Literature Review: Effectiveness of Chest CT for Triage in the Emergency Departmet (ED) in Patients with Suspected COVID-19
Keywords:
Chest CT; triage; Emergency Department; COVID-19
Abstract
Background: COVID-19 is caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) virus. The spread of this virus is very fast, so patients come to the Emergency Department (ED) for examination. The initial examination was carried out by triage the patient using the RT-PCR method. Then, there are recent studies that Computed Tomography (CT) can be used as a triage tool and help in the early diagnosis of patients with suspected COVID-19.
Objectives: To determine chest CT for triage in the Emergency Department (ED) in patients with suspected COVID-19.
Method:Search for articles was conducted electronically using Google Scholar, Sience Direct, and PubMed databases. Article used from March 2020 to January 2021. Keywords in this article search used the keywords "chest CT" for "triage" and "emergency department" for "COVID-19" and "chest x-ray" for "triage" and "emergency department" for "COVID-19", thus getting 5 research articles reviewed.
Results: A chest CT that can be used as a triage tool based on the speed at which the chest CT results can be released depicting a confirmed COVID-19 patient in 60 minutes. Second, based on the sensitivity of chest CT there was 90.2% and according to chest CT instructions there was 89%.
Conclusion: Chest CT examination is very effective as the first triage in diagnosing patients with suspected COVID-19.
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Xie, X., Zheng, Z., Zhao, W., Zheng, C., Wang, F. & Liu, J. 2020, ‘Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing’, Journal of Department Radiology, vol. 58, no. 4, pp. 1–5.
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Bai, H., Cai, X. & Zhang, X. 2020, ‘A Comparison of PCR vs Immunoassay vs Crispr-Based Test’, Journal Hanbio Research Center, vol. 1, no. 1, pp. 51–9.
Bernheim, A., Mei, X., Huang, M., Yang, Y., Fayad, Z.A., Zhang, N., Diao, K., Lin, B., Zhu, X., Li, K., Li, S., Hong, S., Jacobi, A. & Chung, M. 2020, ‘Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration Infection’, Radiology, vol. 19, no. 3, pp. 1–19.
Caruso, D., Zerunian, M., Polici, M., Pucciarelli, F., Polidori, T., Rucci, C., Guido, G., Bracci, B., De Dominicis, C. & Laghi, A. 2020, ‘Chest CT Features of COVID-19 in Rome, Italy’, Radiology, vol. 296, no. 2, pp. 79–85.
Chen, H., Ai, L., Lu, H. & Li, H. 2020, ‘Clinical and Imaging Features of COVID-19’, Radiology of Infectious Diseases, vol. 7, no. 2, pp. 43–50.
Ducray, V., Vlachomitrou, A.S., Bouscambert-Duchamp, M., Si-Mohamed, S., Gouttard, S., Mansuy, A., Wickert, F., Sigal, A., Gaymard, A., Talbot, F., Michel, C., Perpoint, T., Pialat, J.B., Rouviere, O., Milot, L., Cotton, F., Douek, P., Rabilloud, M., Boussel, L., Argaud, L., Aubrun, F., Bohe, J., Bonnefoy, M., Chapurlat, R., Chassard, D., Chidiac, C., Chuzeville, M., Confavreux, C., Couraud, S., Devouassoux, G., Durieu, I., Fellahi, J.L., Gaujard, S., Hot, A., Krolak-Salmon, P., Lantelme, P., Lina, B., Luaute, J., Lukaszewicz, A.C., Martin-Gaujard, G., Mornex, J.F., Potinet, V., Rimmele, T., Rode, G., Sève, F.P. & Zoulim, F. 2020, ‘Chest CT for Rapid Triage of Patients in Multiple Emergency Departments During COVID-19 Epidemic: Experience Report from a Large French University Hospital’, European Radiology, vol. 27, no. 8.
Fang, Y., Zhang, H., Xie, J., Lin, M., Ying, L., Pang, P. & Ji, W. 2020, ‘Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR Yicheng’, Journal of Department Radiology, vol. 58, no. 3.
Hermans, J.J.R., Groen, J., Zwets, E., Boxma-De Klerk, B.M., Van Werkhoven, J.M., Ong, D.S.Y., Hanselaar, W.E.J.J., Waals-Prinzen, L. & Brown, V. 2020, ‘Chest CT for Triage During COVID-19 On The Emergency Department: Myth Or Truth?’, Emergency Radiology, vol. 27, no. 6, pp. 641–51.
Inui, S., Fujikawa, A., Jitsu, M., Kunishima, N., Watanabe, S., Suzuki, Y., Umeda, S. & Uwabe, Y. 2020, ‘Chest CT Findings in Cases from the Cruise Ship “Diamond Princess” with Coronavirus Disease 2019 (COVID-19’, Radiology, vol. 48, no. 4, pp. 528–45.
Jihad, F.. 2020, ‘Kesiapsiagaan Perawat Instalasi Gawat Darurat Terhasap Pandemi Coronavirus Disease (COVID-19): Literature Review’, Skripsi, p. Universitas Pendidikan Indonesia.
Kemenkes RI 2018, Peraturan Menteri KesehatanRepublik Indonesia Nomor 47 Tahun 2018 Tentang Pelayanan Kegawatdaruratan, Kementerian Kesehatan Republik Indonesia, Jakarta.
Kim, H.W., Capaccione, K.M., Li, G., Luk, L., Widemon, R.S., Rahman, O., Beylergil, V., Mitchell, R., D’Souza, B.M., Leb, J.S., Dumeer, S., Bentley-Hibbert, S., Liu, M., Jambawalikar, S., Austin, J.H.M. & Salvatore, M. 2020, ‘The Role of Initial Chest X-ray in Triaging Patients with Suspected COVID-19 During The Pandemic’, Emergency Radiology, vol. 27, no. 6, pp. 617–21.
Lieveld, A.W.E., Azijli, K., Teunissen, B.P., van Haaften, R.M., Kootte, R.S., van den Berk, I.A.H., van der Horst, S.F.B., de Gans, C., van de Ven, P.M. & Nanayakkara, P.W.B. 2020, ‘Chest CT in COVID-19 at The ED: Validation of the COVID-19 Reporting and Data System (CO-RADS) and CT Severity Score’, Chest, vol. 26, no. 11.
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?’, European Journal of Radiology, vol. 126, no. 2, pp. 1–5.
Miyake, S., Higurashi, T., Jono, T., Akimoto, T., Ogawa, F., Oi, Y., Tanaka, K., Hara, Y., Kobayashi, N., Kato, H., Yamashiro, T., Utsunomiya, D., Nakajima, A., Yamamoto, T., Maeda, S. & Kaneko, T. 2020, ‘Real-World Evaluation of a Computed Tomography-First Triage Strategy for Suspected Coronavirus Disease 2019 in Out Patients with Fever in Japan: An Observational Cohort Study’, Journal Yokohama City University, vol. 1, no. 1, pp. 1–16.
Skalidis, I., Nguyen, V.K., Bothorel, H., Poli, L., Costa, R.R.D., Younossian, A.B., Petriccioli, N. & Kherad, O. 2020, 'Unenhanced Computed Tomography (CT) Utility for Triage at The Emergency Department During COVID-19 Pandemic', American Journal of Emergency Medicine, vol. 30, no.7, pp. 1-6.
Wang, K., Kang, S., Tian, R., Zhang, X. & Wang, Y. 2020, ‘Imaging Manifestations and Diagnostic Value of Chest CT of Coronavirus Disease 2019 (COVID-19) in The Xiaogan Area’, Clinical Radiology, vol. 75, no. 5, pp. 341–7.
WHO 2020, Coronavirus Disease (COVID-19), World Health Organization.
Xie, X., Zheng, Z., Zhao, W., Zheng, C., Wang, F. & Liu, J. 2020, ‘Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing’, Journal of Department Radiology, vol. 58, no. 4, pp. 1–5.
Yang, W., Sirajuddin, A., Zhang, X., Liu, G., Teng, Z., Zhao, S. & Lu, M. 2020, ‘The role of imaging in 2019 novel coronavirus pneumonia (COVID-19)’, European Radiology, vol. 30, no. 9, pp. 4874–82
Published
2021-05-31
How to Cite
Lutfiyah, A., Purnawan, I., & Kamaluddin, R. (2021). Literature Review: Effectiveness of Chest CT for Triage in the Emergency Departmet (ED) in Patients with Suspected COVID-19. Journal of Bionursing, 3(2), 122-133. https://doi.org/10.20884/1.bion.2021.3.2.98
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