Radiological Features on HRCT Associated with Poor Outcomes among COVID-19 Patients
International Journal of Pharmaceutical and Clinical Research
; 15(5):169-179, 2023.
Article
in English
| EMBASE | ID: covidwho-20236204
ABSTRACT
Background:
Ever since the beginning of the COVID-19 pandemic, physicians started investigating the clinical features and lab markers that can assist in predicting the outcome among hospitalized COVID-19 patients. Aim(s) This study aimed to investigate the association between initial chest CT scan findings and adverse outcomes of COVID-19. Material(s) and Method(s) This was a single centre;hospital (inpatient) based prospective cohort study involving 497 COVID-19 patients admitted to the hospital. The adverse outcome included death and mechanical ventilation. We collected data about 14 identifiable parameters available for the HRCT scan. Result(s) Among 14 studied parameters, only 8 features differed significantly among the patients who had favourable and unfavourable outcomes. These features included number of lobes of lungs involved (3 versus 5, p = 0.008), CT Severity score (16 versus 20, p = 0.004), air bronchogram (p=0.003), crazy paving (p=0.029), consolidation (p=0.021), and pleural effusion (p=0.026). We observed that high CT scores coupled with the diffuse distribution of lung lesions were responsible for poor prognosis in most patients. Conclusion(s) Several features of HRCT when combined can accurately predict adverse outcomes among participants and help in triaging the patient for admission in ICU.Copyright © 2023, Dr Yashwant Research Labs Pvt Ltd. All rights reserved.
Clinical Features; covid 19; Morbidities; Mortality; adult; adverse outcome; article; artificial ventilation; clinical feature; cohort analysis; controlled study; coronavirus disease 2019; female; hospital patient; human; lung lesion; lung lobe; major clinical study; male; morbidity; outcome assessment; patient triage; pleura effusion; prognosis; prospective study; thorax; x-ray computed tomography
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Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Language:
English
Journal:
International Journal of Pharmaceutical and Clinical Research
Year:
2023
Document Type:
Article
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