Ultrasound Studies of COVID-19-Positive Patients and Patient Under Investigation: Pandemic Experience of Body Imaging Division at a Tertiary Medical Center.
Ultrasound Q
; 37(3): 254-260, 2021 Sep 01.
Article
in English
| MEDLINE | ID: covidwho-1393538
ABSTRACT
ABSTRACT This retrospective study shares our departmental experience of screening of ultrasound (US) requests, triaging of studies, and abbreviated US protocols implemented during the COVID-19 pandemic. For US studies requested in April and May 2020, the following data were collected type of study, indication, COVID-19 status (positive or patient under investigation [PUI]), decision to perform study, US findings, and location of patient. A total of 196 US studies in 150 patients were included. The median age of patients was 60 years (female 46.7% [70/150]). At the time of study request, 83 patients (55.3%) were COVID-19-positive and 67 (44.7%) were PUI, of which 8 (11.9%) tested positive after waiting for test result. The most frequently requested study was venous extremity Doppler (51%), followed by right upper quadrant (20.4%), renal (11.7%), and liver duplex (6.6%). After radiologist screening and triage of US requests, 156 studies were performed (79.6%), 15 were postponed until COVID test result (7.6%), and 40 were not performed after discussion with ordering provider (20.4%). Notably, 40.1% of studies performed on COVID-19-positive patients yielded pathological findings, most frequently deep venous thrombosis (18.1%), medical renal disease (7.6%), and gall bladder sludge (5.7%). Abbreviated US protocols were used in 29.4% of studies. In conclusion, US study screening and triage played an important role to optimize care of COVID-19 patients and PUIs.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Ultrasonography, Doppler, Duplex
/
Venous Thrombosis
/
Pandemics
/
Tertiary Care Centers
/
SARS-CoV-2
/
COVID-19
Type of study:
Diagnostic study
/
Observational study
Topics:
Long Covid
Limits:
Adult
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Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Ultrasound Q
Journal subject:
Diagnostic Imaging
Year:
2021
Document Type:
Article
Affiliation country:
Ruq.0000000000000571
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