Serveur d'exploration sur la COVID en France

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Patients with Initial Negative RT-PCR and Typical Imaging of COVID-19: Clinical Implications.

Identifieur interne : 000973 ( Main/Exploration ); précédent : 000972; suivant : 000974

Patients with Initial Negative RT-PCR and Typical Imaging of COVID-19: Clinical Implications.

Auteurs : Florent Baicry [France] ; Pierrick Le Borgne [France] ; Thibaut Fabacher [France] ; Martin Behr [France] ; Elena Laura Lemaitre [France] ; Paul-Albert Gayol [France] ; Sébastien Harscoat [France] ; Nirvan Issur [France] ; Sabrina Garnier-Kepka [France] ; Mickael Ohana [France] ; Pascal Bilbault [France] ; Mathieu Oberlin [France]

Source :

RBID : pubmed:32962092

Abstract

The sensitivity of reverse transcriptase polymerase chain reaction (RT-PCR) has been questioned due to negative results in some patients who were strongly suspected of having coronavirus disease 2019 (COVID-19). The aim of our study was to analyze the prognosis of infected patients with initial negative RT-PCR in the emergency department (ED) during the COVID-19 outbreak. This study included two cohorts of adult inpatients admitted into the ED. All patients who were suspected to be infected with SARS-CoV-2 and who underwent a typical chest CT imaging were included. Thus, we studied two distinct cohorts: patients with positive RT-PCR (PCR+) and those with negative initial RT-PCR (PCR-). The data were analyzed using Bayesian methods. We included 66 patients in the PCR- group and 198 in the PCR+ group. The baseline characteristics did not differ except in terms of a proportion of lower chronic respiratory disease in the PCR- group. We noted a less severe clinical presentation in the PCR- group (lower respiratory rate, lower oxygen need and mechanical ventilation requirement). Hospital mortality (9.1% vs. 9.6%) did not differ between the two groups. Despite an initially less serious clinical presentation, the mortality of patients infected by SARS-CoV-2 with a negative RT-PCR did not differ from those with positive RT-PCR.

DOI: 10.3390/jcm9093014
PubMed: 32962092


Affiliations:


