Is a high chest CT severity score a risk factor for an increased incidence of long-term neuroimaging findings after COVID-19?
J Stroke Cerebrovasc Dis
; 32(2): 106920, 2023 Feb.
Article
em En
| MEDLINE
| ID: mdl-36516593
ABSTRACT
OBJECTIVES:
We aimed to determine the incidences of neuroimaging findings (NIF) and investigate the relationship between the course of pneumonia severity and neuroimaging findings. MATERIALS ANDMETHODS:
Our study was a retrospective analysis of 272 (>18 years) COVID-19 patients who were admitted between "March 11, 2021, and September 26, 2022". All patients underwent both chest CT and neuroimaging. The patient's chest CTs were evaluated for pneumonia severity using a severity score system (CT-SS). The incidence of NIF was calculated. NIF were categorized into two groups; neuroimaging positive (NIP) and neuroimaging negative (NIN). Consecutive CT-SS changes in positive and negative NIF patients were analyzed.RESULTS:
The median age of total patients was 71; IQR, 57-80. Of all patients, 56/272 (20.6%) were NIP. There was no significant relationship between NIP and mortality (p = 0.815) and ICU admission (p = 0.187). The incidences of NIF in our patients were as follows Acute-subacute ischemic stroke 47/272 (17.3%); Acute spontaneous intracranial hemorrhage 13/272 (4.8%); Cerebral microhemorrhages 10/272 (3.7%) and Cerebral venous sinus thrombosis 3/25 (10.7%). Temporal change of CT-SSs, there was a statistically significant increase in the second and third CT-SSs compared to the first CT-SS in both patients with NIP and NIN.CONCLUSION:
Our results showed that since neurological damage can be seen in the late period and neurological damage may develop regardless of pneumonia severity.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
COVID-19
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article