Loading…

Lung ultrasound as a screening tool for SARS‐CoV‐2 infection in surgical patients

Purpose To evaluate the diagnostic performance of lung ultrasound (LUS) in screening for SARS‐CoV‐2 infection in patients requiring surgery. Methods Patients underwent a LUS protocol that included a scoring system for screening COVID‐19 pneumonia as well as RT‐PCR test for SARS‐CoV‐2. The receiver o...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical ultrasound 2022-11, Vol.50 (9), p.1271-1278
Main Authors: García, Alberto F., Ángel‐Isaza, Ana María, Chica, Julian, Estrada, David Esteban, Vargas‐Morales, Carlos Andrés, Revelo‐Noguera, Jorge, Morell, Tatiana, Gómez, Jeison Antonio, Rodríguez Holguín, Fernando, Umaña, Mauricio, Serna, José Julián, Carvajal, Sandra
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c4438-30cc91e36fd9e63f92900945cdfb18790c50baa68bc6fc5e8f2489cee08241e63
cites cdi_FETCH-LOGICAL-c4438-30cc91e36fd9e63f92900945cdfb18790c50baa68bc6fc5e8f2489cee08241e63
container_end_page 1278
container_issue 9
container_start_page 1271
container_title Journal of clinical ultrasound
container_volume 50
creator García, Alberto F.
Ángel‐Isaza, Ana María
Chica, Julian
Estrada, David Esteban
Vargas‐Morales, Carlos Andrés
Revelo‐Noguera, Jorge
Morell, Tatiana
Gómez, Jeison Antonio
Rodríguez Holguín, Fernando
Umaña, Mauricio
Serna, José Julián
Carvajal, Sandra
description Purpose To evaluate the diagnostic performance of lung ultrasound (LUS) in screening for SARS‐CoV‐2 infection in patients requiring surgery. Methods Patients underwent a LUS protocol that included a scoring system for screening COVID‐19 pneumonia as well as RT‐PCR test for SARS‐CoV‐2. The receiver operator characteristic (ROC) curve was determined for the relationship between LUS score and PCR test results for COVID‐19. The optimal threshold for the best discrimination between non‐COVID‐19 patients and COVID‐19 patients was calculated. Results Among 203 patients enrolled (mean age 48 years; 82 males), 8.3% were COVID‐19‐positive; 4.9% were diagnosed via the initial RT‐PCR test. Of the patients diagnosed with SARS‐CoV‐2, 64.7% required in‐hospital management and 17.6% died. The most common ultrasound findings were B lines (19.7%) and a thickened pleura (19.2%). The AUC of the ROC curve of the relationship of LUS score with a cutoff value >8 versus RT‐PCR test for the assessment of SARS‐CoV‐2 pneumonia was 0.75 (95% CI 0.61–0.89; sensitivity 52.9%; specificity 91%; LR (+) 6.15, LR (−) 0.51). Conclusion The LUS score in surgical patients is not a useful tool for screening patients with potential COVID‐19 infection. LUS score shows a high specificity with a cut‐off value of 8. In a high prevalence setting of SARS‐CoV‐2 infection, lung ultrasound severity score (LUSS) > 8 showed a high specificity. However, it cannot be recommended as a screening tool in patients requiring surgery due to its low sensitivity. B lines and subpleural consolidations had the best performance at identifying patients with pneumonia.
