{Reference Type}: Journal Article
{Title}: Usefulness of chest X-rays for detecting COVID 19 pneumonia during the SARS-CoV-2 pandemic.
{Author}: Saez de Gordoa E;Portella A;Escudero-Fernández JM;Andreu Soriano J;
{Journal}: Radiologia (Engl Ed)
{Volume}: 64
{Issue}: 4
{Year}: Jul-Aug 2022
暂无{DOI}: 10.1016/j.rxeng.2021.11.003
{Abstract}: <B>OBJECTIVE: </B>To review the prognostic usefulness of chest X-rays in selecting patients with suspected SARS-CoV-2 infection.<BR><B>METHODS: </B>This cross-sectional descriptive observational study analyzed 978 patients with suspected SARS-CoV-2 infections who underwent chest X-ray examinations in the emergency department of a tertiary hospital in March 2020. We separately analyzed demographic, clinical, and prognostic variables in two groups of patients: those in whom reverse-transcriptase polymerase chain reaction (RT-PCR) was done (n = 535) and those in whom RT-PCR was not done because of low clinical suspicion (n = 443).<BR><B>RESULTS: </B>In the group of patients with RT-PCR, the prevalence of SARS-CoV-2 was 70.4%, and the sensitivity of chest X-rays was 62.8%. In the group of patients without RT-PCR, chest X-rays were negative in 97.5%, corroborating the low clinical suspicion; these patients were discharged, and 5.6% of them reconsulted with mild forms of the disease. In the group of patients with RT-PCR, we observed no statistically significant differences in the percentage of pathologic chest X-rays between patients hospitalized in the ICU (72.9%) and in those hospitalized in other wards (68.3%) (p = 0.22).<BR><B>CONCLUSIONS: </B>In the context of the pandemic, patients with low clinical suspicion and negative chest X-rays can be discharged with a low probability of reconsultation or of developing severe COVID19. In patients with RT-PCR positive for SARS-CoV-2, chest X-rays have no prognostic usefulness.