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10.1016/j.rmed.2020.106036

http://scihub22266oqcxt.onion/10.1016/j.rmed.2020.106036
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32469732!7243792!32469732
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suck abstract from ncbi


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pmid32469732      Respir+Med 2020 ; 170 (ä): 106036
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  • Chest X-ray features of SARS-CoV-2 in the emergency department: a multicenter experience from northern Italian hospitals #MMPMID32469732
  • Ippolito D; Maino C; Pecorelli A; Allegranza P; Cangiotti C; Capodaglio C; Mariani I; Giandola T; Gandola D; Bianco I; Ragusi M; Franzesi CT; Corso R; Sironi S
  • Respir Med 2020[Aug]; 170 (ä): 106036 PMID32469732show ga
  • OBJECTIVES: To evaluate the imaging features of routine admission chest X-ray in patients referred for novel Coronavirus 2019 infection. METHODS: All patients referred to the emergency departments, RT-PCR positive for SARS-CoV-2 infection were evaluated. Demographic and clinical data were recorded. Two radiologists (8 and 15 years of experience) reviewed all the X-ray images and evaluated the following findings: interstitial opacities, alveolar opacities (AO), AO associated with consolidation, consolidation and/or pleural effusion. We stratified patients in groups according to the time interval between symptoms onset (cut-off 5 days) and X-ray imaging and according to age (cut-off 60 years old). Computed tomography was performed in case of a discrepancy between clinical symptoms, laboratory and X-ray findings, and/or suspicion of complications. RESULTS: A total of 468 patients were tested positive for SARS-CoV-2. Lung lesions primarily manifested as interstitial opacities (71.7%) and AO opacities (60.5%), more frequently bilateral (64.5%) and with a peripheral predominance (62.5%). Patients admitted to the emergency radiology department after 5 days from symptoms onset, more frequently had interstitial and AO opacities, in comparison to those admitted within 5 days, and lung lesions were more frequently bilateral and peripheral. Older patients more frequently presented interstitial and AO opacities in comparison to younger ones. Sixty-eight patients underwent CT that principally showed the presence of ground-glass opacities and consolidations. CONCLUSIONS: The most common X-ray pattern is multifocal and peripheral, associated with interstitial and alveolar opacities. Chest X-ray, compared to CT, can be considered a reliable diagnostic tool, especially in the Emergency setting.
  • |*Coronavirus Infections/complications/diagnosis/epidemiology[MESH]
  • |*Pandemics[MESH]
  • |*Pleural Effusion/diagnostic imaging/etiology[MESH]
  • |*Pneumonia, Viral/complications/diagnosis/diagnostic imaging/epidemiology/etiology[MESH]
  • |*Radiography, Thoracic/methods/statistics & numerical data[MESH]
  • |*Tomography, X-Ray Computed/methods/statistics & numerical data[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/methods[MESH]
  • |Comparative Effectiveness Research[MESH]
  • |Emergency Service, Hospital/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Reproducibility of Results[MESH]


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