Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak-A Retrospective Case Series.
Identifieur interne : 000347 ( Main/Corpus ); précédent : 000346; suivant : 000348Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak-A Retrospective Case Series.
Auteurs : Sebastian Bergrath ; Olaf Aretz ; Hendrik Haake ; Adrian Ringelstein ; Ingo Greiffendorf ; Ullrich Graeven ; Jochen WindfuhrSource :
- BioMed research international [ 2314-6141 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Clinical Laboratory Techniques (methods), Coronavirus Infections (diagnosis), Coronavirus Infections (diagnostic imaging), Coronavirus Infections (epidemiology), Critical Illness (MeSH), Diagnosis, Differential (MeSH), Disease Outbreaks (MeSH), Emergency Service, Hospital (MeSH), False Negative Reactions (MeSH), Female (MeSH), Germany (epidemiology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (diagnosis), Pneumonia, Viral (diagnostic imaging), Pneumonia, Viral (epidemiology), RNA, Viral (genetics), RNA, Viral (isolation & purification), Real-Time Polymerase Chain Reaction (MeSH), Resuscitation (MeSH), Retrospective Studies (MeSH), Tomography, X-Ray Computed (MeSH), Triage (MeSH).
- MESH :
- chemical , genetics : RNA, Viral.
- geographic , epidemiology : Germany.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- diagnostic imaging : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- chemical , isolation & purification : RNA, Viral.
- methods : Clinical Laboratory Techniques.
- Aged, Aged, 80 and over, Betacoronavirus, Critical Illness, Diagnosis, Differential, Disease Outbreaks, Emergency Service, Hospital, False Negative Reactions, Female, Humans, Male, Middle Aged, Pandemics, Real-Time Polymerase Chain Reaction, Resuscitation, Retrospective Studies, Tomography, X-Ray Computed, Triage.
Abstract
Introduction
Emergency department (ED) triage regarding infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is challenging. During the coronavirus disease 2019 (COVID-19) outbreak in Germany, the diagnostic outcomes of critically ill patients admitted to the resuscitation room in the ED of our academic 754-bed hospital should be analyzed.
Methods
All resuscitation room patients between March 1st and April 15th 2020 were included in this retrospective study. Every patient with suspicion of SARS-CoV-2 infection received a pharyngeal swab for real-time polymerase chain reaction (rt-PCR), divided in the clinical subgroups of "highly suspicious for COVID-19" and "COVID-19 as differential diagnosis." All respiratory and infectious symptoms were included as at least "differential diagnosis" as an expanded suspicion strategy.
Results
Ninety-five patients were included (trauma
Conclusion
We recommend an expanded suspicion strategy for COVID-19 due to unexpected diagnostic outcomes. Personal protective equipment should be used in every resuscitation room operation due to unexpected cases and initial knowledge gaps. Furthermore, tracheal fluid should be tested for SARS-CoV-2 in every intubated patient due to cases with negative pharyngeal swabs and negative chest CT.
DOI: 10.1155/2020/2721381
PubMed: 32884938
PubMed Central: PMC7455815
Links to Exploration step
pubmed:32884938Le document en format XML
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Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Haake, Hendrik" sort="Haake, Hendrik" uniqKey="Haake H" first="Hendrik" last="Haake">Hendrik Haake</name><affiliation><nlm:affiliation>Klinik für Kardiologie und Internistische Intensivmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Ringelstein, Adrian" sort="Ringelstein, Adrian" uniqKey="Ringelstein A" first="Adrian" last="Ringelstein">Adrian Ringelstein</name><affiliation><nlm:affiliation>Klinik für Radiologie und Neuroradiologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Greiffendorf, Ingo" sort="Greiffendorf, Ingo" uniqKey="Greiffendorf I" first="Ingo" last="Greiffendorf">Ingo Greiffendorf</name><affiliation><nlm:affiliation>Klinik für Hämatologie, Onkologie, Gastroenterologie und 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Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Aretz, Olaf" sort="Aretz, Olaf" uniqKey="Aretz O" first="Olaf" last="Aretz">Olaf Aretz</name><affiliation><nlm:affiliation>Zentrum für klinische Akut-und Notfallmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Haake, Hendrik" sort="Haake, Hendrik" uniqKey="Haake H" first="Hendrik" last="Haake">Hendrik Haake</name><affiliation><nlm:affiliation>Klinik für Kardiologie und Internistische Intensivmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Ringelstein, Adrian" sort="Ringelstein, Adrian" uniqKey="Ringelstein A" first="Adrian" last="Ringelstein">Adrian Ringelstein</name><affiliation><nlm:affiliation>Klinik für Radiologie und Neuroradiologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Greiffendorf, Ingo" sort="Greiffendorf, Ingo" uniqKey="Greiffendorf I" first="Ingo" last="Greiffendorf">Ingo Greiffendorf</name><affiliation><nlm:affiliation>Klinik für Hämatologie, Onkologie, Gastroenterologie und Infektiologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Graeven, Ullrich" sort="Graeven, Ullrich" uniqKey="Graeven U" first="Ullrich" last="Graeven">Ullrich Graeven</name><affiliation><nlm:affiliation>Klinik für Hämatologie, Onkologie, Gastroenterologie und Infektiologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Windfuhr, Jochen" sort="Windfuhr, Jochen" uniqKey="Windfuhr J" first="Jochen" last="Windfuhr">Jochen Windfuhr</name><affiliation><nlm:affiliation>Klinik für Hals-Nasen-Ohrenheilkunde, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BioMed research international</title><idno type="eISSN">2314-6141</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Clinical Laboratory Techniques (methods)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (diagnostic imaging)</term><term>Coronavirus Infections (epidemiology)</term><term>Critical Illness (MeSH)</term><term>Diagnosis, Differential (MeSH)</term><term>Disease Outbreaks (MeSH)</term><term>Emergency Service, Hospital (MeSH)</term><term>False Negative Reactions (MeSH)</term><term>Female (MeSH)</term><term>Germany (epidemiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (diagnostic imaging)</term><term>Pneumonia, Viral (epidemiology)</term><term>RNA, Viral (genetics)</term><term>RNA, Viral (isolation & purification)</term><term>Real-Time Polymerase Chain Reaction (MeSH)</term><term>Resuscitation (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Tomography, X-Ray Computed (MeSH)</term><term>Triage (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>RNA, Viral</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" type="chemical" qualifier="isolation & purification" xml:lang="en"><term>RNA, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Clinical Laboratory Techniques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Critical Illness</term><term>Diagnosis, Differential</term><term>Disease Outbreaks</term><term>Emergency Service, Hospital</term><term>False Negative Reactions</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Real-Time Polymerase Chain Reaction</term><term>Resuscitation</term><term>Retrospective Studies</term><term>Tomography, X-Ray Computed</term><term>Triage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>Emergency department (ED) triage regarding infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is challenging. During the coronavirus disease 2019 (COVID-19) outbreak in Germany, the diagnostic outcomes of critically ill patients admitted to the resuscitation room in the ED of our academic 754-bed hospital should be analyzed.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>All resuscitation room patients between March 1st and April 15th 2020 were included in this retrospective study. Every patient with suspicion of SARS-CoV-2 infection received a pharyngeal swab for real-time polymerase chain reaction (rt-PCR), divided in the clinical subgroups of "highly suspicious for COVID-19" and "COVID-19 as differential diagnosis." All respiratory and infectious symptoms were included as at least "differential diagnosis" as an expanded suspicion strategy.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Ninety-five patients were included (trauma </p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>We recommend an expanded suspicion strategy for COVID-19 due to unexpected diagnostic outcomes. Personal protective equipment should be used in every resuscitation room operation due to unexpected cases and initial knowledge gaps. Furthermore, tracheal fluid should be tested for SARS-CoV-2 in every intubated patient due to cases with negative pharyngeal swabs and negative chest CT.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32884938</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>10</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>10</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2314-6141</ISSN><JournalIssue CitedMedium="Internet"><Volume>2020</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>BioMed research international</Title><ISOAbbreviation>Biomed Res Int</ISOAbbreviation></Journal><ArticleTitle>Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak-A Retrospective Case Series.