Clinical overview, laboratory findings, and radiological outcomes of COVID-19 Patients in the city of Bandung, Indonesia

ABSTRACT

This study analyzed the chest CT of COVID-19 patients with clinical and laboratory features. A retrospective study of chest CT, laboratory analysis, and clinical features of patients with COVID-19 was conducted from March to September 2020. Sixty-nine symptomatic patients agreed to join the study. The scoring for chest CT was based on the proportion of lobar involvement with visual assessment. Chest CT scores were paired with clinical and laboratory findings. The relation of all these findings with the patients’ outcomes was statistically assessed with univariate and multivariate analyses. Ground glass opacity was the most common finding in the early course of the disease (≤ 7 days), while crazy-paving, consolidation, and fibrosis were dominantly observed in the late phase (>7 days). The CT score was significantly higher in severe patients (p < 0.0001) and late-phase than that in early-phase patients (p < 0.0001). CT score was significantly correlated with CRP (p<0.001), ALC (p=0.002) and NLR (p<0.001). Chest CT score correlates significantly with laboratory findings and disease severity in COVID-19 patients. Therefore, chest CT score has a potential role in estimating the outcomes of these patients. In addition, a Faster diagnostic workup in symptomatic cases would be beneficial to the patients.