doi_str_mv 10.1002/jcu.23358
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9874590</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2734486590</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4438-30cc91e36fd9e63f92900945cdfb18790c50baa68bc6fc5e8f2489cee08241e63</originalsourceid><addsrcrecordid>eNp1kc9qVDEUh0OptGPbRV9AAt3o4rb5e2-yEYZBqzJQaB23IZNJxgx3kjG5UbrzEfqMfZJGby0qdJNz4Hz5csIPgFOMzjFC5GJjyjmhlIs9MMFIdg1Cst0Hk1pwQzqOD8HLnDcIoZZzfgAOaUtqT-UELOYlrGHph6RzLGEFdYYaZpOsDb5Ohhh76GKCN9Prm_ufd7P4pZ4E-uCsGXwMtYO5pLU3uoc7PXgbhnwMXjjdZ3vyWI_A4v27z7MPzfzq8uNsOm8MY1Q0FBkjsaWtW0nbUieJrCszblZuiUUnkeFoqXUrlqZ1hlvhCBPSWIsEYbjeOAJvR--uLLd2ZerbSfdql_xWp1sVtVf_ToL_qtbxu5KiY1yiKnj9KEjxW7F5UFufje17HWwsWZGOEIoZxrSiZ_-hm1hSqN-rFGVMtKPwzUiZFHNO1j0tg5H6FZaqYanfYVX21d_bP5F_0qnAxQj88L29fd6kPs0Wo_IB1t6gJA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2734486590</pqid></control><display><type>article</type><title>Lung ultrasound as a screening tool for SARS‐CoV‐2 infection in surgical patients</title><source>Wiley</source><creator>García, Alberto F. ; Ángel‐Isaza, Ana María ; Chica, Julian ; Estrada, David Esteban ; Vargas‐Morales, Carlos Andrés ; Revelo‐Noguera, Jorge ; Morell, Tatiana ; Gómez, Jeison Antonio ; Rodríguez Holguín, Fernando ; Umaña, Mauricio ; Serna, José Julián ; Carvajal, Sandra</creator><creatorcontrib>García, Alberto F. ; Ángel‐Isaza, Ana María ; Chica, Julian ; Estrada, David Esteban ; Vargas‐Morales, Carlos Andrés ; Revelo‐Noguera, Jorge ; Morell, Tatiana ; Gómez, Jeison Antonio ; Rodríguez Holguín, Fernando ; Umaña, Mauricio ; Serna, José Julián ; Carvajal, Sandra</creatorcontrib><description>Purpose To evaluate the diagnostic performance of lung ultrasound (LUS) in screening for SARS‐CoV‐2 infection in patients requiring surgery. Methods Patients underwent a LUS protocol that included a scoring system for screening COVID‐19 pneumonia as well as RT‐PCR test for SARS‐CoV‐2. The receiver operator characteristic (ROC) curve was determined for the relationship between LUS score and PCR test results for COVID‐19. The optimal threshold for the best discrimination between non‐COVID‐19 patients and COVID‐19 patients was calculated. Results Among 203 patients enrolled (mean age 48 years; 82 males), 8.3% were COVID‐19‐positive; 4.9% were diagnosed via the initial RT‐PCR test. Of the patients diagnosed with SARS‐CoV‐2, 64.7% required in‐hospital management and 17.6% died. The most common ultrasound findings were B lines (19.7%) and a thickened pleura (19.2%). The AUC of the ROC curve of the relationship of LUS score with a cutoff value &gt;8 versus RT‐PCR test for the assessment of SARS‐CoV‐2 pneumonia was 0.75 (95% CI 0.61–0.89; sensitivity 52.9%; specificity 91%; LR (+) 6.15, LR (−) 0.51). Conclusion The LUS score in surgical patients is not a useful tool for screening patients with potential COVID‐19 infection. LUS score shows a high specificity with a cut‐off value of 8. In a high prevalence setting of SARS‐CoV‐2 infection, lung ultrasound severity score (LUSS) &gt; 8 showed a high specificity. However, it cannot be recommended as a screening tool in patients requiring surgery due to its low sensitivity. B lines and subpleural consolidations had the best performance at identifying patients with pneumonia.