Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India.
Indian J Radiol Imaging
; 31(Suppl 1): S94-S100, 2021 Jan.
Article
in English
| MEDLINE | ID: covidwho-1076768
ABSTRACT
OBJECTIVE:
To analyze radiological changes in portable chest radiographs in coronavirus disease-19(COVID-19) patients to optimize the management of hospitalized patients.METHODS:
We retrospectively reviewed 638 portable radiographs of 422 hospitalized COVID-19 patients with RT-PCR confirmed COVID-19 infection. All the radiographs were reported in a structured format by two experienced radiologists. A severity score was assigned to every Chest Xray (CXR) and correlation was done with the CT scans whenever available.RESULTS:
Out of 422 baseline portable radiographs assessed, the ratio of male female patients was 33785 that is 79.8% were males and 20.14% were females. The mean age was 50.5 years and the range was 17-84 years. Of these 422 patients, 187 patients (44.3%) had abnormal baseline CXR. 161 out of 187 (86%) had either typical or indeterminate findings for COVID-19 pneumonia, rest 26 (13.9%) patients had CXR findings not consistent with COVID-19, like pleural effusion, hydropneumothorax, or lung cavity. Most commonly observed CXR findings in COVID 19 pneumonia were bilateral, multifocal air space opacities (consolidation and ground-glass opacities) predominantly involving lower zones and peripheral lung fields. X-ray identifiable lung changes of COVID-19 were mostly seen at 9-11 days after symptom onset.CONCLUSION:
The presence of multifocal air-space opacities with bilateral, peripheral distribution on chest radiograph is highly suggestive of COVID-19 pneumonia in this pandemic setting. Portable chest radiography is a widely available and quicktool for estimating the evolution and assessing the severity of lung involvement of COVID-19 pneumonia in hospitalized symptomatic patients.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Prognostic study
Language:
English
Journal:
Indian J Radiol Imaging
Year:
2021
Document Type:
Article
Affiliation country:
Ijri.IJRI_480_20
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