Chest CT Findings in Cases from the Cruise Ship <i>Diamond                         Princess</i> with Coronavirus Disease (COVID-19)

Inui, Shigeru; Fujikawa, Akira; Jitsu, Motoyuki; Kunishima, Naoaki; Watanabe, Sadahiro; Suzuki, Yuhi; Umeda, Satoshi; Uwabe, Yasuhide

doi:10.1148/ryct.2020200110

Cited by 378 publications

(312 citation statements)

References 21 publications

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“…Given the proportion of patients who developed symptoms prior to initiating treatment, our experience supports the recommendation for rigorous screening in advance of treatment initiation as well as between appointments (e.g., when simulation and treatment start are >1 week apart). In addition, with increasing reports of asymptomatic transmission, routine inspection of lung imaging on simulation and cone-beam CT images is strongly encouraged [6][7]. Patients on-treatment were less commonly affected, which may be due to greater precautions to self-quarantine.…”

Section: Discussionmentioning

confidence: 99%

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Press¹,

Hasan²,

Chhabra³

et al. 2020

Cureus

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Section: Discussionmentioning

confidence: 99%

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Press¹,

Hasan²,

Chhabra³

et al. 2020

Cureus

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“…Further, patients testing positive for COVID-19 can be asymptomatic despite significant abnormalities noted on chest computed tomography (CT) scan and there appears to be significant risk of asymptomatic transmission of the disease. [9][10] Therefore, a balance must be struck in identifying appropriate patients for invasive approaches to AMI regardless of their COVID-19 status, and maintaining the safety of healthcare workers who might be exposed to the disease as well as minimizing contamination of cardiac catheterization laboratory (CCL) facilities. The need for additional patient evaluation might translate into some delays in reperfusion.…”

Section: Methodsmentioning

confidence: 99%

Management of Acute Myocardial Infarction During the COVID-19 Pandemic

Mahmud

Dauerman

Welt

et al. 2020

Journal of the American College of Cardiology

358

199

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The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 (SARS-CoV2) has resulted in a new and lethal disease termed coronavirus disease 2019 . Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with COVID-19. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in the COVID-19 era. Cardiovascular manifestations of COVID-19 are complex with patients presenting with AMI, myocarditis simulating a STelevation MI presentation, stress cardiomyopathy, non-ischemic cardiomyopathy, coronary spasm, or nonspecific myocardial injury and the prevalence of COVID-19 disease in the US population remains unknown with risk of asymptomatic spread. This document addresses the care of these patients focusing on 1) the varied clinical presentations; 2) appropriate personal protection equipment (PPE) for health care workers; 3) role of the Emergency Department, Emergency Medical System and the Cardiac Catheterization Laboratory; and 4) Regional STEMI systems of care. During the COVID-19 pandemic, primary PCI remains the standard of care for STEMI patients at PCI capable hospitals when it can be provided in a timely fashion, with an expert team outfitted with PPE in a dedicated CCL room. A fibrinolysis-based strategy may be entertained at non-PCI capable referral hospitals or in specific situations where primary PCI cannot be executed or is not deemed the best option.

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“…After day 14, improvement in imaging findings was reported in 75% of the patients, including decreased number of involved lobes and resolution of crazy paving pattern and consolidative opacities. [37] A recent study showed that 54% of the asymptomatic patients had pneumonic changes on chest CT, [38] but it should be kept in mind that 56% of the patients in the early period of the disease may have a normal CT. [39] If the patient develops symptoms and the symptoms cannot be explained due to the clinical status of the patient, a new evaluation should be required (Figs. 1ab, 2).…”

Section: A Chest Ct Scan Should Be Added Into Routine Diagnostic Toolmentioning

confidence: 99%

Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic

Gök

Eryılmaz

Özmen

et al. 2020

Ulus Travma Acil Cerrahi Derg

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COVID-19 is a new disease, based on currently available limited information, older adults and people of any age who have severe underlying medical conditions may be at higher risk for severe illness from COVID-19. People of all age groups are also at risk. Healthcare providers have always been the professionals most exposed to the risk of contracting to any kind of infection due to the nature of their profession. Elective interventions have been postponed to give care of patients with COVID-19. However, some interventions cannot be delayed, such as trauma surgery, acute abdomen, and emergency endoscopies. To maintain the sustainability of the healthcare system, the protection of healthcare providers should be the top priority. On the other hand, patients, who need emergency healthcare, should also be provided with appropriate treatment. Healthcare professionals should choose a treatment method appropriately in the circumstances to protect themselves and their patients as much as possible. This paper aims to summarize how a surgeon may act appropriately when an intervention is inevitable during the COVID-19 pandemic.

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Chest CT Findings in Cases from the Cruise Ship Diamond Princess with Coronavirus Disease (COVID-19)

Cited by 378 publications

References 21 publications

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Management of Acute Myocardial Infarction During the COVID-19 Pandemic

Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic

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