RESUMO
Background and aim: The possibility of predicting the patient's possible need for ICU care according to the radiological view of chest CT scan involvement on arrival, can be a factor to better manage limited facilities and services and patients with a specific pattern from the beginning along with clinical monitoring in the waiting position. It is preferable to receive ICU services. The aim of present study was evaluated Chest CT scan pattern in patients undergoing mechanical ventilation admitted to ICU with diagnosis of viral pneumonia caused by COVID-19. Method: present study was a case-control study. Patients admitted to the ICU wards of Imam Khomeini Hospital in Tehran between March 2019 to April 2020 were examined and all of them were divided into three categories based on the need for mechanical ventilation, CPAP and oxygen therapy. Case group: Patients with mechanical ventilation and control group 1) Patients with CPAP and control group 2) Patients with oxygen therapy. Data analysis was performed using spss. v24 software. Result: 68% of patients were male and the mean age of patients was 61.53±13.55. The predominant pattern of CT scan of patients was 85.3% of the pattern of Grand glass opacity (GGO). Nodular morphology was seen in only 3 cases, also Crazy paving was reported in 33.3% of patients. There was no significant difference between different groups with age (p = 0.957), oxygen saturation percentage (p = 0.050), temperature (p= 0.160) and respiration rate (p = 0.055). However, there was a statistically significant difference between the values calculated for the pattern of GGO involvement and the type of respiratory support in all lobes. Conclusion: Pulmonary involvement of patients in form of ground glass opacity is the most common and important finding of pulmonary CT scan of COVID-19 patients.
RESUMO
Background and aim: The aim of this study was to investigate the relationship between cardiovascular disease, Dental care and COVID-19. Method: In this systematic review and meta-analysis study, all English-language full-text articles published in international databases that listed the words COVID-19, SARS-COV-2, patients with COVID-19, Cardiovascular in PubMed, Scopus, Science Direct databases, Embase were reviewed between January 2019 and May 2022. Data analysis was performed using STATA.V16 software. Result: According to result Patients with cardiovascular disease are directly related to the progression of Covid-19 disease 1.07 (OR;95% CI 0.89 to 1.26;p=0.00). Mortality rate is directly related to cardiovascular disease and in these patients the mortality rate is higher (OR;95% CI 0.57 to 1.17;p=0.00). Conclusion: The findings of the present study indicate that patients with cardiovascular disease are associated with an increased risk of Covid-19 disease severity and death.