Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak—A Retrospective Case Series
المؤلفون المشاركون
Bergrath, Sebastian
Aretz, Olaf
Haake, Hendrik
Ringelstein, Adrian
Greiffendorf, Ingo
Graeven, Ullrich
Windfuhr, Jochen
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-08-20
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
Emergency department (ED) triage regarding infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is challenging.
During the coronavirus disease 2019 (COVID-19) outbreak in Germany, the diagnostic outcomes of critically ill patients admitted to the resuscitation room in the ED of our academic 754-bed hospital should be analyzed.
Methods.
All resuscitation room patients between March 1st and April 15th 2020 were included in this retrospective study.
Every patient with suspicion of SARS-CoV-2 infection received a pharyngeal swab for real-time polymerase chain reaction (rt-PCR), divided in the clinical subgroups of “highly suspicious for COVID-19” and “COVID-19 as differential diagnosis.” All respiratory and infectious symptoms were included as at least “differential diagnosis” as an expanded suspicion strategy.
Results.
Ninety-five patients were included (trauma n=14, critically ill n=81).
Of 3 highly suspicious patients, 2 had rt-PCR positive pharyngeal swabs.
In 39 patients, COVID-19 was defined as differential diagnosis, and 3 were positive for SARS-CoV-2.
Of them, pharyngeal swabs were positive in 1 case, while in 2 cases, only tracheal fluid was rt-PCR positive while the pharyngeal swabs were negative.
In one of these 2 cases, chest computed tomography (CT) was also negative for ground-glass opacities but showed a pulmonary abscess and pulmonary embolism.
Conclusion.
We recommend an expanded suspicion strategy for COVID-19 due to unexpected diagnostic outcomes.
Personal protective equipment should be used in every resuscitation room operation due to unexpected cases and initial knowledge gaps.
Furthermore, tracheal fluid should be tested for SARS-CoV-2 in every intubated patient due to cases with negative pharyngeal swabs and negative chest CT.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bergrath, Sebastian& Aretz, Olaf& Haake, Hendrik& Ringelstein, Adrian& Greiffendorf, Ingo& Graeven, Ullrich…[et al.]. 2020. Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak—A Retrospective Case Series. BioMed Research International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1132691
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bergrath, Sebastian…[et al.]. Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak—A Retrospective Case Series. BioMed Research International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1132691
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bergrath, Sebastian& Aretz, Olaf& Haake, Hendrik& Ringelstein, Adrian& Greiffendorf, Ingo& Graeven, Ullrich…[et al.]. Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak—A Retrospective Case Series. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1132691
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1132691
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر