medicine Evaluation Of The COVID-19 Triage Results in an Educational Family Practice Center [anatol j fm]
anatol j fm. Ahead of Print: ANATOLJFM-26928 | DOI: 10.5505/anatoljfm.2021.26928

Evaluation Of The COVID-19 Triage Results in an Educational Family Practice Center

Yağmur Gökseven1, Berksu Cürebal2, DİLARA TÜRKÖZ3, BÜŞRA YAZLA4, Seda Ozmen5, guzin zerenozturk2, Banu Bayraktar6, Haci Mustafa Ozdemir7
1Hassa State Hospital, Family Medicine, Hatay, Turkey
2Health Sciences University, Sisli Hamidiye Etfal Training And Research Hospital, Family Medicine Clinics, Istanbul, Turkey
3Cide State Hospital, Family Medicine, Kastamonu, Turkey
4Kalkandere State Hospital, Family Medicine, Rize, Turkey
5Mesudiye State Hospital, Family Medicine, Ordu, Turkey
6Health Sciences University Sisli Hamidiye Etfal Training And Research Hospital, Microbiology Clinics, Istanbul, Turkey
7Health Sciences University, Sisli Hamidiye Etfal Training And Research Hospital, Orthopedics And Traumatology Surgery Clinics, Istanbul, Turkey

INTRODUCTION: Our aim is to evaluate the COVID-19 triage results of the admissions made by patients in a certain region to the Education Family Practice Center (E-FPC) during the pandemic period.
METHODS: People aged 18 and above, who were admitted to the E-FPC are included in the study. Every patient had filled in a triage form. Potential cases were referred to a high-level health care center. PCR test and thorax CT results of the referred patients were followed up and noted. The statistical relation between the symptoms and the further examination results of the patients were analyzed. The SPSS 21 software was used for statistical analysis and p values <0.05 were accepted as significant.
RESULTS: During the study, the total number of admissions to the E-FPC was 9.423. After the triage, there were 461 participants aged 18 and above (min=18, max=84). 254 (55.1%) of them were female, 207 (44.9%) of them were male. 27 (5.9%) patients had fever, 219 (47.5%) patients had a cough, 34 (7.4%) patients had shortness of breath and 305 (66.2%) patients had other symptoms (sore throat, fatigue etc.). A statistically significant relationship was found between age and cough (p=0.000). 86 of the patients were admitted to the hospital for PCR test of which 15 (17.4%) had a positive test result. 71 patients underwent a thorax CT and 25 (35.2%) of them had results compatible with COVID-19.
A statistically significant relationship between both male gender and cough symptoms and PCR positivity was found (p=0.006 and p=0.000, respectively). A significant relationship was found between both fever and shortness of breath and thorax CT results (p=0.011 and p=0.000, respectively).

DISCUSSION AND CONCLUSION: Symptoms, CT imaging and PCR results should be evaluated together in the diagnosis of COVID-19. Triage practices should be maintained in primary health care centers throughout the pandemic.

Keywords: COVID19, primary healthcare, triage



Corresponding Author: Yağmur Gökseven, Türkiye
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