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.23358</identifier><identifier>PMID: 36200639</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>COVID-19 ; COVID-19 Testing ; COVID‐19‐suspected cases ; Humans ; Infections ; Lung - diagnostic imaging ; Lung Ultrasound ; Lungs ; Male ; Middle Aged ; Patients ; Pleura ; Pneumonia ; SARS-CoV-2 ; Severe acute respiratory syndrome ; Severe acute respiratory syndrome coronavirus 2 ; surgical patients ; Ultrasonic imaging ; Ultrasonography - methods ; Ultrasound</subject><ispartof>Journal of clinical ultrasound, 2022-11, Vol.50 (9), p.1271-1278</ispartof><rights>2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4438-30cc91e36fd9e63f92900945cdfb18790c50baa68bc6fc5e8f2489cee08241e63</citedby><cites>FETCH-LOGICAL-c4438-30cc91e36fd9e63f92900945cdfb18790c50baa68bc6fc5e8f2489cee08241e63</cites><orcidid>0000-0002-6407-1735 ; 0000-0002-5326-2317 ; 0000-0003-4191-8603 ; 0000-0002-4096-1434 ; 0000-0001-9829-8930 ; 0000-0001-6877-6022 ; 0000-0001-7918-6685 ; 0000-0003-3161-2766 ; 0000-0003-1927-2340</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36200639$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>García, Alberto F.</creatorcontrib><creatorcontrib>Ángel‐Isaza, Ana María</creatorcontrib><creatorcontrib>Chica, Julian</creatorcontrib><creatorcontrib>Estrada, David Esteban</creatorcontrib><creatorcontrib>Vargas‐Morales, Carlos Andrés</creatorcontrib><creatorcontrib>Revelo‐Noguera, Jorge</creatorcontrib><creatorcontrib>Morell, Tatiana</creatorcontrib><creatorcontrib>Gómez, Jeison Antonio</creatorcontrib><creatorcontrib>Rodríguez Holguín, Fernando</creatorcontrib><creatorcontrib>Umaña, Mauricio</creatorcontrib><creatorcontrib>Serna, José Julián</creatorcontrib><creatorcontrib>Carvajal, Sandra</creatorcontrib><title>Lung ultrasound as a screening tool for SARS‐CoV‐2 infection in surgical patients</title><title>Journal of clinical ultrasound</title><addtitle>J Clin Ultrasound</addtitle><description>Purpose To evaluate the diagnostic performance of lung ultrasound (LUS) in screening for SARS‐CoV‐2 infection in patients requiring surgery. Methods Patients underwent a LUS protocol that included a scoring system for screening COVID‐19 pneumonia as well as RT‐PCR test for SARS‐CoV‐2. The receiver operator characteristic (ROC) curve was determined for the relationship between LUS score and PCR test results for COVID‐19. The optimal threshold for the best discrimination between non‐COVID‐19 patients and COVID‐19 patients was calculated. Results Among 203 patients enrolled (mean age 48 years; 82 males), 8.3% were COVID‐19‐positive; 4.9% were diagnosed via the initial RT‐PCR test. Of the patients diagnosed with SARS‐CoV‐2, 64.7% required in‐hospital management and 17.6% died. The most common ultrasound findings were B lines (19.7%) and a thickened pleura (19.2%). The AUC of the ROC curve of the relationship of LUS score with a cutoff value &gt;8 versus RT‐PCR test for the assessment of SARS‐CoV‐2 pneumonia was 0.75 (95% CI 0.61–0.89; sensitivity 52.9%; specificity 91%; LR (+) 6.15, LR (−) 0.51). Conclusion The LUS score in surgical patients is not a useful tool for screening patients with potential COVID‐19 infection. LUS score shows a high specificity with a cut‐off value of 8. In a high prevalence setting of SARS‐CoV‐2 infection, lung ultrasound severity score (LUSS) &gt; 8 showed a high specificity. However, it cannot be recommended as a screening tool in patients requiring surgery due to its low sensitivity. B lines and subpleural consolidations had the best performance at identifying patients with pneumonia.</description><subject>COVID-19</subject><subject>COVID-19 Testing</subject><subject>COVID‐19‐suspected cases</subject><subject>Humans</subject><subject>Infections</subject><subject>Lung - diagnostic imaging</subject><subject>Lung Ultrasound</subject><subject>Lungs</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Pleura</subject><subject>Pneumonia</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>surgical patients</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kc9qVDEUh0OptGPbRV9AAt3o4rb5e2-yEYZBqzJQaB23IZNJxgx3kjG5UbrzEfqMfZJGby0qdJNz4Hz5csIPgFOMzjFC5GJjyjmhlIs9MMFIdg1Cst0Hk1pwQzqOD8HLnDcIoZZzfgAOaUtqT-UELOYlrGHph6RzLGEFdYYaZpOsDb5Ohhh76GKCN9Prm_ufd7P4pZ4E-uCsGXwMtYO5pLU3uoc7PXgbhnwMXjjdZ3vyWI_A4v27z7MPzfzq8uNsOm8MY1Q0FBkjsaWtW0nbUieJrCszblZuiUUnkeFoqXUrlqZ1hlvhCBPSWIsEYbjeOAJvR--uLLd2ZerbSfdql_xWp1sVtVf_ToL_qtbxu5KiY1yiKnj9KEjxW7F5UFufje17HWwsWZGOEIoZxrSiZ_-hm1hSqN-rFGVMtKPwzUiZFHNO1j0tg5H6FZaqYanfYVX21d_bP5F_0qnAxQj88L29fd6kPs0Wo_IB1t6gJA</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>García, Alberto F.