多发创伤患者无症状COVID-19感染的发生率及意义

IF 0.2 Q4 EMERGENCY MEDICINE Trauma monthly Pub Date : 2021-06-01 DOI:10.30491/tm.2021.247870.1172
Seyyed Saeed Khabiri, Farhad Naleini, R. Miladi, Mina Sadat Mosavat, M. Khoshbakht, Shokoofeh Maleki, M. Ghadimi, S. Baghdadi
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引用次数: 1

摘要

背景:一些研究显示胸部CT扫描在诊断COVID-19方面优于逆转录聚合酶链反应(RT-PCR)研究。目的:本研究旨在评估我们创伤中心收治的患者中与covid -19相关的肺部受累的患病率。方法:在这项回顾性研究中,回顾了一家转诊创伤中心2020年2月21日至2020年4月10日的数据。所有在研究期间因任何原因接受胸部CT扫描的住院患者都被纳入研究范围。训练有素的医生对所有CT扫描结果进行筛查,以发现与COVID-19有关的发现。接下来,盲法放射科医生选择了高度提示COVID-19相关的CT扫描结果。记录并评估临床病程、转归及PCR检测结果。结果:共回顾了4200例胸部CT扫描。经过多轮排除后,我们回顾了24例具有高度提示性发现的患者。只有3名患者在入院过程中出现COVID-19症状。PCR阳性22例(92.6%)。结论:我们建议对COVID-19感染高风险的创伤患者以及需要广泛手术干预的患者进行胸部CT扫描。此外,强烈建议在进行侵入性手术之前彻底检查可用的CT扫描,最好是在放射科专家的帮助下,即使COVID-19实验室检测结果为阴性。
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Asymptomatic COVID-19 infection in multiple trauma patients: incidence and implications
Background: Some studies show a chest CT scan to be superior to reverse transcription-polymerase chain reaction (RT-PCR) studies for diagnosis of COVID-19. Objectives: This study was designed to assess the prevalence of COVID-19-related lung involvement in patients admitted to our trauma center. Methods: In this retrospective study, data from a referral trauma center were reviewed from February 21, 2020, to April 10, 2020. All patients admitted to the hospital for whom a chest CT scan was performed for any reason during the study period were included. Trained physicians screened all CT scans for findings suggestive of COVID-19. Next, blinded radiologists selected CT scans with findings highly suggestive of COVID-19 involvement. The clinical course and outcome and the results of PCR for SARS-CoV-2 were recorded and assessed. Results: A total of 4200 chest CT scans were reviewed. After multiple rounds of exclusion, 24 patients with highly- suggestive findings were reviewed. Only three patients developed COVID-19 symptoms during the course of admission. PCR results were positive in 22 patients (92.6%). Conclusion: We recommend chest CT scans in trauma patients at a high risk of COVID-19 infection, as well as those requiring extensive surgical interventions. Also, a thorough review of the available CT scans before invasive procedures, preferably with the help of an expert radiologist, is highly recommended, even when the results of the COVID-19 laboratory tests are negative.
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Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
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