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10.1111/codi.15252

http://scihub22266oqcxt.onion/10.1111/codi.15252
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32644268!7361755!32644268
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suck abstract from ncbi


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pmid32644268      Colorectal+Dis 2020 ; 22 (9): 993-1001
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  • A systematic review of CT chest in COVID-19 diagnosis and its potential application in a surgical setting #MMPMID32644268
  • Shao JM; Ayuso SA; Deerenberg EB; Elhage SA; Augenstein VA; Heniford BT
  • Colorectal Dis 2020[Sep]; 22 (9): 993-1001 PMID32644268show ga
  • AIM: The aim of this work was to investigate the sensitivity and utility of CT of the chest in diagnosing active SARS-Cov-2 (COVID-19) infection, and its potential application to the surgical setting. METHOD: A literature review was conducted using Google Scholar(R) and MEDLINE(R)/PubMed(R) to identify current available evidence regarding the sensitivity of CT chest compared with RT-PCR for the diagnosis of COVID-19-positive patients. GRADE criteria and the QUADAS 2 tool were used to assess the level of evidence. RESULTS: A total of 20 articles were identified that addressed the question of sensitivity of CT for diagnosis of symptomatic and asymptomatic COVID-19-positive patients. Overall sensitivity of CT scan ranged from 57%-100% for symptomatic and 46%-100% for asymptomatic COVID-19 patients, while that of RT-PCR ranged from 39%-89%. CT chest was a better diagnostic modality and capable of detecting active infection earlier in the time course of infection than RT-PCR in symptomatic patients. In asymptomatic patients, disease prevalence seems to play a role in the positive predictive value. Minimal evidence exists regarding the sensitivity of CT in patients who are asymptomatic. CONCLUSIONS: In surgical patients, CT chest should be considered as an important adjunct for detection of COVID-19 infection in patients who are symptomatic with negative RT-PCR prior to any operation. For surgical patients who are asymptomatic, there is insufficient evidence to recommend routine preoperative CT chest for COVID-19 screening.
  • |*Asymptomatic Infections[MESH]
  • |*COVID-19 Nucleic Acid Testing[MESH]
  • |*Tomography, X-Ray Computed[MESH]
  • |COVID-19/diagnosis/*diagnostic imaging/epidemiology[MESH]
  • |Disease Progression[MESH]
  • |Elective Surgical Procedures[MESH]
  • |Humans[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Mass Screening[MESH]
  • |Predictive Value of Tests[MESH]
  • |Preoperative Care[MESH]
  • |Prevalence[MESH]


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