</creator><creator>Ángel‐Isaza, Ana María</creator><creator>Chica, Julian</creator><creator>Estrada, David Esteban</creator><creator>Vargas‐Morales, Carlos Andrés</creator><creator>Revelo‐Noguera, Jorge</creator><creator>Morell, Tatiana</creator><creator>Gómez, Jeison Antonio</creator><creator>Rodríguez Holguín, Fernando</creator><creator>Umaña, Mauricio</creator><creator>Serna, José Julián</creator><creator>Carvajal, Sandra</creator><general>John Wiley &amp; Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6407-1735</orcidid><orcidid>https://orcid.org/0000-0002-5326-2317</orcidid><orcidid>https://orcid.org/0000-0003-4191-8603</orcidid><orcidid>https://orcid.org/0000-0002-4096-1434</orcidid><orcidid>https://orcid.org/0000-0001-9829-8930</orcidid><orcidid>https://orcid.org/0000-0001-6877-6022</orcidid><orcidid>https://orcid.org/0000-0001-7918-6685</orcidid><orcidid>https://orcid.org/0000-0003-3161-2766</orcidid><orcidid>https://orcid.org/0000-0003-1927-2340</orcidid></search><sort><creationdate>202211</creationdate><title>Lung ultrasound as a screening tool for SARS‐CoV‐2 infection in surgical patients</title><author>García, Alberto F. ; Ángel‐Isaza, Ana María ; Chica, Julian ; Estrada, David Esteban ; Vargas‐Morales, Carlos Andrés ; Revelo‐Noguera, Jorge ; Morell, Tatiana ; Gómez, Jeison Antonio ; Rodríguez Holguín, Fernando ; Umaña, Mauricio ; Serna, José Julián ; Carvajal, Sandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4438-30cc91e36fd9e63f92900945cdfb18790c50baa68bc6fc5e8f2489cee08241e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>COVID-19</topic><topic>COVID-19 Testing</topic><topic>COVID‐19‐suspected cases</topic><topic>Humans</topic><topic>Infections</topic><topic>Lung - diagnostic imaging</topic><topic>Lung Ultrasound</topic><topic>Lungs</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Pleura</topic><topic>Pneumonia</topic><topic>SARS-CoV-2</topic><topic>Severe acute respiratory syndrome</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>surgical patients</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>García, Alberto F.</creatorcontrib><creatorcontrib>Ángel‐Isaza, Ana María</creatorcontrib><creatorcontrib>Chica, Julian</creatorcontrib><creatorcontrib>Estrada, David Esteban</creatorcontrib><creatorcontrib>Vargas‐Morales, Carlos Andrés</creatorcontrib><creatorcontrib>Revelo‐Noguera, Jorge</creatorcontrib><creatorcontrib>Morell, Tatiana</creatorcontrib><creatorcontrib>Gómez, Jeison Antonio</creatorcontrib><creatorcontrib>Rodríguez Holguín, Fernando</creatorcontrib><creatorcontrib>Umaña, Mauricio</creatorcontrib><creatorcontrib>Serna, José Julián</creatorcontrib><creatorcontrib>Carvajal, Sandra</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>García, Alberto F.</au><au>Ángel‐Isaza, Ana María</au><au>Chica, Julian</au><au>Estrada, David Esteban</au><au>Vargas‐Morales, Carlos Andrés</au><au>Revelo‐Noguera, Jorge</au><au>Morell, Tatiana</au><au>Gómez, Jeison Antonio</au><au>Rodríguez Holguín, Fernando</au><au>Umaña, Mauricio</au><au>Serna, José Julián</au><au>Carvajal, Sandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung ultrasound as a screening tool for SARS‐CoV‐2 infection in surgical patients</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J Clin