Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America
(From “RIMAC: Registry IMAging Cardiopulmonary among Hospitalized COVID-19 Patients in LATAM”) Objectives: Describe the use and findings of cardiopulmonary imaging—chest X-ray (cX-ray), echocardiography (cEcho), chest CT (cCT), lung ultrasound (LUS), and/or cardiac magnetic resonance imaging (cMRI...
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2022-08-01
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| Series: | Global Heart |
| Subjects: | |
| Online Access: | https://globalheartjournal.com/articles/1134 |
| _version_ | 1811260159117230080 |
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| author | Salvador V. Spina Marcelo L. Campos Vieira César J. Herrera Ana G. Munera Echeverri Pamela Rojo Alma S. Arrioja Salazar Zuilma Y. Vázquez Ortiz Roberto Baltodano Arellano Graciela Reyes Rocío Aceves Millán Juan A. Calderón González Ana C. Camarozano Edgar Avilés Marco A. Cabrera María F. Grande Ratti Jorge Lowenstein Rodrigo Hernández Vyhmeister Pamela Piña Santana Jaime A. Ibarra Burgos Alejandra Rivera Beatriz A. Fernández Campos Kelly M. Cupe Chacalcaje Mariela De Santos Tania R. Afonso Tomás Miranda Aquino Ana L. Lalyre Acosta Beatriz Domínguez Federico Campos Sergio M. Alday Ramírez Angela V. Cachicatari Beltran Daniela Alvarez Patricia de Oliveira Roveri Carlos Rosales Ixcamparij Ender Otoniel González Pedro Vargas Maximiliano Flores Flamand Rosa L. López Martínez Luciana Meza Samira Saady Morhy Rudy Ovalle Stalin Martínez Oscar A. Pérez Orpinel Mauricio Potito María Verónica Espinoza Arregui Jorge Marte Baez Consuelo Orihuela Sandoval Marcos Granillo Fernandez Rohit Loomba Saúl Flores José M. Hernández Ricardo Pignatelli |
| author_facet | Salvador V. Spina Marcelo L. Campos Vieira César J. Herrera Ana G. Munera Echeverri Pamela Rojo Alma S. Arrioja Salazar Zuilma Y. Vázquez Ortiz Roberto Baltodano Arellano Graciela Reyes Rocío Aceves Millán Juan A. Calderón González Ana C. Camarozano Edgar Avilés Marco A. Cabrera María F. Grande Ratti Jorge Lowenstein Rodrigo Hernández Vyhmeister Pamela Piña Santana Jaime A. Ibarra Burgos Alejandra Rivera Beatriz A. Fernández Campos Kelly M. Cupe Chacalcaje Mariela De Santos Tania R. Afonso Tomás Miranda Aquino Ana L. Lalyre Acosta Beatriz Domínguez Federico Campos Sergio M. Alday Ramírez Angela V. Cachicatari Beltran Daniela Alvarez Patricia de Oliveira Roveri Carlos Rosales Ixcamparij Ender Otoniel González Pedro Vargas Maximiliano Flores Flamand Rosa L. López Martínez Luciana Meza Samira Saady Morhy Rudy Ovalle Stalin Martínez Oscar A. Pérez Orpinel Mauricio Potito María Verónica Espinoza Arregui Jorge Marte Baez Consuelo Orihuela Sandoval Marcos Granillo Fernandez Rohit Loomba Saúl Flores José M. Hernández Ricardo Pignatelli |
| author_sort | Salvador V. Spina |
| collection | DOAJ |
| description | (From “RIMAC: Registry IMAging Cardiopulmonary among Hospitalized COVID-19 Patients in LATAM”) Objectives: Describe the use and findings of cardiopulmonary imaging—chest X-ray (cX-ray), echocardiography (cEcho), chest CT (cCT), lung ultrasound (LUS), and/or cardiac magnetic resonance imaging (cMRI)—in COVID-19 hospitalizations in Latin America (LATAM). Background: There is a lack of information on the images used and their findings during the SARS-CoV-2 pandemic in LATAM. Methods: Multicenter, prospective, observational study of COVID-19 inpatients, conducted from March to December 2020, from 12 high-complexity centers, in nine LATAM countries. Adults (>18 years) with at least one imaging modality performed, followed from admission until discharge and/or in-hospital death, were included. Results: We studied 1,435 hospitalized patients (64% males) with a median age of 58 years classified into three regions: Mexico (Mx), 262; Central America and Caribbean (CAC), 428; and South America (SAm), 745. More frequent comorbidities were overweight/obesity, hypertension, and diabetes. During hospitalization, 58% were admitted to the ICU. The in-hospital mortality was 28%, and it was highest in Mx (37%). The most frequent images performed were cCT (61%), mostly in Mx and SAm, and cX-ray (46%), significant in CAC. The cEcho was carried out in 18%, similarly among regions, and LUS was carried out in 7%, with a higher frequently in Mx. Abnormal findings on the cX-ray were peripheral or basal infiltrates, and in cCT abnormal findings were the ground glass infiltrates, more commonly in Mx. In LUS, interstitial syndrome was the most abnormal finding, predominantly in Mx and CAC. Renal failure was the most prevalent complication (20%), predominant in Mx and SAm. Heart failure developed in 13%, predominant in Mx and CAC. Lung thromboembolism was higher in Mx while myocardial infarction was in CAC. Logistic regression showed associations of abnormal imaging findings and their severity, with comorbidities, complications, and evolution. Conclusions: The use and findings of cardiopulmonary imaging in LATAM varied between regions and had a great impact on diagnosis and prognosis. |
