@article { author = {Khabiri, Seyyed Saeed and Naleini, Farhad and Miladi, Ronak and Mosavat, Mina Sadat and Khoshbakht, Maryam and Maleki, Shokoofeh and Ghadimi, Maryam and Baghdadi, Soroush}, title = {Asymptomatic COVID-19 infection in multiple trauma patients: incidence and implications}, journal = {Trauma Monthly}, volume = {26}, number = {3}, pages = {152-156}, year = {2021}, publisher = {Official Publication of the National Center for Trauma Research}, issn = {2251-7464}, eissn = {2251-7472}, doi = {10.30491/tm.2021.247870.1172}, abstract = {Background: Some studies show a chest CT scan to be superior to reverse transcription-polymerase chain reaction (RT-PCR) studies for diagnosis of COVID-19. Objectives: This study was designed to assess the prevalence of COVID-19-related lung involvement in patients admitted to our trauma center. Methods: In this retrospective study, data from a referral trauma center were reviewed from February 21, 2020, to April 10, 2020. All patients admitted to the hospital for whom a chest CT scan was performed for any reason during the study period were included. Trained physicians screened all CT scans for findings suggestive of COVID-19. Next, blinded radiologists selected CT scans with findings highly suggestive of COVID-19 involvement. The clinical course and outcome and the results of PCR for SARS-CoV-2 were recorded and assessed. Results: A total of 4200 chest CT scans were reviewed. After multiple rounds of exclusion, 24 patients with highly- suggestive findings were reviewed. Only three patients developed COVID-19 symptoms during the course of admission. PCR results were positive in 22 patients (92.6%). Conclusion: We recommend chest CT scans in trauma patients at a high risk of COVID-19 infection, as well as those requiring extensive surgical interventions. Also, a thorough review of the available CT scans before invasive procedures, preferably with the help of an expert radiologist, is highly recommended, even when the results of the COVID-19 laboratory tests are negative.}, keywords = {COVID-19,SARS-CoV-2,Fractures,Multiple Trauma,Computed Tomography}, url = {https://www.traumamon.com/article_131163.html}, eprint = {https://www.traumamon.com/article_131163_8e6c68d5203b2f8c5024df526992b588.pdf} }