سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Rahmani, Shaghayegh, Sadrzadeh, Sayyed Majid, Hemati Ali, Sara. (1399). Corona In Trauma: Should Asymptomatic Patients Be Treated Based On Chest X-Ray Findings?. , 8(4), 203-206. doi: 10.22038/psj.2020.48148.1271
Shaghayegh Rahmani; Sayyed Majid Sadrzadeh; Sara Hemati Ali. "Corona In Trauma: Should Asymptomatic Patients Be Treated Based On Chest X-Ray Findings?". , 8, 4, 1399, 203-206. doi: 10.22038/psj.2020.48148.1271
Rahmani, Shaghayegh, Sadrzadeh, Sayyed Majid, Hemati Ali, Sara. (1399). 'Corona In Trauma: Should Asymptomatic Patients Be Treated Based On Chest X-Ray Findings?', , 8(4), pp. 203-206. doi: 10.22038/psj.2020.48148.1271
Rahmani, Shaghayegh, Sadrzadeh, Sayyed Majid, Hemati Ali, Sara. Corona In Trauma: Should Asymptomatic Patients Be Treated Based On Chest X-Ray Findings?. , 1399; 8(4): 203-206. doi: 10.22038/psj.2020.48148.1271

Corona In Trauma: Should Asymptomatic Patients Be Treated Based On Chest X-Ray Findings?

Journal of Patient Safety & Quality Improvement
مقاله 3، دوره 8، شماره 4، دی 2020، صفحه 203-206    اصل مقاله (526.6 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/psj.2020.48148.1271
نویسندگان
Shaghayegh Rahmani* 1؛ Sayyed Majid Sadrzadeh2؛ Sara Hemati Ali1
1Innovated Medical Research Center, Faculty of Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
2Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
چکیده
Introduction:
Regarding the high prevalence of asymptomatic infections, recognition of patients infected with Coronavirus Disease 2019 (COVID-19) has turned into a challenging issue. Therefore, this study aimed to evaluate the prognosis of asymptomatic patients with abnormal CXR indicative of COVID-19 for two weeks.
Materials and Methods:
This cross-sectional study included 40 patients who were referred to shahid hashemi nezhad hospital with trauma and underwent CXR. The patients were selected based on the purposive sampling method. The inclusion criteria were asymptomatic patients with trauma who were referred to our hospital and underwent chest CXR indicative of COVID-19. Demographic characteristics of the patients were recorded in a checklist. The real-time reverse transcription-polymerase chain reaction assay was carried out to diagnose the novel COVID-19. Out of 40 patients, 23 cases had positive test results; however, the others did not perform the test. The patients were followed up for 30 days in terms of the progress of their respiratory disease. Furthermore, those in the hospital were controlled daily, and the discharged cases were followed up via telephone.
Results:
This study included 40 traumatic patients, and the majority of cases (n=29,72.5%,) were male. Upon admission, 37 (92.5%) cases had no signs of common cold, such as cough and fever. However, three (7.5%) patients had an occasional cough, and 10 (25%) cases remembered to have flu-like symptoms in the past two weeks. The mean hospital stay of the patients was estimated at 3.2±1.4 days. It should be noted that no death and respiratory distress syndromes occurred during the follow-up period.
Conclusion:
A favorable prognosis of asymptomatic patients with CXR indicative of COVID-19 was obtained in this study, and none of the cases developed critical forms of the disease. 
کلیدواژه‌ها
Asymptomatic infections؛ COVID-19؛ Chest x-ray (CXR)
مراجع
  1. Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health. 2020; 25(3):278-280. doi: 10.1111/tmi.13383. Epub 2020 Feb 16.
  2. Lake MA. What we know so far: COVID-19 current clinical knowledge and research. Clin Med (Lond). 2020; 20(2):124-127. doi: 10.7861/ clinmed. 2019-coron. 
  3. Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Mil Med Res. 2020;7(1):11. doi: 10.1186/s40779-020-00240-0. 
  4. ACR Recommendations for the use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection | American College of Radiology.https:// www.acr.org/ Advocacy-and- Economics/ ACR-Position- Statements/ Recommendations-for-Chest-Radiography-and-CT-for-Suspected-COVID19-Infection. Accessed April 6, 2020.
  5. Yoon SH, Lee KH, Kim JY, Lee YK, Ko H, Kim KH, Park CM, Kim YH. Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea. Korean J Radiol. 2020; 21(4):494-500. doi: 10.3348/kjr.2020.0132. Epub 2019 Feb 26.
  6. Vardavas CI, Nikitara K. COVID-19 and smoking: A systematic review of the evidence. Tob Induc Dis. 2020; 18:20. doi: 10.18332/tid/119324. 
  7. Volkow ND. Collision of the COVID-19 and Addiction Epidemics. Ann Intern Med. 2020 Apr 2. doi: 10.7326/M20-1212.
  8. Chan JF, Yuan S, Kok KH. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person‐to‐person transmission: a study of a family cluster. Lancet 2020. S0140- 6736(20) 30154-9.
  9. Zhiliang Hu, Ci Song, Chuanjun Xu, Guangfu Jin, Yaling Chen, Xin Xu, et al. Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China. Sci China Life Sci. doi: 10. 1007/s11427-020-1661-4. 
  10. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX et al. Clinical Characteristics of  Coronavirus  Disease 2019 in China. N Engl J Med. 2020. doi: 1056/NEJMoa2002032. [Epub ahead of print]
  11. Lan L, Xu D, Ye G, Xia C, Wang S, Li Y, Xu H. Positive RT-PCR Test Results in Patients Recovered From COVID-19. JAMA. 2020. doi: 10.1001/jama.2020.2783. 
  12.  Rodrigues JCL, Hare SS, Edey A, Devaraj A,  Jacob J, Johnstone A. An update on COVID-19 for the radiologist - A British society of Thoracic Imaging statement. Clin Radiol. 2020. pii: S0009-9260(20)30087-8. doi:10.1016/j.crad. 2020. 03.003. 
  13. Wong HYF, Lam HYS, Fong AH, Leung ST, Chin TW, Lo CSY, et al. Frequency and Distribution of Chest Radiographic Findings in COVID-19Positive Patients.     2019: 201160. doi: 10.1148/ radiol.  2020201160. 
آمار
تعداد مشاهده مقاله: 311
تعداد دریافت فایل اصل مقاله: 183