Chest radiographs for acute lower respiratory tract infections

Cao, Amy M.; Choy, Joleen; Mohanakrishnan, Lakshmi Narayana; Bain, Roger F; Driel, Mieke van

doi:10.1002/14651858.cd009119.pub2

Cited by 39 publications

(38 citation statements)

References 28 publications

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“…There is minimal utility in obtaining a chest X-ray in the early stages of an acute lower tract infection except to exclude other etiologies of dyspnea. However, early chest X-rays (0-2 days within symptom onset) tend to be normal or demonstrate increased bronchovascular markings [1] . Later stages of the disease tend to be less specific for COVID-19 as secondary complications may look more like pneumonia than a typical viral infection and the role for serial chest X-rays appears to have more utility in establishing a baseline to assess improvement of aeration and ascertain the locations of tubes and lines in the intensive care unit.…”

Section: Discussionmentioning

confidence: 99%

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Chest CT findings of early and progressive phase COVID-19 infection from a US patient

Adair¹,

Ledermann²

2020

Radiology Case Reports

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a b s t r a c tThe SARS-CoV-2 infection , originally reported in Wuhan, China, has rapidly proliferated throughout several continents and the first case in the United States was reported on January 19, 2020. According to the ACR guidelines issued shortly after this disease was declared a pandemic, radiologists are expected to familiarize themselves with the CT appearance of COVID-19 infection in order to be able to identify specific findings of this entity.This case report discusses the relevant imaging findings of one of the first cases in the midwestern United States. It involves a 60-year-old man who presented with fever, dyspnea, and cough for 1 week and subsequently tested positive for COVID-19. The utility of the noncontrast CT chest in the diagnosis of COVID-19 has been controversial, but there are specific imaging findings that have been increasingly associated with this virus in the appropriate clinical context. The stages of imaging findings in COVID-19 are considered along with the implications of fibrosis throughout the stages. Future considerations include using artificial intelligence algorithms to distinguish between community acquired pneumonias and COVID-19 infection.

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Section: Discussionmentioning

confidence: 99%

“…Of note, there is no evidence of lymphadenopathy or pleural effusions on this chest X-ray. While most patients imaged at 0-2 days after symptom onset had normal imaging, studies have shown limited specificity in diagnosing lower respiratory tract illnesses with chest X-ray [1] .…”

Section: Fig 1 -Respiratory Viral Panel By Pcr Dated March 8 2020: mentioning

confidence: 99%

Chest CT findings of early and progressive phase COVID-19 infection from a US patient

Adair¹,

Ledermann²

2020

Radiology Case Reports

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“…The top 24 global EM articles for 2013 are listed in Table . The complete database of all 434 global EM articles for 2013, as well as full summaries and critical analyses of the top 24 global EM of articles of 2013, can be found in Data Supplements S1 and S2 (available as supporting information in the online version of this article).…”

Section: Resultsmentioning

confidence: 99%

Global Emergency Medicine: A Review of the Literature From 2013

Becker

Jacquet

Marsh

et al. 2014

Academic Emergency Medicine

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Objectives: The Global Emergency Medicine Literature Review (GEMLR) conducts an annual search of peer-reviewed and grey literature relevant to global emergency medicine (EM) to identify, review, and disseminate the most important new research in this field to a worldwide audience of academics and clinical practitioners.Methods: This year 8,768 articles written in six languages were identified by our search. These articles were distributed among 22 reviewers for initial screening based on their relevance to the field of global EM. An additional two reviewers searched the grey literature. A total of 434 articles were deemed appropriate by at least one reviewer and approved by an editor for formal scoring of overall quality and importance.Results: Of the 434 articles that met our predetermined inclusion criteria, 65% were categorized as emergency care in resource-limited settings, 18% as EM development, and 17% as disaster and humanitarian response. A total of 24 articles received scores of 18 or higher and were selected for formal summary and critique. Interrater reliability for two reviewers using our scoring system was good, with an intraclass correlation coefficient of 0.63 (95% confidence interval = 0.55 to 0.69). Infectious diseases, trauma, and the diagnosis and treatment of diseases common in resource-limited settings represented the majority of articles selected for final review.Conclusions: In 2013, there were more emergency care in resource-limited settings articles, while the number of disaster and humanitarian response articles decreased, when compared to the 2012 review. However, the distribution of articles selected for full review did not change significantly. As in prior years, the majority of articles focused on infectious diseases, as well as trauma and injury prevention.ACADEMIC EMERGENCY MEDICINE 2014;21:810-817

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“…Seven years later, she presented to the ED complaining of acute respiratory symptoms compatible with acute bronchitis without alarming features but, nevertheless, a CXR was ordered. Data suggest that CXR for acute cough in most cases is unlikely to affect management or outcome [7,8]. In the absence of alarming features to suggest pneumonia (fever, tachypnea, tachycardia, or findings of consolidation in chest exam), the American College of Chest Physicians recommends against obtaining CXR for acute cough [9].…”

Section: Discussionmentioning

confidence: 99%

In with acute bronchitis; out with duodenal perforation: the potentially harmful cascade of over-testing. A case report

Dhaliwal

Malkhasyan

2018

Journal of Community Hospital Internal Medicine Perspectives

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Overutilization of diagnostic imaging can lead to unnecessary interventions and subsequently can jeopardize patient safety. When ordered, the results of these images should always be interpreted in the appropriate clinical context taking into consideration the patient clinical presentation and the natural history of the diseases which are being investigated. We presented a case that demonstrates for the practicing physicians how violating these two notions can lead ultimately to patient harm.

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Chest radiographs for acute lower respiratory tract infections

Cited by 39 publications

References 28 publications

Chest CT findings of early and progressive phase COVID-19 infection from a US patient

Chest CT findings of early and progressive phase COVID-19 infection from a US patient

Global Emergency Medicine: A Review of the Literature From 2013

In with acute bronchitis; out with duodenal perforation: the potentially harmful cascade of over-testing. A case report

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