Características clínicas y hallazgos en tomografía computarizada de tórax en pacientes con COVID-19
| datacite.rights | http://purl.org/coar/access_right/c_abf2 | eng |
| dc.contributor.author | Vivas, Juan Diego | spa |
| dc.contributor.author | Ramírez, Adrian | spa |
| dc.contributor.author | Rolón, Fredy | spa |
| dc.contributor.author | Sánchez, José Vicente | spa |
| dc.contributor.author | Oses, Alejandro | spa |
| dc.contributor.author | Sánchez, Mario | spa |
| dc.contributor.author | Medina-Ortiz, Oscar | spa |
| dc.date.accessioned | 2021-08-09T22:18:59Z | |
| dc.date.available | 2021-08-09T22:18:59Z | |
| dc.date.issued | 2021 | |
| dc.description.abstract | La pandemia generada por el COVID-19 ha generado un enorme costo médico y socioeconómico, que ha llevado al campo científico y a las distintas asociaciones médicas a poner a disposición todos sus recursos para encontrar una solución pronta para afrontar esta patología. El objetivo de la presente revisión es describir las características clínicas y hallazgos en tomografía computarizada de tórax más relevantes en pacientes con COVID-19; mediante la identificación de artículos científicos en bases de datos. Se incluyeron 15 estudios que cumplían con los criterios de inclusión definidos por los autores. Los hallazgos más relevantes nos muestran que el SARS-CoV-2 tiene una transmisión rápida y generalizada; con afectación de múltiples sistemas, pero con un predominio del tracto respiratorio. La mayoría de los pacientes presentan síntomas leves; las principales manifestaciones son fiebre, tos, dificultad para respirar, dolor muscular, dolor de cabeza, etc. Los pacientes que presentan una enfermedad más grave y requieren ingreso a UCI presentan una edad mayor y más comorbilidad respecto a la población general. Las actuales recomendaciones del colegio americano de radiología para el uso de TC de tórax proponen reservarla para pacientes hospitalizados cuando sea necesario determinar su tratamiento. En conclusión, debido a la gran variedad de manifestaciones clínicas y la afectación de múltiples órganos, no existen características clínicas específicas que permitan distinguir el COVID-19 a otras infecciones respiratorias de etiología viral. | spa |
| dc.description.abstract | The pandemic generated by COVID-19 has generated an enormous medical and socioeconomic cost, which has led the scientific field and the different medical associations to make all their resources available to find a prompt solution to face this pathology. The objective of this review is to describe the most relevant clinical characteristics and chest computed tomography findings in patients with COVID-19; By identifying scientific articles in databases. Fifteen studies were included that met the inclusion criteria defined by the authors. The most relevant findings show us that SARS-CoV-2 has a rapid and generalized transmission, with the involvement of multiple systems, but with a predominance of the respiratory tract. Most patients have mild symptoms; the main manifestations are fever, cough, shortness of breath, muscle pain, headache, etc. Patients with more severe diseases and requiring admission to the ICU are older and have more comorbidity compared to the general population. The current recommendations of the American College of Radiology for the use of chest CT, we propose to reserve it for hospitalized patients when it is necessary to determine their treatment. In conclusion, due to the great variety of clinical manifestations and the involvement of multiple organs, there are no specific clinical characteristics that allow distinguishing COVID-19 from other respiratory infections of viral etiology. | eng |
| dc.format.mimetype | spa | |
| dc.identifier.doi | https://doi.org/10.47307/GMC.2021.129.2.9 | |
| dc.identifier.issn | 27390012 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/8112 | |
| dc.language.iso | spa | spa |