Ultrasound</addtitle><date>2022-11</date><risdate>2022</risdate><volume>50</volume><issue>9</issue><spage>1271</spage><epage>1278</epage><pages>1271-1278</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>Purpose To evaluate the diagnostic performance of lung ultrasound (LUS) in screening for SARS‐CoV‐2 infection in patients requiring surgery. Methods Patients underwent a LUS protocol that included a scoring system for screening COVID‐19 pneumonia as well as RT‐PCR test for SARS‐CoV‐2. The receiver operator characteristic (ROC) curve was determined for the relationship between LUS score and PCR test results for COVID‐19. The optimal threshold for the best discrimination between non‐COVID‐19 patients and COVID‐19 patients was calculated. Results Among 203 patients enrolled (mean age 48 years; 82 males), 8.3% were COVID‐19‐positive; 4.9% were diagnosed via the initial RT‐PCR test. Of the patients diagnosed with SARS‐CoV‐2, 64.7% required in‐hospital management and 17.6% died. The most common ultrasound findings were B lines (19.7%) and a thickened pleura (19.2%). The AUC of the ROC curve of the relationship of LUS score with a cutoff value &gt;8 versus RT‐PCR test for the assessment of SARS‐CoV‐2 pneumonia was 0.75 (95% CI 0.61–0.89; sensitivity 52.9%; specificity 91%; LR (+) 6.15, LR (−) 0.51). Conclusion The LUS score in surgical patients is not a useful tool for screening patients with potential COVID‐19 infection. LUS score shows a high specificity with a cut‐off value of 8. In a high prevalence setting of SARS‐CoV‐2 infection, lung ultrasound severity score (LUSS) &gt; 8 showed a high specificity. However, it cannot be recommended as a screening tool in patients requiring surgery due to its low sensitivity. B lines and subpleural consolidations had the best performance at identifying patients with pneumonia.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>36200639</pmid><doi>10.1002/jcu.23358</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6407-1735</orcidid><orcidid>https://orcid.org/0000-0002-5326-2317</orcidid><orcidid>https://orcid.org/0000-0003-4191-8603</orcidid><orcidid>https://orcid.org/0000-0002-4096-1434</orcidid><orcidid>https://orcid.org/0000-0001-9829-8930</orcidid><orcidid>https://orcid.org/0000-0001-6877-6022</orcidid><orcidid>https://orcid.org/0000-0001-7918-6685</orcidid><orcidid>https://orcid.org/0000-0003-3161-2766</orcidid><orcidid>https://orcid.org/0000-0003-1927-2340</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0091-2751
ispartof Journal of clinical ultrasound, 2022-11, Vol.50 (9), p.1271-1278
issn 0091-2751
1097-0096
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9874590
source Wiley
subjects COVID-19
COVID-19 Testing
COVID‐19‐suspected cases
Humans
Infections
Lung - diagnostic imaging
Lung Ultrasound
Lungs
Male
Middle Aged
Patients
Pleura
Pneumonia
SARS-CoV-2
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
surgical patients
Ultrasonic imaging
Ultrasonography - methods
Ultrasound
title Lung ultrasound as a screening tool for SARS‐CoV‐2 infection in surgical patients
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T22%3A17%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Lung%20ultrasound%20as%20a%20screening%20tool%20for%20SARS%E2%80%90CoV%E2%80%902%20infection%20in%20surgical%20patients&rft.jtitle=Journal%20of%20clinical%20ultrasound&rft.au=Garc%C3%ADa,%20Alberto%20F.&rft.date=2022-11&rft.volume=50&rft.issue=9&rft.spage=1271&rft.epage=1278&rft.pages=1271-1278&rft.issn=0091-2751&rft.eissn=1097-0096&rft_id=info:doi/10.1002/jcu.23358&rft_dat=%3Cproquest_pubme%3E2734486590%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4438-30cc91e36fd9e63f92900945cdfb18790c50baa68bc6fc5e8f2489cee08241e63%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2734486590&rft_id=info:pmid/36200639&rfr_iscdi=true