Clinical characteristics and laboratory test results of patients admitted to outpatient clinic for synthetic cannabinoid usage

The aim of this retrospective study was the assessment of the prevalence, clinical characteristics, and the comparison of the course of SARS-CoV-2 infection in children with and without immunodeficiency that were admitted to the COVID-19 Subunit of the tertiary referral hospital in Warsaw, Poland. We analysed 313 children hospitalised in the COVID-19 Subunit. The analysis was performed on the total study group and subgroups of children with and without immunodeficiency. In each group, clinical data and laboratory test results were analysed. Of the 68 children with isolated fevers, only seven (11.76%) were diagnosed with COVID-19, whereas among those with the accompanying features of respiratory or gastrointestinal infection, only one (3.23%) and ten (16.95%) patients tested positive, respectively. In both groups, the course of the infection was mainly asymptomatic or mild. The children with immunodeficiencies had lower white blood cell and lymphocyte counts, lower haemoglobin levels, and higher urea levels but did not differ in other biochemical variables. To conclude, the most frequently reported symptoms of COVID-19 indicate that this disease among children is only a small percentage. In both groups, the responses to the infection were comparable in terms of the mild clinical symptoms and the laboratory test results. Therefore, SARS-CoV-2 infection should not alter the chronic treatment of underlying diseases.

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Evaluation of Children Referred to Pediatric Rheumatology Outpatient Clinic with Suspicious Laboratory Test Results

İstanbul Kanuni Sultan Süleyman Tıp Dergisi ◽

10.5222/iksstd.2021.50455 ◽

2021 ◽

Author(s):

Şerife Gül Karadağ ◽

Hafize Emine Sönmez ◽

Ayşe Tanatar ◽

Nuray Aktay Ayaz

Keyword(s):

Rheumatic Disease ◽

Laboratory Test ◽

Rheumatic Diseases ◽

Outpatient Clinic ◽

Pediatric Rheumatology ◽

Connective Tissue Diseases ◽

Test Results ◽

Laboratory Findings ◽

Laboratory Test Results ◽

Rheumatology Outpatient

INTRODUCTION: We aimed to evaluate the patients who were referred to the pediatric rheumatology outpatient clinic with suspicious laboratory test results. METHODS: All patients who were referred to our outpatient clinic with suspicious laboratory test results between March 2018 and March 2019 were evaluated. RESULTS: A total of 273 new patients who were referred with suspicious laboratory test results were evaluated. Among them; 48% were girls and 52% were boys and they were referred mostly from the clinics of child health and diseases (70.3%). The most frequent indications for referrals were anti-streptolysin O (ASO) elevation (n=86) and anti-nuclear antibody (ANA) positivity (n=47), while 66% of the patients were not diagnosed with rheumatic disease. None of the patients without complaints but with suspicious laboratory test results (n=49) were diagnosed with rheumatic disease. While 64.6% of those diagnosed with rheumatic diseases had periodic fever syndrome, 17.1% had juvenile idiopathic arthritis, 8.5% had postinfectious arthritis, and the remaining 9.8% had connective tissue diseases, vasculitis and uveitis. DISCUSSION AND CONCLUSION: Laboratory findings alone in childhood rheumatic diseases are not significant in patients without complaints. The diagnosis of rheumatic diseases should be made with the patient’s complaints, history, family history and physical examination findings and supported by laboratory findings. With the rational use of laboratory tests; unnecessary health expenses can be prevented and referrals of patients with nonrheumatic diseases to pediatric rheumatology outpatient clinics can be prevented.

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Socio-demographic and Clinical Characteristics of Adults with SARS-CoV-2 Infection in Two Hospitals in Bogota, Colombia.

10.1101/2020.08.13.20167445 ◽

2020 ◽

Author(s):

Alejandro Moscoso ◽

Alejandra Sanchez ◽

Adriana Aya ◽

Carolina Gomez ◽

Yazmin Rodriguez ◽

...

Keyword(s):

Laboratory Test ◽

Clinical Outcomes ◽

Retrospective Cohort ◽

Clinical Characteristics ◽

Adult Patients ◽

Therapeutic Management ◽

Test Results ◽

Private Hospitals ◽

Economic Information ◽

Laboratory Test Results

This study is a retrospective cohort of 122 adult patients with SARS-CoV-2 diagnosed and managed at two medium-sized, tertiary private Hospitals. The analysis includes demographic and socio-economic information, symptoms, comorbidities, laboratory test results, therapeutic management, clinical outcomes and complications.

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Redundant laboratory testing on referral from general practice to the outpatient clinic

BJGP Open ◽

10.3399/bjgpo.2021.0134 ◽

2021 ◽

pp. BJGPO.2021.0134

Author(s):

Bram EL Vrijsen ◽

Maarten J ten Berg ◽

Wouter W van Solinge ◽

Jan Westerink

Keyword(s):

General Practitioner ◽

Laboratory Test ◽

Outpatient Clinic ◽

Laboratory Testing ◽

Laboratory Tests ◽

Referral Letter ◽

Test Results ◽

Normal Test ◽

Laboratory Test Results ◽

High Level

BackgroundInappropriately repeated laboratory testing is a commonly occurring problem. However, this has not been studied extensively in the outpatient clinic after referral by general practitioners.AimThe aim of this study was to investigate how often laboratory tests ordered by the general practitioner were repeated on referral to the outpatient clinic, and how many of the normal test results remained normal on repetition.Design & settingThis is a post hoc analysis of a study on laboratory testing strategies in patients newly referred to the outpatient clinic.MethodAll patients who had a referral letter including laboratory test results ordered by the general practitioner were included. These results were compared to the laboratory test results ordered in the outpatient clinic.ResultsData were available for 295 patients, 191 of which had post-visit testing done. In this group, 56% of tests ordered by the general practitioner were repeated. Tests with abnormal results were repeated more frequently than tests with normal results (65% vs 53%; P<0.001). A longer test interval was associated with slightly smaller odds of tests being repeated (OR 0.97 [0.95–0.99]; P=0.003). Of the tests with normal test results that were repeated, 90% remained normal. This was independent of testing interval or testing strategy.ConclusionLaboratory tests ordered by the general practitioner are commonly repeated on referral to the outpatient clinic. The number of test results remaining normal on repetition suggests a high level of redundancy in laboratory test repetition.

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