| dc.publisher | Universidad Central de Venezuela | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | eng |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | eng |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.source | Gaceta Médica de Caracas | spa |
| dc.source | Vol. 129, No.2 (2021) | |
| dc.subject | SARS-CoV-2 | spa |
| dc.subject | COVID-19 | spa |
| dc.subject | Tomografía computarizada de tórax | spa |
| dc.subject | Computed tomography of the chest | eng |
| dc.title | Características clínicas y hallazgos en tomografía computarizada de tórax en pacientes con COVID-19 | spa |
| dc.title.translated | Clinical characteristics and findings on computed tomography of the thorax in patients with COVID-19 | spa |
| dc.type.driver | info:eu-repo/semantics/article | eng |
| dc.type.spa | Artículo científico | spa |
| dcterms.references | Dhama K, Khan S, Tiwari R, Sircar S, Bhat S, Malik YS, et al. Coronavirus Disease 2019-COVID-19. Clin Microbiol Rev. 2020;33(4). | eng |
| dcterms.references | Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579(7798):270-273 | eng |
| dcterms.references | Chagla Z, Hota S, Khan S, Mertz D, International H, Community Epidemiology G. Airborne transmission of COVID-19. Clinical Infect Dis: An official publication of the Infect Dis Soc Am. 2020 | eng |
| dcterms.references | Chams N, Chams S, Badran R, Shams A, Araji A, Raad M, et al. COVID-19: A Multidisciplinary Review. Front Public Health. 2020;8:383. | eng |
| dcterms.references | Jutzeler CR, Bourguignon L, Weis CV, Tong B, Wong C, Rieck B, et al. Comorbidities, clinical signs and symptoms, laboratory findings, imaging features, treatment strategies, and outcomes in adult and pediatric patients with COVID-19: A systematic review and meta-analysis. Travel Med Infec Dis. 2020;37:101825. | eng |
| dcterms.references | Hu Z, Song C, Xu C, Jin G, Chen Y, Xu X, et al. Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China. Sci China Life Sci. 2020;63(5):706-711 | eng |
| dcterms.references | Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel Coronavirus from patients with pneumonia in China, 2019. N Eng J Med. 2020;382(8):727-733 | eng |
| dcterms.references | Tian S, Hu N, Lou J, Chen K, Kang X, Xiang Z, et al. Characteristics of COVID-19 infection in Beijing. J Infec. 2020;80(4):401-406. | eng |
| dcterms.references | Gil-Rodrigo A, Miro O, Pinera P, Burillo-Putze G, Jimenez S, Martin A, et al. Analysis of clinical characteristics and outcomes in patients with COVID-19 based on a series of 1 000 patients treated in Spanish emergency departments. Emergencias: Rev Soc Esp Med Emerg. 2020;32(4):233-241. | eng |
| dcterms.references | Arons MM, Hatfield KM, Reddy SC, Kimball A, James A, Jacobs JR, et al. Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility. N Engl J Med. 2020;382(22):2081-2090. | eng |
| dcterms.references | Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet. 2020;395(10223):507-513. | eng |
| dcterms.references | Marín-Sánchez A. Características clínicas básicas en los primeros 100 casos fatales de COVID-19 en Colombia. Rev Panam Salud Pub. 2020;44(e87):1-4. | spa |
| dcterms.references | Kim GU, Kim MJ, Ra SH, Lee J, Bae S, Jung J, et al. Clinical characteristics of asymptomatic and symptomatic patients with mild COVID-19. Clinical microbiology and infection: The official publication of the Eur Soc Clin Microbiol Infect Dis. 2020;26(7):948 e1- e3. | eng |
| dcterms.references | Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of Coronavirus disease 2019 in China. N Eng J Med. 2020;382(18):1708- 1720. | eng |
| dcterms.references | Ke C, Yu C, Yue D, Zeng X, Hu Z, Yang C. Clinical characteristics of confirmed and clinically diagnosed patients with 2019 novel coronavirus pneumonia: A single-center, retrospective, case-control study. Med Clin. 2020;155(8):327-334. | eng |
| dcterms.references | Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, Zhang N, et al. Chest CT Findings in Coronavirus disease-19 (COVID-19): Relationship to duration of infection. Radiology. 2020;295(3):200463. | eng |
