Preparation of a radiology department in an Italian hospital dedicated to COVID-19 patients

Ierardi, Anna Maria; Wood, Bradford J.; Arrichiello, Antonio; Bottino, Nicola; Bracchi, Laura; Forzenigo, L.V.; Andrisani, Maria Carmela; Vespro, Valentina; Bonelli, Cristian; Amalou, Amel; Türkbey, Evrim; Türkbey, Barış; Granata, Giuseppe; Pinto, Antonio; Grasselli, Giacomo; Stocchetti, Nino; Carrafiello, Gianpaolo

doi:10.1007/s11547-020-01248-1

Cited by 21 publications

(25 citation statements)

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“…A key step in the diagnostic process of patients suspected for COVID-19 is the use of chest computed tomography. The HRCT (high-resolution computed tomography) without the use of contrast rapidly allows the radiographic diagnosis of interstitial pneumonia and provide helpful prognostic information [3][4][5]. Chest X-ray has also proved useful in the emergency setting as a quantitative method of the extent of SARS-CoV-2 pneumonia, correlating with an increased risk of intensive care unit admission [6].…”

Section: Introductionmentioning

confidence: 99%

Deep vein thrombosis in COVID-19 patients in general wards: prevalence and association with clinical and laboratory variables

et al. 2021

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Background Preliminary reports suggest a hypercoagulable state in COVID-19. Deep vein thrombosis (DVT) is perceived as a frequent finding in hospitalized COVID-19 patients, but data describing the prevalence of DVT are lacking. Objectives We aimed to report the prevalence of DVT in COVID-19 patients in general wards, blinded to symptoms/signs of disease, using lower extremities duplex ultrasound (LEDUS) in random patients. We tested the association of DVT with clinical, laboratory and inflammatory markers and also reported on the secondary endpoint of in-hospital mortality. Patients/Methods n = 263 COVID-19 patients were screened with LEDUS between March 01, 2020 and April 05, 2020 out of the overall n = 1012 admitted with COVID-19. Results DVT was detected in n = 67 screened patients (25.5%), n = 41 patients (15.6%) died during the index hospitalization. Multiple logistic regression demonstrated that only C-reactive protein (odds ratio 1.009, 95% CI 1.004-1.013, p < 0.001) was independently associated with the presence of DVT at LEDUS. Both age (odds ratio 1.101, 95% CI 1.054-1.150, p < 0.001) and C-reactive protein (odds ratio 1.012, 95% CI 1.006-1.018, p < 0.001) were instead significantly independently associated with in-hospital mortality. Conclusions The main study finding is that DVT prevalence in COVID-19 patients admitted to general wards is 25.5%, suggesting it may be reasonable to screen COVID-19 patients for this potentially severe but treatable complication, and that inflammation, measured with serum C-reactive protein, is the main variable associated with the presence of DVT, where all other clinical or laboratory variables, age or D-dimer included, are instead not independently associated with DVT.

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Section: Introductionmentioning

confidence: 99%

Deep vein thrombosis in COVID-19 patients in general wards: prevalence and association with clinical and laboratory variables

et al. 2021

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“…Radiographers dedicated to bedside X-ray photography, DR, and CT examinations working in the isolation area are recommended to complete a first period of 14 workdays in the isolation area. Then, they complete a second period of 14 days in a specific dedicated isolation ward for supervised medical observation before returning to normal work due to the possibility of close contact with the confirmed COVID patients [ 10 ].…”

Section: Various Safety Requirementsmentioning

confidence: 99%

Response of a Radiology Department to the SARS-CoV-2 Pandemic: The Experience of the Hospital “Policlinico Tor Vergata” in Rome

Malizia

Filograna

Sbordone

et al. 2021

IJERPH

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The dissemination of severe acute respiratory syndrome linked to the novel coronavirus, SARS-CoV-2, prompted all health services to provide adequate measures to limit new cases that could affect healthcare professionals. Due to the large number of suspected patients subjected to CT scans and the proximity of radiologists to the patient during exams, radiologists as well as the entire staff of the radiology department are particularly exposed to SARS-CoV-2. This article includes the emergency management procedures, the use of personal protective devices, and the rearrangement of exam rooms and of human resources in the department of radiology at “Policlinico Tor Vergata” in Rome performed during the SARS-CoV-2 pandemic. We introduce the management measures that our department has taken to cope with the influx of patients while still ensuring the proper management of other emergencies and time-sensitive exams.

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“…Recent results have revealed the efficiency of some imaging methods, including chest radiographs and chest computed tomography scans, in the management of COVID-19 disease [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. Instead, at the best of our knowledge, this is the first paper describing the appearance of nodes after BNT162b2 Covid-19 vaccine.…”

Section: Discussionmentioning

confidence: 99%

Lymphadenopathy after BNT162b2 Covid-19 Vaccine: Preliminary Ultrasound Findings

Granata

Fusco

Setola

et al. 2021

Biology

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During a spontaneous and autonomous study, we assessed the ultrasound finding of lymphadenopathy after BNT162b2 Pfizer vaccine. We enrolled 18 patients with 58 lymphadenopathies: in 10 patients, they were in the laterocervical side, while in 8 patients in the axillar site. The largest diameter was 14 mm with a range from 7 to 16 mm (median value = 10 mm). In the same patient, we found different ultrasound nodal findings. A total of 25 nodes showed eccentric cortical thickening with wide echogenic hilum and oval shape. In total, 19 nodes showed asymmetric eccentric cortical thickening with wide echogenic hilum and oval shape. Overall, 10 nodes showed concentric cortical thickening with reduction in the width of the echogenic hilum and oval shape. A total of four nodes showed huge reduction and displacement of the echogenic hilum and round or oval shape. No anomaly was found at the Doppler echocolor study. In conclusion, eccentric cortical thickening with wide echogenic hilum and oval shape, asymmetric eccentric cortical thickening with wide echogenic hilum and oval shape, concentric cortical thickening with reduction in the width of the echogenic hilum and oval shape, and a huge reduction and displacement of the echogenic hilum and round shape are the features that we found in post BNT162b2 Covid-19 Vaccine lymphadenopathies.

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Preparation of a radiology department in an Italian hospital dedicated to COVID-19 patients

Cited by 21 publications

References 2 publications

Deep vein thrombosis in COVID-19 patients in general wards: prevalence and association with clinical and laboratory variables

Deep vein thrombosis in COVID-19 patients in general wards: prevalence and association with clinical and laboratory variables

Response of a Radiology Department to the SARS-CoV-2 Pandemic: The Experience of the Hospital “Policlinico Tor Vergata” in Rome

Lymphadenopathy after BNT162b2 Covid-19 Vaccine: Preliminary Ultrasound Findings

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