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Research ArticleORIGINAL RESEARCH

On the Front (Phone) Lines: Results of a COVID-19 Hotline

David Margolius, Mary Hennekes, Jimmy Yao, Douglas Einstadter, Douglas Gunzler, Nabil Chehade, Ashwini R. Sehgal, Yasir Tarabichi and Adam T. Perzynski
The Journal of the American Board of Family Medicine February 2021, 34 (Supplement) S95-S102; DOI: https://doi.org/10.3122/jabfm.2021.S1.200237
David Margolius
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
MD
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Mary Hennekes
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
BS
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Jimmy Yao
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
BA
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Douglas Einstadter
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
MD, MPH
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Douglas Gunzler
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
PhD
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Nabil Chehade
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
MD
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Ashwini R. Sehgal
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
MD
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Yasir Tarabichi
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
MD, MSCR
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Adam T. Perzynski
From The MetroHealth System, Population Health Research Institute; and Case Western Reserve University, School of Medicine.
PhD
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Article Figures & Data

Figures

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    Figure 1.

    COVID-19 Hotline Patient Flow.

  • Figure 2.
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    Figure 2.

    COVID-19 Cases (Hotline and Cuyahoga County) and Hospitalizations (County). COVID line calls are derived from electronic health record data. Cuyahoga County case and hospitalization data were provided by the Cuyahoga County Board of Health and are available at https://www.ccbh.net/coronavirus/.

Tables

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    Table 1.

    Descriptive Characteristics of COVID-19 Hotline Patients (n = 10,208)

    CharacteristicAllRN Triage Line onlyCOVID-19 MD Line
    Individuals10,20859954213
    Mean age, years41.941.942.0
    Female, %67.466.868.3
    Smoking status, %20.320.320.3
     Current smoker28.029.326.1
     Former smoker44.844.545.3
     Never-smoker6.95.98.3
     Unknown/not asked
    Race, %51.247.856.0
     White38.041.932.5
     Black5.35.45.3
     Hispanic5.54.96.2
     Other/unknown
    Insurance, %37.031.744.1
     Commercial16.719.512.9
     Medicare35.239.329.6
     Medicaid10.68.713.1
     Uninsured other0.60.80.3
    • Note: 96 patients had a COVID line call without a prior registered nurse triage call.

    • View popup
    Table 2.

    Logistic Regression Results for Patient Characteristics Associated with (1), Emergency Department Visit (2), Coronavirus 2019 Hospitalization (3), Severe Acute Respiratory Syndrome Coronavirus Polymerase Chain Reaction Testing, and (4) Positive Severe Acute Respiratory Syndrome Coronavirus Polymerase Chain Reaction Test

    VariablesED VisitN = 2569, c = 0.65HospitalizationN = 2569, c = 0.77SARS-CoV-2 Testn = 2569, c = 0.76Positive SARS-CoV-2N = 249, c = 0.67
    ParameterOdds Ratio95% CIPOdds Ratio95% CIPOdds Ratio95% CIPOdds Ratio95% CIP
    Age (per 10 years)1.140.95-1.37.151.090.77-1.54.621.131.03-1.24.011.471.10-1.96.01
    Sex (female)
     Male1.290.72-2.22.420.700.22-2.25.551.200.88-1.62.241.400.68-2.93.36
    Race
     NH white
     NH black1.030.56-1.87.930.850.28-2.60.770.840.61-1.15.281.680.78-3.62.19
     Hispanic1.570.59-4.19.361.190.14-9.80.870.610.30-1.27.190.680.08-6.01.73
     Other0.930.28-3.14.901.170.14-9.67.881.280.75-2.17.360.660.16-2.66.56
    Insurance type (commercial)
     Medicaid0.860.38-1.95.722.710.27-27.24.400.970.60-1.56.902.620.79-8.74.12
     Medicare1.180.47-3.00.724.980.48 to 51.63.181.110.63-1.94.720.560.12-2.61.46
     Employee1.550.69-3.46.2911.451.35 to 96.95.027.134.82-10.54< .011.350.49-3.75.56
     Uninsured1.760.74-4.22.204.260.38 to 47.79.231.150.68-1.96.601.550.38-6.34.54
    COVID-19 line disposition (other)
     Stay at home1.950.91-4.21.090.770.23-2.54.661.901.29-2.78< .011.080.40-2.87.89
     High risk4.731.37-16.39.017.771.61-37.50.018.784.39-17.53< .010.480.07-3.14.44
     Smoking (never, unknown)
     Current0.670.32-1.40.290.760.15-3.78.730.410.26-0.65< .010.530.14-2.03.36
     Former0.700.36-1.36.291.460.47-4.56.520.650.46-0.92.020.700.29-1.69.42
    • ED, emergency department; SARS-CoV-2, severe acute respiratory syndrome coronavirus; NH, non-Hispanic; COVID-19, coronavirus 2019; CI, confidence interval.

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The Journal of the American Board of Family  Medicine: 34 (Supplement)
The Journal of the American Board of Family Medicine
Vol. 34, Issue Supplement
February 2021
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On the Front (Phone) Lines: Results of a COVID-19 Hotline
David Margolius, Mary Hennekes, Jimmy Yao, Douglas Einstadter, Douglas Gunzler, Nabil Chehade, Ashwini R. Sehgal, Yasir Tarabichi, Adam T. Perzynski
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S95-S102; DOI: 10.3122/jabfm.2021.S1.200237

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On the Front (Phone) Lines: Results of a COVID-19 Hotline
David Margolius, Mary Hennekes, Jimmy Yao, Douglas Einstadter, Douglas Gunzler, Nabil Chehade, Ashwini R. Sehgal, Yasir Tarabichi, Adam T. Perzynski
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S95-S102; DOI: 10.3122/jabfm.2021.S1.200237
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