Pulmonary embolism detected by CT pulmonary angiography in hospitalized COVID-19 patients

V Bunel¹, L Saker², N Ajzenberg³, J F Timsit⁴, S Najem¹, B Lortat-Jacob⁵, J Gay³, G Weisenburger¹, H Mal⁶, A Khalil²

Affiliations

¹ Service de pneumologie B, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Inserm UMR1152, Université Paris 7 Denis Diderot, 75018 Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
² Service de radiologie, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
³ Service d'hématologie, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁴ Service de réanimation médicale et infectieuse, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁵ Service de réanimation chirurgicale, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁶ Service de pneumologie B, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Inserm UMR1152, Université Paris 7 Denis Diderot, 75018 Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France. Electronic address: herve.mal@bch.aphp.fr.

PMID: 33910773
PMCID: PMC8030740
DOI: 10.1016/j.pulmoe.2021.03.007

Comment

Pulmonary embolism detected by CT pulmonary angiography in hospitalized COVID-19 patients

V Bunel et al. Pulmonology. 2021 Jul-Aug.

. 2021 Jul-Aug;27(4):348-351.

doi: 10.1016/j.pulmoe.2021.03.007. Epub 2021 Apr 8.

Authors

V Bunel¹, L Saker², N Ajzenberg³, J F Timsit⁴, S Najem¹, B Lortat-Jacob⁵, J Gay³, G Weisenburger¹, H Mal⁶, A Khalil²

Affiliations

¹ Service de pneumologie B, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Inserm UMR1152, Université Paris 7 Denis Diderot, 75018 Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
² Service de radiologie, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
³ Service d'hématologie, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁴ Service de réanimation médicale et infectieuse, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁵ Service de réanimation chirurgicale, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France.
⁶ Service de pneumologie B, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Inserm UMR1152, Université Paris 7 Denis Diderot, 75018 Paris, France; Service des maladies infectieuses et tropicales, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France; Service de médecine interne, hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Paris, France. Electronic address: herve.mal@bch.aphp.fr.

PMID: 33910773
PMCID: PMC8030740
DOI: 10.1016/j.pulmoe.2021.03.007

No abstract available

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Figures

**Figure 1**
ROC curve for d-dimer in hospitalized COVID patients with supected PE. The area under the curve was 0.885 (95% CI 0.807–0.963). The best cut-off value seemed to be 1274 ng/ml, corresponding to a sensitivity of 100% (95% CI 79.6–100%) and a specificity of 61.3% (95% CI 50.3–61.2%).

See this image and copyright information in PMC

Comment on

Admission chest CT score predicts 5-day outcome in patients with COVID-19.
Mahdjoub E, Mohammad W, Lefevre T, Debray MP, Khalil A; Study Group§. Mahdjoub E, et al. Intensive Care Med. 2020 Aug;46(8):1648-1650. doi: 10.1007/s00134-020-06118-y. Epub 2020 May 28. Intensive Care Med. 2020. PMID: 32468085 Free PMC article. No abstract available.

References

1. Driggin E., Madhavan M.V., Bikdeli B., Chuich T., Laracy J., Bondi-Zoccai G. Cardiovascular considerations for patients, health care workers, and health systems during the coronavirus disease 2019 (COVID-19) pandemic. J Am Coll Cardiol. 2020;75(18):2352–2371. - PMC - PubMed
1. Cui S., Chen S., Li X., Liu S., Wang F. Prevalence of venous thromboembolism in patients with severe novel coronavirus pneumonia. J Thromb Haemost. 2020;18(6):1421–1424. - PMC - PubMed
1. Klok F.A., Kruip M., van der Meer N.J.M., Arbous M.S., Gommers D., Kant K.M. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191:145–147. - PMC - PubMed
1. Poissy J., Goutay J., Caplan M., Parmentier E., Duburcq T., Lassalle F. Pulmonary embolism in COVID-19 patients: awareness of an increased prevalence. Circulation. 2020;142(2):184–186. - PubMed
1. Mahdjoub E., Mohammad W., Lefevre T., Debray M.P., Khalil A. Admission chest CT score predicts 5-day outcome in patients with COVID-19. Intensive Care Med. 2020;46:1648–1650. - PMC - PubMed

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Pulmonary embolism detected by CT pulmonary angiography in hospitalized COVID-19 patients

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Pulmonary embolism detected by CT pulmonary angiography in hospitalized COVID-19 patients

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