TY - JOUR T1 - The Role of Chest Computerized Tomography in Covıd-19 Diagnosis in Emergency Department Settings AU - Bekgöz, Burak AU - Kahraman, Fatih AU - Usul, Eren AU - Şahin, Ali AU - Şan, İshak PY - 2022 DA - May Y2 - 2021 DO - 10.19127/bshealthscience.1018935 JF - Black Sea Journal of Health Science JO - BSJ Health Sci. PB - Karyay Karadeniz Yayımcılık Ve Organizasyon Ticaret Limited Şirketi WT - DergiPark SN - 2619-9041 SP - 162 EP - 167 VL - 5 IS - 2 LA - en AB - In this study, the chest computed tomography (chest CT) findings of patients with suspected COVID-19 admitted to theemergency department were examined, and it was evaluated whether chest CT should be performed in each patient with suspectedCOVID-19. Patients with suspected COVID-19 and who had chest CT were included in the study. Swab samples were taken from thethroat and nose of the patients for RT-PCR. Chest CT was applied to the patients according to the physician's decision. A team of 5radiologists evaluated the chest CT reports. 251 patients were included in the study. In the chest CT of 154 patients (61.4%), findingscompatible with COVID-19 pneumonia were found. The number of patients who were found to have COVID-19 by PCR test result was138 (55.0%). The most common pneumonia finding was found to be ground glass (55.8%) Most of the patients had findings in bothlungs (25.9%). Less frequently, the right lung (23.1%) was affected. The least affected was the left lung (14.7%). The most frequentlyaffected part of the left lung was the lower lobe. In emergency services, the use of chest CT after the physical examination of thepatients with suspected lung involvement may be useful in the diagnosis of COVID-19. KW - COVID-19 RT-PCR Testing KW - Computed tomography KW - Pneumonia KW - Emergency department CR - Ai T, Yang Z, Hou H. 2020. Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiol, 296(2): E32-E40. CR - Anonymous. 2020a. Novel Coronavirus (2019-nCoV) - Situation report – 1, 21 Jan 2020. URL: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsn=20a99c10_4 (accessed date: March 10, 2021). CR - Anonymous. 2020b. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Geneva: WHO; 2020. URL: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov) (accessed date: March 10, 2021). CR - Anonymous. 2020c. Novel Coronavirus (2019-nCoV) - Situation report – 22, 11 Feb 2020. URL: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200211-sitrep-22-ncov.pdf?sfvrsn=fb6d49b1_2. (accessed date: March 10, 2021). CR - Anonymous. 2020d. Guidance W. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected: interim guidance, 28 January 2020. 5. World Health Organization. URL: https://apps.who.int/iris/handle/10665/330893. (Accessed: March 10, 2021). CR - Anonymous. 2020e. COVID-19 Clinical Care Guidance. URL: https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html. (accessed date: March 10, 2021). CR - Backer JA, Klinkenberg D, Wallinga J. 2020. Incubation period of 2019 novel coronavirus (2019-nCoV) infections among travellers from Wuhan, China, 20-28 January 2020. Euro Surveill, 25(5): 2000062. CR - Chen Z, Fan H, Cai J, Li Y, Wu B, Hou Y, Xu S, Zhou F, Liu Y, Xuan W, Hu H, Sun J. 2020a. High-resolution computed tomography manifestations of COVID-19 infections in patients of different ages. Eur J Radiol, 126: 108972. CR - Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y, Wang J, Liu Y, Wei Y, Xia J, Yu T, Zhang X, Zhang L. 2020b. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet, 395(10223): 507-513. CR - Chung M, Bernheim A, Mei X, Zhang N, Huang M, Zeng X, Cui J, Xu W, Yang Y, Fayad ZA, Jacobi A, Li K, Li S, Shan H. 2020. CT Imaging Features of 2019 Novel Coronavirus (2019-nCoV). Radiol, 295(1): 202-207. CR - Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, Hui DSC, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS. 2020. China medical treatment expert group for Covid-19. 2020. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med, 382(18): 1708-1720. CR - Liu K, Xu P, Lv W, Qiu X, Yao J, Gu J, Wei W. 2020. CT manifestations of coronavirus disease-2019: A retrospective analysis of 73 cases by disease severity. Eur J Radiol, 126: 108941. CR - Long C, Xu H, Shen Q, Zhang X, Fan B, Wang C, Zeng B, Li Z, Li X, Li H. 2020. Diagnosis of the Coronavirus disease (COVID-19): rRT-PCR or CT? Eur J Radiol, 126:108961. CR - Mo P, Xing Y, Xiao Y, Deng L, Zhao Q, Wang H, Xiong Y, Cheng Z, Gao S, Liang K, Luo M, Chen T, Song S, Ma Z, Chen X, Zheng R, Cao Q, Wang F, Zhang Y. 2020. Clinical characteristics of refractory COVID-19 pneumonia in Wuhan, China. Clin Infect Dis, 270. CR - Munster VJ, Koopmans M, van Doremalen N, van Riel D, de Wit E. 2020 A Novel Coronavirus Emerging in China - Key Questions for Impact Assessment. N Engl J Med, 382(8): 692-694. CR - Pan Y, Guan H, Zhou S, Wang Y, Li Q, Zhu T, Hu Q, Xia L. 2020. Initial CT findings and temporal changes in patients with the novel coronavirus pneumonia (2019-nCoV): a study of 63 patients in Wuhan, China. Eur Radiol, 30(6): 3306-3309. CR - Yang Y, Yang M, Shen C, Wang F, Yuan J, Li J, Zhang M, Wang Z, Xing L, Wei J, Peng L, Wong G, Zheng H, Wu W, Liao M, Feng K, Li J, Yang Q, Zhao J, Zhang Z, Liu L, Liu Y. 2020. Evaluating the accuracy of different respiratory specimens in the laboratory diagnosis and monitoring the viral shedding of 2019-nCoV infections. CellPress 1(3): 100061. UR - https://doi.org/10.19127/bshealthscience.1018935 L1 - https://dergipark.org.tr/tr/download/article-file/2062923 ER -