| first_indexed | 2024-04-12T18:43:15Z |
| format | Article |
| id | doaj.art-57e7f5288ae445ce95c7d8be2e2d6199 |
| institution | Directory Open Access Journal |
| issn | 2211-8179 |
| language | English |
| last_indexed | 2024-04-12T18:43:15Z |
| publishDate | 2022-08-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Global Heart |
| spelling | doaj.art-57e7f5288ae445ce95c7d8be2e2d61992022-12-22T03:20:42ZengUbiquity PressGlobal Heart2211-81792022-08-0117110.5334/gh.1134956Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin AmericaSalvador V. Spina0Marcelo L. Campos Vieira1César J. Herrera2Ana G. Munera Echeverri3Pamela Rojo4Alma S. Arrioja Salazar5Zuilma Y. Vázquez Ortiz6Roberto Baltodano Arellano7Graciela Reyes8Rocío Aceves Millán9Juan A. Calderón González10Ana C. Camarozano11Edgar Avilés12Marco A. Cabrera13María F. Grande Ratti14Jorge Lowenstein15Rodrigo Hernández Vyhmeister16Pamela Piña Santana17Jaime A. Ibarra Burgos18Alejandra Rivera19Beatriz A. Fernández Campos20Kelly M. Cupe Chacalcaje21Mariela De Santos22Tania R. Afonso23Tomás Miranda Aquino24Ana L. Lalyre Acosta25Beatriz Domínguez26Federico Campos27Sergio M. Alday Ramírez28Angela V. Cachicatari Beltran29Daniela Alvarez30Patricia de Oliveira Roveri31Carlos Rosales Ixcamparij32Ender Otoniel González33Pedro Vargas34Maximiliano Flores Flamand35Rosa L. López Martínez36Luciana Meza37Samira Saady Morhy38Rudy Ovalle39Stalin Martínez40Oscar A. Pérez Orpinel41Mauricio Potito42María Verónica Espinoza Arregui43Jorge Marte Baez44Consuelo Orihuela Sandoval45Marcos Granillo Fernandez46Rohit Loomba47Saúl Flores48José M. Hernández49Ricardo Pignatelli50Hospital Aeronáutico Central, Buenos AiresHospital Israelita Albert Einstein, São PauloCEDIMAT, Santo DomingoHospital General de Medellín, MedellínClínica Dávila, Santiago de ChileClínica Dávila, Santiago de ChileInstituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán,” Ciudad de MéxicoHNG Almenara Irigoyen, LimaHospital El Cruce, Provincia Buenos AiresCentro Médico Nacional 20 de Noviembre, Ciudad de MéxicoHospital General de Zona Número 4, MonterreyHospital Nossa Senhora das Graças y Universidade Federal do ParanáComplejo Hospitalario Dr. Arnulfo Arias Madrid, Ciudad de PanamáTECNISCAN Hospitalia, Ciudad de GuatemalaInternal Medicine Research Area, Hospital Italiano de Buenos AiresInstituto de Investigaciones Médicas, Buenos AiresHospital de la Fuerza Aerea, Santiago de ChileCEDIMAT, Santo DomingoMedicina Interna Universidad CES, MedellínClínica Dávila, Santiago de ChileInstituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán,” Ciudad de MéxicoHNG Almenara Irigoyen, LimaHospital El Cruce, Provincia Buenos AiresHospital Israelita Albert Einstein, São PauloCentro Médico Nacional 20 de Noviembre, Ciudad de MéxicoComplejo Hospitalario Dr. Arnulfo Arias Madrid, Ciudad de PanamáTECNISCAN Hospitalia, Ciudad de GuatemalaCEDIMAT, Santo DomingoInstituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán,” Ciudad de MéxicoHNG Almenara Irigoyen, LimaHospital El Cruce, Provincia Buenos AiresHospital Israelita Albert Einstein, São PauloCentro Médico Nacional 20 de Noviembre, Ciudad de MéxicoTECNISCAN Hospitalia, Ciudad de GuatemalaCEDIMAT, Santo DomingoInstituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán,” Ciudad de MéxicoHNG Almenara Irigoyen, LimaTechnique, Hospital El Cruce, Provincia Buenos AiresHospital Israelita Albert Einstein, São PabloTechnique, TECNISCAN Hospitalia, Ciudad de GuatemalaCEDIMAT, Santo DomingoInstituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán,” Ciudad de MéxicoHospital El Cruce, Provincia Buenos AiresTECNISCAN Hospitalia, Ciudad de GuatemalaCEDIMAT, Santo DomingoInstituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán,” Ciudad de MéxicoHospital El Cruce, Provincia Buenos AiresAdvocate