Rama Co-RADS: Cutting-edge tool for improved communication in management and treatment of COVID-19 patients in Thailand

T. Suwatanapongched, C. Nitiwarangkul, V. Arnuntasupakul, S. Kiertiburanakul
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引用次数: 3

Abstract

In Thailand, the rapid and constant rise in the number of confirmed COVID-19 cases, together with the increasing number of patients requiring respiratory and other medical life support during the third wave of COVID-19, has drastically overwhelmed the existing country’s healthcare facilities, physicians, and other healthcare workers. Hence, early identification of vulnerable patients at risk and early COVID-19 pneumonia is crucial for timely management and treatment by antivirals or corticosteroids to prevent them from developing severe COVID-19 pneumonia. A prompt chest X-ray report with clear and concise information at baseline screening in alternative healthcare facilities, especially in resource-constrained conditions, is essential. The article presents the incorporation of Rama Co-RADS (a categorical assessment scheme for chest X-ray findings for diagnosing pneumonia in patients with confirmed COVID-19). Its use facilitates a rapid, clear, and concise X-ray report despite the various levels of radiologists’ experience. Comprehensibleand consistent chest X-ray information successfully reduces the time lapse and communication gap among medical staff and assists on-duty, frontline physicians to make prompt and more accurate decisions regarding the management and treatment of COVID-19 patients in accordance with the current national guideline.  
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Rama Co-RADS:改善泰国COVID-19患者管理和治疗沟通的尖端工具
在泰国,COVID-19确诊病例数量的快速和持续增长,以及在第三波COVID-19期间需要呼吸和其他医疗生命支持的患者数量的增加,使该国现有的医疗机构、医生和其他医疗工作者不堪重负。因此,早期识别高危易感患者和早期COVID-19肺炎对于及时管理和使用抗病毒药物或皮质类固醇治疗以防止其发展为COVID-19严重肺炎至关重要。在替代医疗机构进行基线筛查时,尤其是在资源有限的情况下,及时提供包含清晰简明信息的胸部x光报告至关重要。本文介绍了纳入Rama Co-RADS(一种诊断COVID-19确诊患者肺炎的胸部x线检查分类评估方案)。尽管放射科医生的经验不同,但它的使用有助于快速、清晰和简明的x射线报告。全面一致的胸片信息成功缩短了医护人员之间的时间间隔和沟通差距,帮助一线值班医生根据国家现行指导方针,对新冠肺炎患者的管理和治疗做出更及时、更准确的决策。
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