Yield of Adding chest CT to Abdominal CT to Detect COVID-19 in Patients Presenting with Acute Gastrointestinal Symptoms (SCOUT-3)
| العنوان: | Yield of Adding chest CT to Abdominal CT to Detect COVID-19 in Patients Presenting with Acute Gastrointestinal Symptoms (SCOUT-3) |
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| المؤلفون: | Alexander B. J. Borgstein, Jaap Stoker, Hester A. Gietema, J van Rossen, Suzanne S. Gisbertz, Colin A. Russell, T van Rees Veillinga, Carl A. J. Puylaert, Jan M. Prins, R G Orsini, Marc G. Besselink, Alvin X. Han, Kammy Keywani, J C G Scheijmans, Mark E. Lobatto, M J Scheerder, Marja A. Boermeester, Rogier P. Voermans |
| المساهمون: | Surgery, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Beeldvorming, MUMC+: DA BV Medisch Specialisten Radiologie (9), Amsterdam Gastroenterology Endocrinology Metabolism, Graduate School, AII - Infectious diseases, Radiology and Nuclear Medicine, Gastroenterology and Hepatology, Infectious diseases, AII - Inflammatory diseases |
| المصدر: | Annals of Surgery, 276(6), E758-E763. LIPPINCOTT WILLIAMS & WILKINS Annals of Surgery, 276(6), E758-E763 |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Gastrointestinal Diseases, Abdominal ct, Chest ct, chest CT, RADS, 03 medical and health sciences, 0302 clinical medicine, Primary outcome, CO-RADS, medicine, Humans, In patient, Pandemics, Adult patients, business.industry, Background data, COVID-19, Thorax, Multicenter study, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Surgery, Radiology, GI-symptoms, Tomography, X-Ray Computed, business |
| الوصف: | OBTECTIVE: To determine the incremental yield of standardized addition of chest CT to abdominal CT to detect COVID-19 in patients presenting with primarily acute gastrointestinal symptoms requiring abdominal imaging. SUMMARY BACKGROUND DATA: Around 20% of patients with COVID-19 present with gastrointestinal symptoms. COVID-19 might be neglected in these patients, as the focus could be on finding abdominal pathology. During the COVID-19 pandemic several centers have routinely added chest CT to abdominal CT to detect possible COVID-19 in patients presenting with gastrointestinal symptoms. However, the incremental yield of this strategy is unknown. METHODS: This multicenter study in six Dutch centers included consecutive adult patients presenting with acute non-traumatic gastrointestinal symptoms, who underwent standardized combined abdominal and chest CT between March 15, 2020 and April 30, 2020. All CT scans were read for signs of COVID-19 related pulmonary sequelae using the CO-RADS score. The primary outcome was the yield of high COVID-19 suspicion (CO-RADS 4-5) based on chest CT. RESULTS: A total of 392 patients were included. Radiologic suspicion for COVID-19 (CO-RADS 4-5) was present in 17 (4.3%) patients, eleven of which were diagnosed with COVID-19. Only five patients with CO-RADS 4-5 presented without any respiratory symptoms and were diagnosed with COVID-19. No relation with community prevalence could be detected. CONCLUSION: The yield of adding chest CT to abdominal CT to detect COVID-19 in patients presenting with acute gastrointestinal symptoms is extremely low with an additional detection rate of around 1%. |
| اللغة: | English |
| تدمد: | 0003-4932 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f88b57930f215de4c20026e33a7fb829Test https://doi.org/10.1097/sla.0000000000004678Test |
| حقوق: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....f88b57930f215de4c20026e33a7fb829 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00034932 |
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