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TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2

INTRODUCTION: This study aimed to evaluate the role of chest computed tomography (CT) in complementing reverse transcription polymerase chain reaction (RT-PCR) in asymptomatic candidates for elective surgery in the context of the COVID-19 pandemic. MATERIAL AND METHODS: We prospectively included 464...

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Autores principales: Barrio Piqueras, M., Ezponda Casajús, A., Urtasun Iriarte, C., Larrache Latasa, J., Pueyo Villoslada, J., Bastarrika, G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SERAM. Published by Elsevier España, S.L.U. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654576/
https://www.ncbi.nlm.nih.gov/pubmed/35370311
http://dx.doi.org/10.1016/j.rx.2021.11.005
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author Barrio Piqueras, M.
Ezponda Casajús, A.
Urtasun Iriarte, C.
Larrache Latasa, J.
Pueyo Villoslada, J.
Bastarrika, G.
author_facet Barrio Piqueras, M.
Ezponda Casajús, A.
Urtasun Iriarte, C.
Larrache Latasa, J.
Pueyo Villoslada, J.
Bastarrika, G.
author_sort Barrio Piqueras, M.
collection PubMed
description INTRODUCTION: This study aimed to evaluate the role of chest computed tomography (CT) in complementing reverse transcription polymerase chain reaction (RT-PCR) in asymptomatic candidates for elective surgery in the context of the COVID-19 pandemic. MATERIAL AND METHODS: We prospectively included 464 asymptomatic patients who underwent a triple screening workup for SARS-CoV-2 infection (health questionnaire, RT-PCR, and low-dose chest CT) during the 48 hours prior to undergoing elective surgery. A positive RT-PCR and/or CT findings suggestive of COVID-19 (CO-RADS 4 / 5) were considered diagnostic criteria for SARS-CoV-2 infection. RESULTS: Most patients (64.7%) underwent otorhinolaryngology surgery. No patients had positive RT-PCR results or symptoms suggestive of SARS-CoV-2 in the health questionnaire. Only 22 (4.7%) had signs compatible with lung infection; in 20 of these, the CT findings were atypical or indeterminate for COVID-19 (CO-RADS 2 / 3) and in 2 they were compatible with COVID-19 pneumonia in resolution. In the immediate postoperative period, no cases of SARS-CoV-2 infection were confirmed. CONCLUSION: In our series of asymptomatic patients, low-dose CT did not add any value to the results of RT-PCR and a health questionnaire in preoperative screening for SARS-CoV-2.
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spelling pubmed-86545762021-12-09 TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2 Barrio Piqueras, M. Ezponda Casajús, A. Urtasun Iriarte, C. Larrache Latasa, J. Pueyo Villoslada, J. Bastarrika, G. Radiologia Original INTRODUCTION: This study aimed to evaluate the role of chest computed tomography (CT) in complementing reverse transcription polymerase chain reaction (RT-PCR) in asymptomatic candidates for elective surgery in the context of the COVID-19 pandemic. MATERIAL AND METHODS: We prospectively included 464 asymptomatic patients who underwent a triple screening workup for SARS-CoV-2 infection (health questionnaire, RT-PCR, and low-dose chest CT) during the 48 hours prior to undergoing elective surgery. A positive RT-PCR and/or CT findings suggestive of COVID-19 (CO-RADS 4 / 5) were considered diagnostic criteria for SARS-CoV-2 infection. RESULTS: Most patients (64.7%) underwent otorhinolaryngology surgery. No patients had positive RT-PCR results or symptoms suggestive of SARS-CoV-2 in the health questionnaire. Only 22 (4.7%) had signs compatible with lung infection; in 20 of these, the CT findings were atypical or indeterminate for COVID-19 (CO-RADS 2 / 3) and in 2 they were compatible with COVID-19 pneumonia in resolution. In the immediate postoperative period, no cases of SARS-CoV-2 infection were confirmed. CONCLUSION: In our series of asymptomatic patients, low-dose CT did not add any value to the results of RT-PCR and a health questionnaire in preoperative screening for SARS-CoV-2. SERAM. Published by Elsevier España, S.L.U. 2022 2021-12-09 /pmc/articles/PMC8654576/ /pubmed/35370311 http://dx.doi.org/10.1016/j.rx.2021.11.005 Text en © 2021 SERAM. Published by Elsevier España, S.L.U. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original
Barrio Piqueras, M.
Ezponda Casajús, A.
Urtasun Iriarte, C.
Larrache Latasa, J.
Pueyo Villoslada, J.
Bastarrika, G.
TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2
title TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2
title_full TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2
title_fullStr TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2
title_full_unstemmed TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2
title_short TC torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por SARS-CoV-2
title_sort tc torácica de baja dosis de radiación como técnica de cribado preoperatorio de infección por sars-cov-2
topic Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654576/
https://www.ncbi.nlm.nih.gov/pubmed/35370311
http://dx.doi.org/10.1016/j.rx.2021.11.005
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