</ArticleTitle><Pagination><MedlinePgn>2721381</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1155/2020/2721381</ELocationID><Abstract><AbstractText Label="Introduction" NlmCategory="UNASSIGNED">Emergency department (ED) triage regarding infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is challenging. During the coronavirus disease 2019 (COVID-19) outbreak in Germany, the diagnostic outcomes of critically ill patients admitted to the resuscitation room in the ED of our academic 754-bed hospital should be analyzed.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">All resuscitation room patients between March 1st and April 15th 2020 were included in this retrospective study. Every patient with suspicion of SARS-CoV-2 infection received a pharyngeal swab for real-time polymerase chain reaction (rt-PCR), divided in the clinical subgroups of "highly suspicious for COVID-19" and "COVID-19 as differential diagnosis." All respiratory and infectious symptoms were included as at least "differential diagnosis" as an expanded suspicion strategy.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Ninety-five patients were included (trauma <i>n</i> = 14, critically ill <i>n</i> = 81). Of 3 highly suspicious patients, 2 had rt-PCR positive pharyngeal swabs. In 39 patients, COVID-19 was defined as differential diagnosis, and 3 were positive for SARS-CoV-2. Of them, pharyngeal swabs were positive in 1 case, while in 2 cases, only tracheal fluid was rt-PCR positive while the pharyngeal swabs were negative. In one of these 2 cases, chest computed tomography (CT) was also negative for ground-glass opacities but showed a pulmonary abscess and pulmonary embolism.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">We recommend an expanded suspicion strategy for COVID-19 due to unexpected diagnostic outcomes. Personal protective equipment should be used in every resuscitation room operation due to unexpected cases and initial knowledge gaps. Furthermore, tracheal fluid should be tested for SARS-CoV-2 in every intubated patient due to cases with negative pharyngeal swabs and negative chest CT.</AbstractText><CopyrightInformation>Copyright © 2020 Sebastian Bergrath et al.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bergrath</LastName><ForeName>Sebastian</ForeName><Initials>S</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-5297-7655</Identifier><AffiliationInfo><Affiliation>Zentrum für klinische Akut-und Notfallmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Lehrstuhl für Anästhesiologie, Medizinische Fakultät der RWTH, Aachen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aretz</LastName><ForeName>Olaf</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Zentrum für klinische Akut-und Notfallmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haake</LastName><ForeName>Hendrik</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Klinik für Kardiologie und Internistische Intensivmedizin, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ringelstein</LastName><ForeName>Adrian</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Klinik für Radiologie und Neuroradiologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greiffendorf</LastName><ForeName>Ingo</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Klinik für Hämatologie, Onkologie, Gastroenterologie und Infektiologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Graeven</LastName><ForeName>Ullrich</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Klinik für Hämatologie, Onkologie, Gastroenterologie und Infektiologie, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Windfuhr</LastName><ForeName>Jochen</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Klinik für Hals-Nasen-Ohrenheilkunde, Kliniken Maria Hilf, Akademisches Lehrkrankenhaus der RWTH Aachen, Mönchengladbach, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Biomed Res Int</MedlineTA><NlmUniqueID>101600173</NlmUniqueID></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D012367">RNA, Viral</NameOfSubstance></Chemical></ChemicalList><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Protocol" UI="C000657964">COVID-19 diagnostic testing</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019411" MajorTopicYN="N">Clinical Laboratory Techniques</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016638" MajorTopicYN="N">Critical Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="N">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005188" MajorTopicYN="N">False Negative Reactions</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012367" MajorTopicYN="N">RNA, Viral</DescriptorName><QualifierName UI="Q000235" MajorTopicYN="N">genetics</QualifierName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D060888" MajorTopicYN="N">Real-Time Polymerase Chain Reaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012151" MajorTopicYN="N">Resuscitation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName></MeshHeading></MeshHeadingList><CoiStatement>There is no conflict of interest regarding this study reported by any of the authors.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>07</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>07</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId 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|texte= Characteristics and Unexpected COVID-19 Diagnoses in Resuscitation Room Patients during the COVID-19 Outbreak-A Retrospective Case Series.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:32884938" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a CovidSeniorV1
| This area was generated with Dilib version V0.6.37. |  |