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Different computed tomography patterns of Coronavirus Disease 2019 (COVID-19) between survivors and non-survivors.
Pan, Feng; Zheng, Chuansheng; Ye, Tianhe; Li, Lingli; Liu, Dehan; Li, Lin; Hesketh, Richard L; Yang, Lian.
  • Pan F; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1277#, Wuhan, 430022, China.
  • Zheng C; Hubei Province Key Laboratory of Molecular Imaging, Wuhan, 430022, China.
  • Ye T; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1277#, Wuhan, 430022, China.
  • Li L; Hubei Province Key Laboratory of Molecular Imaging, Wuhan, 430022, China.
  • Liu D; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1277#, Wuhan, 430022, China.
  • Li L; Hubei Province Key Laboratory of Molecular Imaging, Wuhan, 430022, China.
  • Hesketh RL; Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue 1277#, Wuhan, 430022, China.
  • Yang L; Hubei Province Key Laboratory of Molecular Imaging, Wuhan, 430022, China.
Sci Rep ; 10(1): 11336, 2020 07 09.
Artículo en Inglés | MEDLINE | ID: covidwho-638242
ABSTRACT
This study aimed to compare the chest computed tomography (CT) findings between survivors and non-survivors with Coronavirus Disease 2019 (COVID-19). Between 12 January 2020 and 20 February 2020, the records of 124 consecutive patients diagnosed with COVID-19 were retrospectively reviewed and divided into survivor (83/124) and non-survivor (41/124) groups. Chest CT findings were qualitatively compared on admission and serial chest CT scans were semi-quantitively evaluated between two groups using curve estimations. On admission, significantly more bilateral (97.6% vs. 73.5%, p = 0.001) and diffuse lesions (39.0% vs. 8.4%, p < 0.001) with higher total CT score (median 10 vs. 4, p < 0.001) were observed in non-survivor group compared with survivor group. Besides, crazy-paving pattern was more predominant in non-survivor group than survivor group (39.0% vs. 12.0%, p < 0.001). From the prediction of curve estimation, in survivor group total CT score increased in the first 20 days reaching a peak of 6 points and then gradually decreased for more than other 40 days (R2 = 0.545, p < 0.001). In non-survivor group, total CT score rapidly increased over 10 points in the first 10 days and gradually increased afterwards until ARDS occurred with following death events (R2 = 0.711, p < 0.001). In conclusion, persistent progression with predominant crazy-paving pattern was the major manifestation of COVID-19 in non-survivors. Understanding this CT feature could help the clinical physician to predict the prognosis of the patients.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Tomografía Computarizada por Rayos X / Infecciones por Coronavirus / Pulmón Tipo de estudio: Estudio experimental / Estudio observacional / Estudio pronóstico / Investigación cualitativa / Ensayo controlado aleatorizado Límite: Adulto / Anciano / Femenino / Humanos / Masculino / Middle aged Idioma: Inglés Revista: Sci Rep Año: 2020 Tipo del documento: Artículo País de afiliación: S41598-020-68057-4

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Tomografía Computarizada por Rayos X / Infecciones por Coronavirus / Pulmón Tipo de estudio: Estudio experimental / Estudio observacional / Estudio pronóstico / Investigación cualitativa / Ensayo controlado aleatorizado Límite: Adulto / Anciano / Femenino / Humanos / Masculino / Middle aged Idioma: Inglés Revista: Sci Rep Año: 2020 Tipo del documento: Artículo País de afiliación: S41598-020-68057-4