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. 2022 May 20;2022(5):CD013665. doi: 10.1002/14651858.CD013665.pub3

Drager 2020.

Study characteristics
Patient Sampling Purpose: diagnosis of SARS‐CoV‐2 infection (mild COVID‐19 disease); to analyse clinical characteristics of patients with SARS‐CoV‐2 suspicion
Design: cross‐sectional cohort study, prospective data collection
Recruitment: all symptomatic patients presenting at the Corona outpatient clinic at the Carl Gustav Carus University hospital of Dresden
Sample size: n = 2257 (163 cases)
Inclusion criteria: all patients presenting themselves at the outpatient clinic: patients with symptoms (not further specified) + high‐risk contacts or returning from a high‐risk area where tested for SARS‐CoV‐2
Exclusion criteria: non specified
Patient characteristics and setting Facility cases: RT‐PCR‐positive for SARS‐CoV‐2
Facility controls: RT‐PCR‐negative for SARS‐CoV‐2
Country: Germany
Dates: 09 March 2020‐31 March 2020
Symptoms and severity: mostly cough and upper airway symptoms, mild to moderate, no hospitalisations specified
Demographics: median age overall 39 years
overall 45% male 55% female
32% had pre‐existing Illness
Exposure history: 5% tested based on epidemiology (returning from high‐risk area), 27% had exposure to COVID‐19‐positive patient(s)
Index tests
  • Cough

  • Headache

  • Nasal congestion

  • Muscle pains

  • Sore throat

  • Fever

  • Diarrhoea

  • Shortness of breath

  • Vomiting/nausea

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

  • RS: not specified (throat swab)

Flow and timing Timing not specified
Comparative  
Notes Funding: none declared
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Yes    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? Yes    
Did the study avoid inappropriate inclusions? Yes    
Could the selection of patients have introduced bias?   Low risk  
Are there concerns that the included patients and setting do not match the review question?     Low concern
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? Yes    
Could the conduct or interpretation of the index test have introduced bias?   Low 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? Unclear    
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?   Unclear risk  
Are there concerns that the target condition as defined by the reference standard does not match the question?     Unclear
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?   Unclear risk