Re: a British Society of Thoracic Imaging statement: considerations in designing local imaging diagnostic algorithms for the COVID-19 pandemic

Khan, Taha; López, T N; Ali, Azzat; Syed, Sabeeh; Patil, Parag G.; Hatoum, Adam

doi:10.1016/j.crad.2020.05.009

Cited by 2 publications

(5 citation statements)

References 4 publications

(4 reference statements)

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“…A good resource is the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines; however, it is important to note that their recommendations have not been validated to reduce the occurrence and severity of AKI in COVID-19 patients. 41 One of their important recommendations is to restore normal volume status since many of these patients present with hypovolemia secondary to fever and decrease intake while avoiding volume overload and thus reducing the risk of pulmonary edema, right ventricular overload, congestion, and subsequent AKI. 41 If conservative management fails, consider renal replacement therapy (RRT) in patients with volume overload, especially those with refractory hypoxemia where available.…”

Section: Case Managementmentioning

confidence: 99%

“…41 One of their important recommendations is to restore normal volume status since many of these patients present with hypovolemia secondary to fever and decrease intake while avoiding volume overload and thus reducing the risk of pulmonary edema, right ventricular overload, congestion, and subsequent AKI. 41 If conservative management fails, consider renal replacement therapy (RRT) in patients with volume overload, especially those with refractory hypoxemia where available. 41 In patients with COVID-19 and AKI, early initiation of RRT seems to provide adequate organ support and prevent the progression of disease severity.…”

Section: Case Managementmentioning

confidence: 99%

“…41 If conservative management fails, consider renal replacement therapy (RRT) in patients with volume overload, especially those with refractory hypoxemia where available. 41 In patients with COVID-19 and AKI, early initiation of RRT seems to provide adequate organ support and prevent the progression of disease severity. Continuous RRT (CRRT) is the preferred modality in hemodynamically unstable patients with COVID-19.…”

Section: Case Managementmentioning

confidence: 99%

“…Continuous RRT (CRRT) is the preferred modality in hemodynamically unstable patients with COVID-19. 41 Given the possible need for resourceintense therapy in COVID-19 patients ranging from a high level of monitoring in both nursing and labs and high technological therapies such as ventilation and CRRT, it is essential for hospitals in LMIC to create a model such as the Multi-principle Allocation Framework to decide a priori how to allocate the limited resources. 24,25…”

Section: Case Managementmentioning

confidence: 99%

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Expanding current guidelines for management of COVID-19 focusing on low- and middle-income countries

Fonseca

Urbina²,

Bhutta³

2022

J. Public Health Afr.

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Within a short time, Coronavirus disease 2019 (COVID-19) has evolved into a pandemic spreading at a speed and scale that has been able to overwhelm even the most advanced health care systems quickly. Multiple guidelines published by organizations such as the WHO and US’ CDC address the response to COVID-19 at the international, national, and local levels. Although these guidelines are meant to be globally accessible, implementing them is a challenge given the variability in the health care systems worldwide between low- and middleincome countries (LMIC) and high-income countries and even amongst different regions within each LMIC. We have chosen to evaluate the current guidelines focusing on LMIC and expand on the guidelines as necessary.

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Section: Case Managementmentioning

confidence: 99%

Section: Case Managementmentioning

confidence: 99%

Section: Case Managementmentioning

confidence: 99%

Section: Case Managementmentioning

confidence: 99%

See 2 more Smart Citations

Expanding current guidelines for management of COVID-19 focusing on low- and middle-income countries

Fonseca

Urbina²,

Bhutta³

2022

J. Public Health Afr.

View full text Add to dashboard Cite

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“…The British Society of Thoracic Imaging (BSTI) has also recommended that a combination of clinical, laboratory and portable chest X-ray (CXRP) findings could be used to triage patients with a suspicion of COVID-19 in line with hospital admission recommendations, and CT should be reserved for more challenging scenarios (Khan et al, 2020). In specific clinical situations, the Ministry of Saudi health (MOH) advised that portable chest radiography is recommended for easy cleaning portable machine and slight risk for contamination (HEALTH, 2020).…”

Section: Introductionmentioning

confidence: 99%

Is the Portable Chest Radiographic More Reliable to Reveal Covid19 in Highly Suspicion Patient before Real-Time Reverse Transcription Polymerase Chain Reaction (RT-PCR) Test?

Albazi¹,

Albaz

Alqahtani³

et al. 2021

ijirms

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A large number of patients with coronavirus disease 2019 (COVID-19) present at hospitals. There are a limited number of isolation rooms open, and patients must often wait a long time to get a reverse transcription-polymerase chain reaction (RT-PCR) test done. This necessitates the introduction of effective triage plans. A patient with suspicions is referred to an emergency room (ED) depending on their medical record for a simple physical assessment, blood test findings, and chest imaging.A retrospective study design was conduct at Prince Sultan Medical Military City (PSMMC). Ethical approval was obtained from the institutional board to wave the consent forms since it is a retrospective study. Only the primary investigator has had the data access to the patients’ medical records. The collected patient records were under specific categories, including symptoms score starts from 5 and above, RT-PCR test result done after CXRP imaging, the patient admitted to the emergency department (ED). Excluding all CXRP done after RT-PCR TEST, positive Covid 19 admitted to the intensive care unit (ICU), pediatric patients, and patients with score symptoms were less than five. Two experienced radiologists reviewed the images blindly, and the inter-observer reliability of observations noted by the radiologists was calculated. As for the relationship between the x-ray reading and the RT-PCR test result, our results showed a high correlation between the variables (chi-square χ² = 12.44, with df =1, and p<0.001). The sensitivity of x-ray diagnosing covid19 was 65.52 %, while the specificity was 54.51 %, and the accuracy of radiologists reading was 58.17 %. Furthermore, the positive predictive value (PPV) was 41.76 %, and the negative predictive value (NPV) was 76.05%. Finally, the false positive rate (type-i error (alpha) was 45.49%, and the false-negative rate (type-ii error (beta) was 34.48% Our research findings show that CXRP imaging can detect COVID-19 infection in symptomatic patients and can be a valuable addition to RT-PCR testing. In an inpatient ED environment where availability of test kits, laboratory equipment, and laboratory personnel is compromised and risks delaying patient treatment and hospital workflow, serial CXRP could theoretically be used as an adjunct diagnostic function and monitoring in patients suspected of having COVID-19.

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Re: a British Society of Thoracic Imaging statement: considerations in designing local imaging diagnostic algorithms for the COVID-19 pandemic

Abstract: Clinical Radiology j o u r n a l h o m e p a g e : w w w. c l i n i c a l ra d i o l og y o nl i n e. n e t Clinical Radiology xxx (xxxx) xxx

Cited by 2 publications

References 4 publications

Expanding current guidelines for management of COVID-19 focusing on low- and middle-income countries

Expanding current guidelines for management of COVID-19 focusing on low- and middle-income countries

Is the Portable Chest Radiographic More Reliable to Reveal Covid19 in Highly Suspicion Patient before Real-Time Reverse Transcription Polymerase Chain Reaction (RT-PCR) Test?

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