Application Value of COVID-19 Detection Process Based on Information Integration System
基于信息化集成系统上的新型冠状病毒肺炎排查流程的应用价值

摘要

目的 建立基于信息化集成系统上的新型冠状病毒肺炎排查流程并加以推广。方法 选择2020年1月-2021年6月就诊于我院发热门诊4578例发热患者和有流行病史的患者，进行针对新型冠状病毒肺炎的排查，来评价本流程在排查中的实用价值。结果 随着时间的不同，所有接受排查者均按照新型冠状病毒肺炎诊疗方案（试行第一至六版）的要求顺利完成血常规、甲型流感、胸部CT扫描和咽拭子核酸检测。CT检查图像达到临床诊断标准。以就诊时间上看，在早期（2020年1月-2月）使用普通流程组，共计1156人；后期（2020年3月-2021年6月）使用基于信息化集成系统上的新型冠状病毒肺炎排查流程（简称为信息集成流程组），共计3422人。使用信息集成流程后，每位患者从进入发热门诊就诊到离开门诊时间平均为3.6-4.8小时减少到时间平均为1.5-1.8小时；实施排查时间平均为2.5-2.9小时减少到时间平均为0.6-0.8小时；医患直接接触时间平均为2.1-2.4小时减少到时间平均为0.35-0.42小时；均无医患感染发生；诊断准确率均为100%。因患者在发热门诊长时间滞留，容易引起患者情绪的波动、激动，甚至做出过激行为，从早期情绪波动、激动患者有254例，占21.97%；到后期情绪波动、激动有患者240例，占7.01%；从早期有过激行为患者104例，占8.99%；到后期有过激行为患者119例，占3.47%。明显减少患者的就诊时间，降低医患接触时间，降低医患感染的发生风险，减少对患者情绪的激惹。将两组的数据比较，P<0.05，统计学上有显著性差异，充分说明信息集成流程组明显优于普通流程组。结论 使用基于信息化集成系统上的新型冠状病毒肺炎排查流程，能快速、准确的对新型冠状病毒肺炎进行排查，以期本研究对今后可能出现的其他新型传染病具有指导、应用价值，具有良好的使用推广价值。

Abstract

Objective To establish and promote a COVID-19 screening process based on an information integrated system.
Methods: 4578 patients with fever and patients with epidemic history who visited the fever clinic of our hospital from January 2020 to June 2021 were selected for SCREENING for COVID-19 to evaluate the practical value of this procedure in screening.
Results: As time varied, all the participants successfully completed blood routine, influenza A, chest CT scan and throat swab nucleic acid test according to the requirements of COVID-19 diagnosis and treatment protocol (trial version 1 to 6). CT images meet the clinical diagnostic criteria. In terms of the time of visit, in the early period (January-February 2020), there were 1156 patients in the general procedure group; In the later period (March 2020 -- June 2021), a total of 3,422 people will use the COVID-19 screening process based on the information integration system (hereinafter referred to as the Information integration process Group).With the use of the information integration process, the average time for each patient from entering the fever clinic to leaving the clinic was reduced from 3.6-4.8 hours to 1.5-1.8 hours on average. The average investigation time was reduced from 2.5-2.9 hours to 0.6-0.8 hours. The average doctor-patient contact time decreased from 2.1-2.4 hours to 0.35-0.42 hours. No doctor-patient infection occurred. The diagnostic accuracy was 100%. Because patients stay in fever clinic for a long time, it is easy to cause emotional fluctuation, excitement, and even aggressive behavior of patients. 254 patients (21.97%) had emotional fluctuation and excitement in the early stage. In the later stage, there were 240 cases of mood fluctuation and agitation, accounting for 7.01%. 104 patients (8.99%) had aggressive behavior from the early stage; There were 119 patients with aggressive behavior in the later stage, accounting for 3.47%. It can significantly reduce the patient's visit time, reduce the doctor-patient contact time, reduce the risk of doctor-patient infection, and reduce the emotional irritation to patients. Comparing the data of the two groups, P<0.05 shows a statistically significant difference, which fully indicates that the information integration process group is significantly better than the general process group.
Conclusion   The COVID-19 screening process based on the information integrated system can be used to quickly and accurately detect COVID-19. It is expected that this study will provide guidance and application value for other new infectious diseases that may appear in the future, as well as good use and promotion value.