First comes the A, then the B: what we learned from the COVID-19 outbreak.
Betacoronavirus
/ isolation & purification
COVID-19
Cause of Death
Coronavirus Infections
/ diagnosis
Humans
Italy
/ epidemiology
Lung
/ diagnostic imaging
Pandemics
Pneumonia, Viral
/ diagnosis
Reproducibility of Results
Respiratory Insufficiency
/ etiology
SARS-CoV-2
Sensitivity and Specificity
Ultrasonography
/ methods
Accuracy
COVID-19
Lung ultrasound
Rule out
Sensitivity
Journal
European journal of internal medicine
ISSN: 1879-0828
Titre abrégé: Eur J Intern Med
Pays: Netherlands
ID NLM: 9003220
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
01
06
2020
revised:
20
06
2020
accepted:
25
06
2020
pubmed:
6
7
2020
medline:
30
9
2020
entrez:
5
7
2020
Statut:
ppublish
Résumé
The SARS-CoV-2 epidemic, which has spread to many countries around the world, has hit Europe particularly hard. From our point of view, in a rural emergency department (with an annual patient census of around 25,000) in northeastern Italy, it is necessary to preserve the hospital and prevent it from becoming an outbreak of infection. In our experience, we reevaluated the negative predictive value of lung ultrasound to rule out lung involvement. Since severe acute respiratory failure appears to be the leading cause of death for COVID-19 patients, it is essential to focus on this clinical feature. We currently believe that a patient suspected of COVID-19, if he has a normal ultrasound examination (a so-called "A-profile"), can be discharged home to continue isolation and be treated without being hospitalized.
Identifiants
pubmed: 32620500
pii: S0953-6205(20)30276-4
doi: 10.1016/j.ejim.2020.06.031
pmc: PMC7321044
pii:
doi:
Types de publication
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
108-110Informations de copyright
Copyright © 2020 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest Nothing to declare for all authors.
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