| dcterms.references | Zhao W, Zhong Z, Xie X, Yu Q, Liu J. Relation between chest CT findings and clinical conditions of Coronavirus disease (COVID-19) Pneumonia: A Multicenter Study. Am J Roentgenol. 2020;214(5):1072-1077. | eng |
| dcterms.references | Han X, Cao Y, Jiang N, Chen Y, Alwalid O, Zhang X, et al. Novel Coronavirus disease 2019 (COVID-19) Pneumonia Progression Course in 17 discharged patients: Comparison of Clinical and Thin-Section computed tomography features during recovery. Clin Infect Dis: An official publication of the Infect Dis Soc Am. 2020;71(15):723-731. | eng |
| dcterms.references | Pan F, Ye T, Sun P, Gui S, Liang B, Li L, et al. Time course of lung changes at chest CT during recovery from Coronavirus disease 2019 (COVID-19). Radiology. 2020;295(3):715-721. | eng |
| dcterms.references | Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: A descriptive study. Lancet Infect Dis. 2020;20(4):425-434. | eng |
| dcterms.references | Bai HX, Hsieh B, Xiong Z, Halsey K, Choi JW, Tran TML, et al. Performance of radiologists in differentiating COVID-19 from Non- COVID-19 Viral Pneumonia at Chest CT. Radiology. 2020;296(2):E46-E54 | eng |
| dcterms.references | Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. 2020;296(2):E32-E40 | eng |
| dcterms.references | Perlman S. Another Decade, Another Coronavirus. N Engl J Med. 2020;382(8):760-762. | eng |
| dcterms.references | Meyerowitz EA, Richterman A, Gandhi RT, Sax PE. Transmission of SARS-CoV-2: A Review of Viral, Host, and Environmental Factors. Ann Internal Med. 2020. | eng |
| dcterms.references | Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: A study of a family cluster. Lancet. 2020;395(10223):514-523 | eng |
| dcterms.references | Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet. 2020;395(10229):1054-1062. | eng |
| dcterms.references | Chau NVV, Thanh Lam V, Thanh Dung N, Yen LM, Minh NNQ, Hung LM, et al. The natural history and transmission potential of asymptomatic SARS-CoV-2 infection. Clin Infect Dis: An official publication of the Infect Dis Soc Am. 2020. | eng |
| dcterms.references | Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel Coronavirus-infected pneumonia. N Engl J Med. 2020;382(13):1199-207. | eng |
| dcterms.references | Verity R, Okell LC, Dorigatti I, Winskill P, Whittaker C, Imai N, et al. Estimates of the severity of coronavirus disease 2019: A model-based analysis. Lancet Infect Dis. 2020;20(6):669-677. | eng |
| dcterms.references | Onder G, Rezza G, Brusaferro S. Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA. 2020;323(18):1775-1776. | eng |
| dcterms.references | Meyerowitz-Katz G, Merone L. A systematic review and meta-analysis of published research data on COVID-19 infection fatality rates. International J Infec Dis: Official publication of the International Society for Infectious Diseases. 2020;101:138-148. | eng |
| dcterms.references | Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, et al. Risk factors associated with acute respiratory distress syndrome and death in patients with Coronavirus disease 2019 Pneumonia in Wuhan, China. JAMA Internal Med. 2020;180(7):934-943 | eng |
| dcterms.references | Liao D, Zhou F, Luo L, Xu M, Wang H, Xia J, et al. Haematological characteristics and risk factors in the classification and prognosis evaluation of COVID-19: a retrospective cohort study. Lancet Haematol. 2020;7(9):e671-e8. | eng |
| dcterms.references | Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M, et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA - Secondary Publication. J Thorac Imaging. 2020;35(4):219-227. | eng |
| dcterms.references | Bao C, Liu X, Zhang H, Li Y, Liu J. Coronavirus Disease 2019 (COVID-19) CT Findings: A Systematic Review and Meta-analysis. J Am Coll Radiol. 2020;17(6):701-709. | eng |
| dcterms.references | Salameh JP, Leeflang MM, Hooft L, Islam N, McGrath TA, van der Pol CB, et al. Thoracic imaging tests for the diagnosis of COVID-19. The Cochrane Database of Systematic Rev. 2020;9:CD013639. | eng |
| oaire.version | info:eu-repo/semantics/publishedVersion | eng |