The prognostic value of chest X-ray in patients with COVID-19 on admission and when starting CPAP.
Clin Med (Lond)
; 21(1): e14-e19, 2021 Jan.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1043992
ABSTRACT
OBJECTIVE:
The objective was to explore if chest X-ray severity, assessed using a validated scoring system, predicts patient outcome on admission and when starting continuous positive pressure ventilation (CPAP) for COVID-19.DESIGN:
The study was a retrospective case-controlled study.PARTICIPANTS:
There were 163 patients with COVID-19 deemed candidates for CPAP on admission, including 58 who subsequently required CPAP. OUTCOMEMEASURES:
On admission, we measured the proportion of patients meeting a composite 'negative' outcome of requiring CPAP, intubation or dying versus successful ward-based care. For those escalated to CPAP, 'negative' outcomes were intubation or death versus successful de-escalation of respiratory support.RESULTS:
Our results were stratified into tertiles, those with 'moderate' or 'severe' X-rays on admission had significantly higher odds of negative outcome versus 'mild' (odds ratio (OR) 2.32; 95% confidence interval (CI) 1.121-4.803; p=0.023; and OR 3.600; 95% CI 1.681-7.708; p=0.001, respectively). This could not be demonstrated in those commencing CPAP (OR 0.976; 95% CI 0.754-1.264; p=0.856).CONCLUSIONS:
We outline a scoring system to stratify X-rays by severity and directly link this to prognosis. However, we were unable to demonstrate this association in the patients commencing CPAP.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Admisión del Paciente
/
Radiografía Torácica
/
Presión de las Vías Aéreas Positiva Contínua
/
Pandemias
/
SARS-CoV-2
/
COVID-19
Tipo de estudio:
Estudios diagnósticos
/
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Revista:
Clin Med (Lond)
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Clinmed.2020-0576
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