Children’s Hospital/Rosalind Franklin University of Medicine and Science, Chicago, ILTexas Children’s Hospital/Baylor School of Medicine, Houston, TXCardiolink Estudios Cardiovasculares, MonterreyChildren’s Hospital, Baylor College of Medicine, Houston(From “RIMAC: Registry IMAging Cardiopulmonary among Hospitalized COVID-19 Patients in LATAM”) Objectives: Describe the use and findings of cardiopulmonary imaging—chest X-ray (cX-ray), echocardiography (cEcho), chest CT (cCT), lung ultrasound (LUS), and/or cardiac magnetic resonance imaging (cMRI)—in COVID-19 hospitalizations in Latin America (LATAM). Background: There is a lack of information on the images used and their findings during the SARS-CoV-2 pandemic in LATAM. Methods: Multicenter, prospective, observational study of COVID-19 inpatients, conducted from March to December 2020, from 12 high-complexity centers, in nine LATAM countries. Adults (>18 years) with at least one imaging modality performed, followed from admission until discharge and/or in-hospital death, were included. Results: We studied 1,435 hospitalized patients (64% males) with a median age of 58 years classified into three regions: Mexico (Mx), 262; Central America and Caribbean (CAC), 428; and South America (SAm), 745. More frequent comorbidities were overweight/obesity, hypertension, and diabetes. During hospitalization, 58% were admitted to the ICU. The in-hospital mortality was 28%, and it was highest in Mx (37%). The most frequent images performed were cCT (61%), mostly in Mx and SAm, and cX-ray (46%), significant in CAC. The cEcho was carried out in 18%, similarly among regions, and LUS was carried out in 7%, with a higher frequently in Mx. Abnormal findings on the cX-ray were peripheral or basal infiltrates, and in cCT abnormal findings were the ground glass infiltrates, more commonly in Mx. In LUS, interstitial syndrome was the most abnormal finding, predominantly in Mx and CAC. Renal failure was the most prevalent complication (20%), predominant in Mx and SAm. Heart failure developed in 13%, predominant in Mx and CAC. Lung thromboembolism was higher in Mx while myocardial infarction was in CAC. Logistic regression showed associations of abnormal imaging findings and their severity, with comorbidities, complications, and evolution. Conclusions: The use and findings of cardiopulmonary imaging in LATAM varied between regions and had a great impact on diagnosis and prognosis.https://globalheartjournal.com/articles/1134cardiopulmonary imagessars-cov- 2covid-19latamrimac |
| spellingShingle | Salvador V. Spina Marcelo L. Campos Vieira César J. Herrera Ana G. Munera Echeverri Pamela Rojo Alma S. Arrioja Salazar Zuilma Y. Vázquez Ortiz Roberto Baltodano Arellano Graciela Reyes Rocío Aceves Millán Juan A. Calderón González Ana C. Camarozano Edgar Avilés Marco A. Cabrera María F. Grande Ratti Jorge Lowenstein Rodrigo Hernández Vyhmeister Pamela Piña Santana Jaime A. Ibarra Burgos Alejandra Rivera Beatriz A. Fernández Campos Kelly M. Cupe Chacalcaje Mariela De Santos Tania R. Afonso Tomás Miranda Aquino Ana L. Lalyre Acosta Beatriz Domínguez Federico Campos Sergio M. Alday Ramírez Angela V. Cachicatari Beltran Daniela Alvarez Patricia de Oliveira Roveri Carlos Rosales Ixcamparij Ender Otoniel González Pedro Vargas Maximiliano Flores Flamand Rosa L. López Martínez Luciana Meza Samira Saady Morhy Rudy Ovalle Stalin Martínez Oscar A. Pérez Orpinel Mauricio Potito María Verónica Espinoza Arregui Jorge Marte Baez Consuelo Orihuela Sandoval Marcos Granillo Fernandez Rohit Loomba Saúl Flores José M. Hernández Ricardo Pignatelli Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America Global Heart cardiopulmonary images sars-cov- 2 covid-19 latam rimac |
| title | Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America |
| title_full | Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America |
| title_fullStr | Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America |
| title_full_unstemmed | Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America |
| title_short | Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America |
| title_sort | cardiopulmonary imaging utilization and findings among hospitalized covid 19 patients in latin america |
| topic | cardiopulmonary images sars-cov- 2 covid-19 latam rimac |
| url | https://globalheartjournal.com/articles/1134 |
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