Signs and symptoms for diagnosing COVID-19 (search done on 27 April 2020)

Added July 16, 2020

Citation: Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID‐19 disease. Cochrane Database of Systematic Reviews. 2020;(7):CD013665.

What is this? When patients with suspected COVID-19 present to primary care or hospital outpatient settings, signs and symptoms might be used to determine if they have the disease.

In this Cochrane Rapid Review, the authors searched for studies that had evaluated the diagnostic accuracy of using signs and symptoms to determine if a person presenting in primary care or to a hospital outpatient setting has COVID‐19. They did not restrict their searches by language of publication and did the search on 27 April 2020. They included 16 studies (total: 7706 participants). A podcast for the review is available here [https://www.cochrane.org/podcasts/10.1002/14651858.CD013665]

What was found: At the time of this review, the included studies showed that the individual signs and symptoms that have been assessed appear to have very poor diagnostic properties. Based on the available data, neither absence nor presence of signs or symptoms are accurate enough to rule in or rule out COVID-19 disease.

 

Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.

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