Predictive value of initial CT scan for various adverse outcomes in patients with COVID-19 pneumonia.
Heart Lung
; 50(1): 13-20, 2021.
Article
in English
| MEDLINE | ID: covidwho-856730
ABSTRACT
BACKGROUND:
Chest computed tomography (CT) scan is frequently used in the diagnosis of COVID-19 pneumonia.OBJECTIVES:
This study investigates the predictive value of CT severity score (CSS) for length-of-stay (LOS) in hospital, initial disease severity, ICU admission, intubation, and mortality.METHODS:
In this retrospective study, initial CT scans of consecutively admitted patients with COVID-19 pneumonia were reviewed in a tertiary hospital. The association of CSS with the severity of disease upon admission and the final adverse outcomes was assessed using Pearson's correlation test and logistic regression, respectively.RESULTS:
Total of 121 patients (60±16 years), including 54 women and 67 men, with positive RT-PCR tests were enrolled. We found a significant but weak correlation between CSS and qSOFA, as a measure of disease severity (r 0.261, p = 0.003). No significant association was demonstrated between CSS and LOS. Patients with CSS>8 had at least three-fold higher risk of ICU admission, intubation, and mortality.CONCLUSIONS:
CSS in baseline CT scan of patients with COVID-19 pneumonia can predict adverse outcomes and is weakly correlated with initial disease severity.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Heart Lung
Year:
2021
Document Type:
Article
Affiliation country:
J.hrtlng.2020.10.005
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