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Clinical characteristics and longitudinal chest CT features of healthcare workers hospitalized with coronavirus disease 2019 (COVID-19).
Liu, Huaping; Luo, Shiyong; Li, Hailan; Zhang, Youming; Huang, Chiyao; Li, Xili; Tan, Yiqing; Chen, Mingna.
  • Liu H; Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China.
  • Luo S; Department of Radiology, Wuhan Third Hospital (Tongren Hospital of Wuhan University); Wuhan 430060, Hubei Province, China.
  • Li H; Department of Radiology, Hunan Provincial People's Hospital (The first affiliate hospital of Hunan normal university), Changsha 410000, Hunan Province, China.
  • Zhang Y; Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China.
  • Huang C; Department of Chinese Medicine, First Clinical College of China Three Gorges University; Yichang 443000, Hubei Province, China.
  • Li X; Department of Radiology, Wuhan Third Hospital (Tongren Hospital of Wuhan University); Wuhan 430060, Hubei Province, China.
  • Tan Y; Department of Radiology, Wuhan Third Hospital (Tongren Hospital of Wuhan University); Wuhan 430060, Hubei Province, China.
  • Chen M; Department of Ultrasonography, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China.
Int J Med Sci ; 17(17): 2644-2652, 2020.
Article in English | MEDLINE | ID: covidwho-902897
ABSTRACT
Rationale The clinical data and corresponding dynamic CT findings were investigated in detail to describe the clinical and imaging profiles of COVID-19 pneumonia disease progression.

Methods:

Forty HCWs with COVID-19 were included in this study and 30 enrolled for imaging assessment. Disease was divided into four stages based on time from onset stage 1 (1-6 days), stage 2 (7-13 days), stage 3 (14-22 days), and stage 4 (> 22 days). Clinical wand imaging data were analyzed retrospectively.

Results:

The cohort included 33 female and 7 male cases, with a median age of 40 years. Six had underlying comorbidities. More than half of the cases were nurses (22, 55%). Each stage included 39, 37, 34 and 32 CTs, respectively. Bilateral lesions, multifocal lesions and lesions with GGO pattern occurred in both lower lobes at all stages. The crazy-paving pattern (20, 54%), air bronchogram (13, 35%), and pleural effusion (2, 5%) were the most common CT features in stage 2. Consolidation score peaked in stage 2 whereas total lesions score peaked in stage 3.

Conclusions:

COVID-19 pneumonia in HCWs has a potential predilection for younger female workers. Stage 2 of COVID-19 pneumonia may be the key period for controlling progression of the disease, and consolidation scores may be an objective reflection of the severity of lung involvement.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / Pneumonia, Viral / Thorax / Coronavirus Infections / Lung Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Int J Med Sci Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Ijms.48696

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / Pneumonia, Viral / Thorax / Coronavirus Infections / Lung Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Int J Med Sci Journal subject: Medicine Year: 2020 Document Type: Article Affiliation country: Ijms.48696