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Le document en format XML

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<name sortKey="Oberlin, Mathieu" sort="Oberlin, Mathieu" uniqKey="Oberlin M" first="Mathieu" last="Oberlin">Mathieu Oberlin</name>
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<idno type="ISSN">2077-0383</idno>
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<date when="2020" type="published">2020</date>
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<div type="abstract" xml:lang="en">The sensitivity of reverse transcriptase polymerase chain reaction (RT-PCR) has been questioned due to negative results in some patients who were strongly suspected of having coronavirus disease 2019 (COVID-19). The aim of our study was to analyze the prognosis of infected patients with initial negative RT-PCR in the emergency department (ED) during the COVID-19 outbreak. This study included two cohorts of adult inpatients admitted into the ED. All patients who were suspected to be infected with SARS-CoV-2 and who underwent a typical chest CT imaging were included. Thus, we studied two distinct cohorts: patients with positive RT-PCR (PCR+) and those with negative initial RT-PCR (PCR-). The data were analyzed using Bayesian methods. We included 66 patients in the PCR- group and 198 in the PCR+ group. The baseline characteristics did not differ except in terms of a proportion of lower chronic respiratory disease in the PCR- group. We noted a less severe clinical presentation in the PCR- group (lower respiratory rate, lower oxygen need and mechanical ventilation requirement). Hospital mortality (9.1% vs. 9.6%) did not differ between the two groups. Despite an initially less serious clinical presentation, the mortality of patients infected by SARS-CoV-2 with a negative RT-PCR did not differ from those with positive RT-PCR.</div>
</front>
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<MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM">
<PMID Version="1">32962092</PMID>
<DateRevised>
<Year>2020</Year>
<Month>09</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Print">2077-0383</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>9</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2020</Year>
<Month>Sep</Month>
<Day>18</Day>
</PubDate>
</JournalIssue>
<Title>Journal of clinical medicine</Title>
<ISOAbbreviation>J Clin Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Patients with Initial Negative RT-PCR and Typical Imaging of COVID-19: Clinical Implications.</ArticleTitle>
<ELocationID EIdType="pii" ValidYN="Y">E3014</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.3390/jcm9093014</ELocationID>
<Abstract>
<AbstractText>The sensitivity of reverse transcriptase polymerase chain reaction (RT-PCR) has been questioned due to negative results in some patients who were strongly suspected of having coronavirus disease 2019 (COVID-19). The aim of our study was to analyze the prognosis of infected patients with initial negative RT-PCR in the emergency department (ED) during the COVID-19 outbreak. This study included two cohorts of adult inpatients admitted into the ED. All patients who were suspected to be infected with SARS-CoV-2 and who underwent a typical chest CT imaging were included. Thus, we studied two distinct cohorts: patients with positive RT-PCR (PCR+) and those with negative initial RT-PCR (PCR-). The data were analyzed using Bayesian methods. We included 66 patients in the PCR- group and 198 in the PCR+ group. The baseline characteristics did not differ except in terms of a proportion of lower chronic respiratory disease in the PCR- group. We noted a less severe clinical presentation in the PCR- group (lower respiratory rate, lower oxygen need and mechanical ventilation requirement). Hospital mortality (9.1% vs. 9.6%) did not differ between the two groups. Despite an initially less serious clinical presentation, the mortality of patients infected by SARS-CoV-2 with a negative RT-PCR did not differ from those with positive RT-PCR.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Baicry</LastName>
<ForeName>Florent</ForeName>
<Initials>F</Initials>
<Identifier Source="ORCID">0000-0002-0534-0122</Identifier>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Le Borgne</LastName>
<ForeName>Pierrick</ForeName>
<Initials>P</Initials>
<Identifier Source="ORCID">0000-0001-9141-6439</Identifier>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative NanoMedicine (RNM), Fédération de Médecine Translationnelle (FMTS), University of Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fabacher</LastName>
<ForeName>Thibaut</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>ICube, équipe IMAGeS, UMR7357, Université de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Behr</LastName>
<ForeName>Martin</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lemaitre</LastName>
<ForeName>Elena Laura</ForeName>
<Initials>EL</Initials>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gayol</LastName>
<ForeName>Paul-Albert</ForeName>
<Initials>PA</Initials>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Harscoat</LastName>
