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. 2020 Jul 7;2020(7):CD013665. doi: 10.1002/14651858.CD013665

Peng 2020a.

Study characteristics
Patient Sampling Purpose: analyse the clinical features and imaging manifestations of COVID‐19
Design: cross‐sectional, single‐centre, retrospective study
Recruitment: clinically suspected cases who were sent to hospital for screening
Sample size: n = 86 (n = 11)
Inclusion criteria: clinically suspected patients
Exclusion criteria: not specified
Patient characteristics and setting Facility cases: positive RT‐PCR via nasopharyngeal swab
Facility controls: negative RT‐PCR via nasopharyngeal swab (1x)
Country: China
Dates: 23 January 2020‐16 February 2020
Symptoms and severity: fever, cough, dyspnoea, sore throat, fatigue, systemic soreness, runny nose
Demographics: M/F: total 39/47, cases: 5/6, controls 34/40
Case group: mean age 40.73 ± 11.32 years, 5 men. Control group: mean age 39.67 ± 13.90 years, 34 men
Exposure history: 7/11 COVID‐19 patients (63.6%) had a history of travel to Hubei (5 Wuhan, 1 Huanggang, 1 Xiaogan), 2 patients had close contact with the COVID‐19 patients, and 2 taxi drivers
Index tests
  • Fever

  • Cough

  • Dyspnoea

  • Sore throat

  • Fatigue

  • Systemic soreness

  • Runny nose

Target condition and reference standard(s)
  • TC: SARS‐Cov‐2 infection

  • RS: RT‐PCR (nasopharyngeal swab)

Flow and timing Time interval not specified
Comparative  
Notes  
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Unclear    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? Unclear    
Did the study avoid inappropriate inclusions? Unclear    
Could the selection of patients have introduced bias?   Unclear risk  
Are there concerns that the included patients and setting do not match the review question?     Unclear
DOMAIN 2: Index Test (All tests)
Were the index test results interpreted without knowledge of the results of the reference standard? Yes    
If a threshold was used, was it pre‐specified? No    
Could the conduct or interpretation of the index test have introduced bias?   High risk  
Are there concerns that the index test, its conduct, or interpretation differ from the review question?     Low concern
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition? Yes    
Were the reference standard results interpreted without knowledge of the results of the index tests? Unclear    
Could the reference standard, its conduct, or its interpretation have introduced bias?   Low risk  
Are there concerns that the target condition as defined by the reference standard does not match the question?     Low concern
DOMAIN 4: Flow and Timing
Was there an appropriate interval between index test and reference standard? Unclear    
Did all patients receive the same reference standard? Yes    
Were all patients included in the analysis? Yes    
Could the patient flow have introduced bias?   Low risk