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10.1089/sur.2020.169

http://scihub22266oqcxt.onion/10.1089/sur.2020.169
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32401630!ä!32401630

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suck abstract from ncbi


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pmid32401630      Surg+Infect+(Larchmt) 2020 ; 21 (5): 416-421
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  • COVID-19 in Post-Operative Patients: Imaging Findings #MMPMID32401630
  • Moliere S; Veillon F
  • Surg Infect (Larchmt) 2020[Jun]; 21 (5): 416-421 PMID32401630show ga
  • Background: Coronavirus 2019 (COVID-19) in the post-operative period is challenging. Its clinical manifestations may have similarities to other septic, thoracic, or gastrointestinal post-surgical complications. Additionally, the post-operative period may be a time of increased risk for severe manifestations of COVID-19. We sought to evaluate the frequency of COVID-19 in a cohort of patients who had recently had operations who were undergoing imaging for acute symptoms and the role of chest computed tomography (CT) in this setting. Patients and Methods: We included all patients who had chest CT for acute symptoms in the 15 days after a surgical procedure between March 1 and 31, 2020. Results: Of 46 patients with acute post-operative symptoms requiring chest imaging, eight (17%) were ultimately diagnosed with COVID-19. Among them, five (62%) required mechanical ventilation and two (25%) died. All had abnormal chest CT with typical findings of COVID-19 in 87%. Computed tomography provided an alternate diagnosis in 53% of patients who did not have COVID-19. The average time between a COVID-19-positive chest CT and the polymerase chain reaction (PCR) confirmation was 1.2 days (range, 0-4 days). Conclusion: COVID-19 is a serious post-operative condition associated with significant morbidity and mortality. Chest CT provides prompt diagnosis of COVID-19. In centers with a high prevalence of COVID-19, chest acquisition should be included in CT scans done for acute post-operative symptoms.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/*pathology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/diagnostic imaging/pathology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*diagnosis/*pathology[MESH]
  • |Postoperative Complications/*diagnosis/*pathology[MESH]
  • |Prevalence[MESH]
  • |Radiography, Thoracic[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2[MESH]
  • |Survival Analysis[MESH]


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