Volume 11, Number 4—April 2005
Dispatch
Patient Contact Recall after SARS Exposure
Popy Dimoulas*, Karen A. Green*, Altynay Shigayeva*, Michael Aquino*, Allison McGeer*
, Damon C. Scales*, and Toronto SARS Hospital Investigation Team
, Damon C. Scales*, and Toronto SARS Hospital Investigation Team
Table 2
Reliability of healthcare worker recalling presence in a SARS patient’s room during patient care activities*
| Activity | No. (%) affirmative during initial interview | No. (%) same response on follow-up interview | No. (%) of responses overestimated | No. (%) of responses underestimated | No. (%) missing | Kappa | 95% CI |
|---|---|---|---|---|---|---|---|
| Respiratory characteristics and airway management | |||||||
| Intubation | 2 (7) | 25 (93) | 1 (4) | 1 (4) | 0 | 0.46 | 0.00–1.00 |
| Suctioning before intubation | 2 (7) | 24 (89) | 2 (7) | 1 (4) | 0 | 0.34 | 0.23–0.91 |
| Suctioning after intubation | 2 (7) | 25 (93) | 2 (7) | 0 | 0 | 0.63 | 0.17–1.00 |
| Manipulation of oxygen face mask/tubing | 13 (48) | 22 (82) | 3 (11) | 2 (7) | 0 | 0.70 | 0.44–0.97 |
| Manual ventilation | 2 (7) | 25 (93) | 2 (7) | 0 | 0 | 0.63 | 0.17–1.00 |
| Mechanical ventilation | 6 (22) | 24 (89) | 2 (7) | 1 (4) | 0 | 0.70 | 0.38–1.00 |
| Patient coughing/spitting while healthcare worker present | 11 (41) | 16 (59) | 8 (30) | 0 | 3 (11) | 0.38 | 0.11–0.66 |
| Routine patient care | |||||||
| Changing bedding | 11 (41) | 18 (67) | 2 (7) | 7 (26) | 0 | 0.26 | 0.09–0.60 |
| Bathing patient | 4 (15) | 26 (96) | 1 (4) | 0 | 0 | 0.87 | 0.61–1.00 |
| Emptying urinary catheter collection bag or collecting urine sample | 4 (15) | 25 (93) | 0 | 2 (7) | 0 | 0.63 | 0.17–1.00 |
| Oral care or nasal swab | 4 (15) | 25 (93) | 1 (4) | 1 (4) | 0 | 0.71 | 0.32–1.00 |
| Stool sample or rectal swab | 0 | 25 (93) | 1 (4) | 0 | 1 (4) | – | – |
| Nebulizer treatments | 0 | 19 (70) | 6 (22) | 0 | 2 (7) | – | – |
| Procedures | |||||||
| BiPAP | 19 (70) | 18 (67) | 2 (7) | 6 (22) | 1 (4) | 0.32 | 0.01–0.66 |
| Electrocardiogram | 3 (11) | 23 (85) | 3 (11) | 1 (4) | 0 | 0.42 | 0.04–0.88 |
| Insertion of central venous catheter | 0 | 27 (100) | 0 | 0 (0) | 0 | – | – |
| Insertion of peripheral intravenous catheter or arterial catheter | 5 (18) | 25 (93) | 1 (4) | 1 (4) | 0 | 0.75 | 0.43–1.00 |
| Insertion of nasogastric tube | 0 | 26 (96) | 1 (4) | 0 | 0 | – | – |
| Insertion of urinary (Foley) catheter | 0 | 27 (100) | 0 | 0 | 0 | – | – |
| Chest physiotherapy | 0 | 26 (96) | 1 (4) | 0 | 0 | – | – |
| Other | |||||||
| Cleaning room/furniture | 2 (7) | 26 (96) | 0 | 1 (4) | 0 | 0.65 | 0.02–1.00 |
| Cleaning medical equipment | 3 (11) | 22 (82) | 2 (7) | 1 (4) | 2 (7) | 0.51 | 0.03–0.99 |
*SARS, severe acute respiratory syndrome; CI, confidence interval; BiPAP, bi-level positive air pressure.
1B. Henry (Toronto Public Health), S. Paton (Health Canada), T. Stewart (Mount Sinai Hospital), D. Zoutman (Kingston General Hospital), J.M. Raboud and U.R. Saskin (Mount Sinai Hospital), M. Loeb (Hamilton Health Sciences Center), A.E. Simor and M. Vearncombe (Sunnybrook and Women’s College Hospital), C. MacDonald (Centers for Disease Control and Prevention), E. Bontovics (Ontario Ministry of Health and Long Term Care)
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