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2021, Number 3

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Rev Cub Med Mil 2021; 50 (3)

Clinical and radiological characterization of COVID-19 positive patients

Lovelle EOA, Machín CWJ, Pérez DM, Rodríguez AMÁ

Language: Spanish
References: 19
Page:
PDF size: 361.04 Kb.


ABSTRACT

Introduction: Since the emergence of the first cases of COVID-19 pandemic, a dizzying race has developed in creating a research space for the diagnosis, treatment and control of the disease.
Objective: To describe the clinical and radiological characteristics of patients with COVID-19.
Methods: A descriptive study was carried out, in the period from March to October 2020, 404 patients of all ages, admitted, with confirmed diagnosis with real-time PCR, were studied. The variables used were: age, sex, symptoms and chest X-ray.
Results: 54.5% of the patients were female and 55,9 % of them were asymptomatic, 36,9 % were between 40 and 59 years old, in those under 20 years 64,9 % were not. They presented symptoms of the disease upon admission 53,5 % were asymptomatic, 76,6 % of the positive radiographs corresponded to the symptomatic ones, coughing was the most frequent symptom. The greatest positivity in the chest X-ray was found in patients older than 60 years, the most frequent pattern was the opacity in the peripheral distribution veil.
Conclusions: Asymptomatic patients predominate, the positivity of radiographs is higher in the elderly.


REFERENCES

  1. Nair A, Rodrigues JCL, Hare S, Edey A, Devaraj A, Jacob J, et al. A British Society of Thoracic Imaging statement: considerations in designing local imaging diagnostic algorithms for the COVID-19 pandemic. Clin Radiol. 2020 [aceso: 20/02/2021]; 75(5):329-34. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128118/

  2. Zhang L, Guo H. Biomarkers of COVID-19 and technologies to combat SARS-CoV-2. Adv Biomark Sci Technol. 2020 [acceso: 12/02/2021]; 2:1-23. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7435336/

  3. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020 [acceso: 12/02/2021]; 323(11):1061-9. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/32031570/

  4. Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, et al. Coronavirus Disease 2019 (COVID-19): A Perspective from China. Radiology. 2020 [acceso: 02/02/2021];296(2):E2515-E2517. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/32083985/

  5. Yang Q, Liu Q, Xu H, Lu H, Liu S, Li H. Imaging of coronavirus disease 2019: A Chinese expert consensus statement. European Journal of Radiology. 2020 [acceso: 22/01/2021];127:109008. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165105/

  6. Toussie D, Voutsinas N, Finkelstein M, Cedillo MA, Manna S, Maron SZ, et al. Clinical and Chest Radiography Features Determine Patient Outcomes in Young and Middle-aged Adults with COVID-19. Radiology. 2020 [acceso: 22/01/2021];297(1):E197-E206. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/32407255/

  7. Sánchez Oro R, Torres Nuez J, Martínez Sanz G. La radiología en el diagnóstico de la neumonía por SARS-CoV-2 (COVID-19). Med Clin (Barc). 2020 [acceso: 22/01/2021];155(1):36-40. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128716/

  8. Villafuerte Delgado D, Ojeda Delgado L, Valladares Valle M, Díaz Yanes N, Yanes Isray O, Cerda Parra G. Aspectos imagenológicos útiles en el diagnóstico y seguimiento de pacientes con COVID-19. Medisur. 2020 [acceso: 22/01/2021];18(5): [aprox. 12 p.]. Disponible en: Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/4715

  9. Martínez Chamorro E, Díez Tascón A, Ibáñez Sanz L, Ossaba Vélez S, Borruel Nacenta S. Radiologic diagnosis of patients with COVID-19. Radiologia. 2021 [acceso: 14/02/2021];63(1):56-73. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7685043/#

  10. Ministerio de Salud Pública en Cuba. Archivo diario: Parte de cierre del día 22 de abril a las 12 de la noche. La Habana: Minsap; 2020. [acceso: 20/12/2020]. Disponible en: Disponible en: https://salud.msp.gob.cu/2020/04/23/

  11. Oran DP, Topol EJ. Prevalence of asymptomatic SARS-CoV-2 infection: A narrative Review. Ann Intern Med. 2020 [acceso: 20/01/2021]; 2020:1-6. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281624/pdf/aim-olf-M203012.pdf

  12. 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. The Lancet. Infectious Diseases. 2020 [acceso: 12/02/2021];20(4):425-34. Disponible en: Disponible en: https://www.thelancet.com/article/S1473-3099(20)30086-4/fulltext

  13. Ippolito D, Pecorelli A, Maino C, Capodaglio C, MarianiI, Giandola T, et al. Diagnostic impact of bedside chest X-ray features of 2019 novel coronavirus in the routine admission at the emergency department: case series from Lombardy region. European Journal of Radiology. 2020 [acceso: 20/12/2020];12:[aprox.12 p.]. Disponible en: Disponible en: https://www.ejradiology.com/article/S0720-048X%2820%2930281-3/fulltext

  14. 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 [acceso: 20/12/2020];395(10223):507-13. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/32007143/

  15. Borrero R, Marquez S, Triana G. Chest CT in coronavirus pandemic. Are there really age based radiological and clinical differences? Eur J Radiol. 2020 [acceso: 12/02/2021];129:109-7. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7832114/

  16. Aguirre Pascual E, Coca Robinot D, Gallego Herrero D, Navallas Irujo M, Rasero Ponferrada M, Pont Vilalta M. Radiografía de tórax pediátrica en la era COVID. Radiología. 2021 [acceso: 12/02/2021];63(2):106-14. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817389/

  17. Jacobi A, Chung M, Bernheim A, Eber C. Portable chest X-ray in coronavirus disease-19 (COVID-19): A pictorial review. Clin Imaging. 2020 [acceso: 12/02/2021];64:35-42. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141645/

  18. Teixeira e Silva Torres PP, Loureiro Irion K, Marchiori E. COVID-19: radiografia de tórax na predição de desfecho clínico. J. Bras. Pneumol. 2020 [acceso: 10/02/2021];46(5):e20200464. Disponible en: Disponible en: https://www.jornaldepneumologia.com.br/details/3441/pt-BR

  19. López Cabrera JD, Orozco Morales R, Portal Diaz JA, Lovelle Enríquez O, Pérez Díaz M. Current limitations to identify COVID-19 using artificial intelligence with chest X-ray imaging. Health and Technology. 2021 [acceso: 12/02/2021];11:411-24 Disponible en: Disponible en: https://link.springer.com/content/pdf/10.1007/s12553-021-00520-2.pdf




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