A systematic review of CT chest in COVID‐19 diagnosis and its potential application in a surgical setting

Shao, Jenny M.; Ayuso, Sullivan A.; Deerenberg, Eva B.; Elhage, Sharbel A.; Augenstein, Vedra A.; Heniford, B. Todd

doi:10.1111/codi.15252

Cited by 26 publications

(29 citation statements)

References 51 publications

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“…In this retrospective study, we found that the total lesion score of CT in severe patients was significantly higher than non-sever patients, which was consistent with previous studies showing that severe patients had a larger lung lesion area than non-severe cases [ [14] , [15] , [16] ]. This might be due to more severe bilateral pulmonary infiltrates at the peak of the disease in severe cases.…”

Section: Discussionsupporting

confidence: 91%

The time course of chest CT lung changes in COVID-19 patients from onset to discharge

Yao¹,

Wang²,

Hao³

et al. 2021

European Journal of Radiology Open

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Highlights Patients with severe disease had higher total scores in every CT scan and scores in each lobe than non-severe patients. Typical CT image of non-severe cases mainly presented as GGO, whilst GGO mixed with consolidation was more seen in severe cases. Severe versus non-severe cases had higher prevalence of fibrosis and air bronchogram in CT scans.

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Section: Discussionsupporting

confidence: 91%

The time course of chest CT lung changes in COVID-19 patients from onset to discharge

Yao¹,

Wang²,

Hao³

et al. 2021

European Journal of Radiology Open

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“… When dealing with positive tested COVID-19 patients, hospital planning and organization should ideally consider if surgery is emergent or elective [click here]. We recommend that in cardiac patients with clinical symptoms suggestive of infection with SARS-CoV 2 (e.g., cough, fever) and a negative PCR test result, a computerized chest tomography (CT) is performed ( 12 ). Suppose surgery is urgent and necessary in a patient with suspected or confirmed infection, before proceeding to the operating theatre.…”

Section: Methodsmentioning

confidence: 99%

EACTA/SCA Recommendations for the Cardiac Anesthesia Management of Patients With Suspected or Confirmed COVID-19 Infection: An Expert Consensus From the European Association of Cardiothoracic Anesthesiology and Society of Cardiovascular Anesthesiologists With Endorsement From the Chinese Society of Cardiothoracic and Vascular Anesthesiology

Guarracino

Shernan

Tahan

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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The European Association of Cardiothoracic Anaesthesiology (EACTA) and the Society of Cardiovascular Anesthesia (SCA) aimed to create joint recommendations for the perioperative management of patients with suspected or proven SARS-CoV-2 infection undergoing cardiac surgery or invasive cardiac procedures. To produce appropriate recommendations, we combined the evidence from the literature review, re-evaluating the clinical experience of routine cardiac surgery in similar cases during the Middle East Respiratory Syndrome (MERS-CoV) outbreak and the current pandemic with suspected COVID-19 patients, and the expert opinions through broad discussions within EACTA and SCA. We took into consideration the balance between established procedures and the feasibility during the present outbreak. We represent an agreement between the European and United States practices in managing patients during the COVID-19 pandemic. The recommendations take into consideration a broad spectrum of issues with a focus on preoperative testing, safety concerns, overall approaches to general and specific aspects of preparation for anesthesia, airway management, transesophageal echocardiography, perioperative ventilation, coagulation, and hemodynamic control and postoperative care. As the COVID-19 pandemic is spreading, it will continue to represent a challenge for the worldwide anesthesiology community. To allow these recommendations to be updated as long as possible, we provided weblinks to international public and academic sources providing timely updated data. Our document should be the basis of future Task Forces to develop a more comprehensive consensus considering new evidence uncovered during the COVID-19 pandemic.

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“…Therefore, to enable a safe bariatric surgery program, an adequate diagnostic method to identify patients in the acute phase of COVID-19 proves critical [15]. The most commonly used diagnostic test worldwide for SARS-CoV-2 infection is RT-PCR; however, this method has failed to recognize more than 29% of asymptomatic patients [16].…”

Section: Introductionmentioning

confidence: 99%

Chest Computed Tomography for SARS-CoV-2 Screening before Bariatric and Metabolic Surgery during the COVID-19 Pandemic

Ortiz-Gomez

Guerrero-Gutiérrez

Cardoso

et al. 2020

Preprint

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Introduction: Given that obesity is a risk factor for adverse outcomes in COVID-19, bariatric and metabolic surgery (BMS) has become increasingly critical. Computed tomography (chest CT scan) may be a valuable preoperative screening method for BMS candidates during this COVID-19 pandemic.Methods: A prospective, single-center study was conducted in June 2020. Two study cohorts were evaluated: a surgical team group and a BMS patient group. Screening was performed with RT-PCR and a CT scan. The COVID-19 Reporting and Data System (CO-RADS) assessment was used as mandatory COVID-19 screening. Patients classified as category 1 and 2 were considered safe to undergo BMS; category ≥3 surgery was canceled. The BMS patient group was monitored for 28 days after surgery for SARS-CoV-2 infection. Additionally, postoperative complications, adverse effects, and deaths were tracked.Results: The study included 240 participants, comprising the surgical team group (n = 6) and the BMS patient group (n = 234). In total, 213 were female (88.8%), the median age was 40 years, and the median weight and BMI were 111.1 kg and 40.23 kg/m2 respectively. Only CO-RADS category 1 was reported in the surgical team group, while in the BMS patient group, category 1 was reported in 231 participants (98.7%). In the BMS patient group, during the follow-up period, only two participants (0.83%) tested positive for COVID-19 (RT-PCR). No deaths were reported. Conclusion: Chest CT scans are useful for detecting SARS-CoV-2 in patients undergoing BMS, therefore enable healthcare and surgical teams to perform surgeries safely during this COVID-19 pandemic.

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A systematic review of CT chest in COVID‐19 diagnosis and its potential application in a surgical setting

Cited by 26 publications

References 51 publications

The time course of chest CT lung changes in COVID-19 patients from onset to discharge

The time course of chest CT lung changes in COVID-19 patients from onset to discharge

Chest Computed Tomography for SARS-CoV-2 Screening before Bariatric and Metabolic Surgery during the COVID-19 Pandemic

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