<ForeName>Sébastien</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Issur</LastName>
<ForeName>Nirvan</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Garnier-Kepka</LastName>
<ForeName>Sabrina</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ohana</LastName>
<ForeName>Mickael</ForeName>
<Initials>M</Initials>
<Identifier Source="ORCID">0000-0003-0179-5784</Identifier>
<AffiliationInfo>
<Affiliation>Radiology Department, Nouvel Hôpital Civil, Strasbourg University Hospital, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bilbault</LastName>
<ForeName>Pascal</ForeName>
<Initials>P</Initials>
<Identifier Source="ORCID">0000-0003-0904-4600</Identifier>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>INSERM (French National Institute of Health and Medical Research), UMR 1260, Regenerative NanoMedicine (RNM), Fédération de Médecine Translationnelle (FMTS), University of Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Oberlin</LastName>
<ForeName>Mathieu</ForeName>
<Initials>M</Initials>
<Identifier Source="ORCID">0000-0002-3419-5307</Identifier>
<AffiliationInfo>
<Affiliation>Emergency Department, Hôpitaux Universitaires de Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>HuManiS Laboratory (EA7308), Ecole de Management (EM), University of Strasbourg, 67000 Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>09</Month>
<Day>18</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Switzerland</Country>
<MedlineTA>J Clin Med</MedlineTA>
<NlmUniqueID>101606588</NlmUniqueID>
<ISSNLinking>2077-0383</ISSNLinking>
</MedlineJournalInfo>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Bayesian analysis</Keyword>
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">clinical management</Keyword>
<Keyword MajorTopicYN="N">reverse transcriptase polymerase chain reaction</Keyword>
</KeywordList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="received">
<Year>2020</Year>
<Month>08</Month>
<Day>11</Day>
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<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>09</Month>
<Day>07</Day>
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<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>09</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2020</Year>
<Month>9</Month>
<Day>23</Day>
<Hour>1</Hour>
<Minute>3</Minute>
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<Month>9</Month>
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<Hour>6</Hour>
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<Year>2020</Year>
<Month>9</Month>
<Day>24</Day>
<Hour>6</Hour>
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<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Alsace (région administrative)</li>
<li>Grand Est</li>
</region>
<settlement>
<li>Strasbourg</li>
</settlement>
<orgName>
<li>Université de Strasbourg</li>
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</list>
<tree>
<country name="France">
<region name="Grand Est">
<name sortKey="Baicry, Florent" sort="Baicry, Florent" uniqKey="Baicry F" first="Florent" last="Baicry">Florent Baicry</name>
</region>
<name sortKey="Behr, Martin" sort="Behr, Martin" uniqKey="Behr M" first="Martin" last="Behr">Martin Behr</name>
<name sortKey="Bilbault, Pascal" sort="Bilbault, Pascal" uniqKey="Bilbault P" first="Pascal" last="Bilbault">Pascal Bilbault</name>
<name sortKey="Bilbault, Pascal" sort="Bilbault, Pascal" uniqKey="Bilbault P" first="Pascal" last="Bilbault">Pascal Bilbault</name>
<name sortKey="Fabacher, Thibaut" sort="Fabacher, Thibaut" uniqKey="Fabacher T" first="Thibaut" last="Fabacher">Thibaut Fabacher</name>
<name sortKey="Garnier Kepka, Sabrina" sort="Garnier Kepka, Sabrina" uniqKey="Garnier Kepka S" first="Sabrina" last="Garnier-Kepka">Sabrina Garnier-Kepka</name>
<name sortKey="Gayol, Paul Albert" sort="Gayol, Paul Albert" uniqKey="Gayol P" first="Paul-Albert" last="Gayol">Paul-Albert Gayol</name>
<name sortKey="Harscoat, Sebastien" sort="Harscoat, Sebastien" uniqKey="Harscoat S" first="Sébastien" last="Harscoat">Sébastien Harscoat</name>
<name sortKey="Issur, Nirvan" sort="Issur, Nirvan" uniqKey="Issur N" first="Nirvan" last="Issur">Nirvan Issur</name>
<name sortKey="Le Borgne, Pierrick" sort="Le Borgne, Pierrick" uniqKey="Le Borgne P" first="Pierrick" last="Le Borgne">Pierrick Le Borgne</name>
<name sortKey="Le Borgne, Pierrick" sort="Le Borgne, Pierrick" uniqKey="Le Borgne P" first="Pierrick" last="Le Borgne">Pierrick Le Borgne</name>
<name sortKey="Lemaitre, Elena Laura" sort="Lemaitre, Elena Laura" uniqKey="Lemaitre E" first="Elena Laura" last="Lemaitre">Elena Laura Lemaitre</name>
<name sortKey="Oberlin, Mathieu" sort="Oberlin, Mathieu" uniqKey="Oberlin M" first="Mathieu" last="Oberlin">Mathieu Oberlin</name>
<name sortKey="Oberlin, Mathieu" sort="Oberlin, Mathieu" uniqKey="Oberlin M" first="Mathieu" last="Oberlin">Mathieu Oberlin</name>
<name sortKey="Ohana, Mickael" sort="Ohana, Mickael" uniqKey="Ohana M" first="Mickael" last="Ohana">Mickael Ohana</name>
</country>
</tree>
</affiliations>
</record>

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