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10.4414/smw.2020.20304

http://scihub22266oqcxt.onion/10.4414/smw.2020.20304
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32580213!ä!32580213

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suck abstract from ncbi


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pmid32580213      Swiss+Med+Wkly 2020 ; 150 (ä): w20304
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  • COVID-19 and the role of imaging: early experiences in Central Switzerland #MMPMID32580213
  • Fechner C; Strobel K; Treumann T; Sonderegger B; Azzola A; Fornaro J; Schrading S; Roos JE
  • Swiss Med Wkly 2020[Jun]; 150 (ä): w20304 PMID32580213show ga
  • The SARS-CoV-2 virus (COVID-19) was initially observed in a group of Chinese patients with unclear pneumonia in Wuhan, Hubei [1] in late December 2019. The first positive case in Switzerland was confirmed on 25 February 2020 in a patient from canton Tessin, who most likely caught the virus during a visit to Milan, Italy [2]. The country has since been preparing for an imminent public health emergency caused by the pandemic. As of 14 May 2020, the Swiss healthcare system is facing a total of 30,463 corona virus-positive people [3]. With numbers of new infections decreasing after the first pandemic wave, the continuing endemic situation will continue to be a major challenge for the Swiss healthcare system. It remains crucial to separate the clinically low-symptomatic from the severely affected patients in order to offer a specific therapeutic strategy to every SARS-CoV-2 patient. Reports from Chinese cohorts describe an increasing role of imaging strategies in the detection and surveillance of COVID-19 patients because of insufficient testing sensitivity of real-time reverse transcription polymerase chain reaction (RT-PCR) tests [4]. Chest computed tomography (CT), with a reported sensitivity of up to 97% [5, 6], gained importance particularly in patients with false negative RT-PCR results. In this short communication, we describe our first clinical experiences with 55 COVID-19 patients in Central Switzerland, who were either imaged with a standard chest x-ray, chest CT, or both. We provide an illustrative and schematic description of typical COVID-19 imaging features and suggest that imaging plays an important role in the clinical work-up of suspected or confirmed COVID-19 patients. This study was approved by the national ethics review committee (EKNZ, Switzerland) and patients’ informed consent was waived.
  • |*Coronavirus Infections[MESH]
  • |*Critical Illness[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Intensive Care Units[MESH]
  • |Italy[MESH]
  • |SARS-CoV-2[MESH]


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