tetano
Editor, Senior Moderator
Expert Rev Respir Med
. 2020 Nov 16.
doi: 10.1080/17476348.2021.1850278. Online ahead of print.
Chest radiographs may assist in predicting the outcome in the early phase of Covid-19. UK district general hospital experience of Covid-19 first wave
Max Berrill[SUP] 1 [/SUP], Jola Karaj[SUP] 1 [/SUP], Georgiana Zamfir[SUP] 2 [/SUP], Jordan Coleman[SUP] 2 [/SUP], Rachel Mason[SUP] 1 [/SUP], Saeed Akbar[SUP] 1 [/SUP], Shashank Sharma[SUP] 1 [/SUP], Frances Sheehan[SUP] 2 [/SUP], Kanchan Dhamija[SUP] 3 [/SUP], Felicity Saltissi[SUP] 2 [/SUP], Aigul Baltabaeva[SUP] 4 [/SUP], Sujoy Saikia[SUP] 1 [/SUP]
Affiliations
Abstract
Objectives: Severe Acute Respiratory Syndrome coronavirus-2 (SARS-CoV-2) has caused enormous strain on healthcare systems worldwide. Early recognition of prognostic markers and appropriate management of patients with coronavirus disease 2019 (Covid-19) remains a major global health concern, particularly when resources are limited. We undertook a study to see if basic tests can inform frontline clinicians of disease trajectory in individual patients with COVID-19. Methods: We retrospectively assessed characteristics of the first 50 consecutive patients admitted to district general hospital in the United Kingdom with positive SARS-Cov-2 RNA swabs. Results: Our patient cohort shared broad similarities with previously published data on comorbidities and presenting features. We have found that chest radiographic assessment differed between survivors and non-survivors. Air space shadowing in middle zones were more prevalent in non-survivors (73.3% vs. 35.5% [p=0.027]). Chest radiograph severity score was also found to be higher in non-survivors compared to survivors (3 vs. 1.5 [p=0.007]). Conclusions: In this small retrospective study, our results suggest features of chest radiographs at presentation may provide a helpful tool for prognostication. In environments with constrained computed tomography (CT) imaging with serial chest radiographs could be a cost-effective tool in the assessment of Covid-19 patients.
Keywords: CXR; Covid-19; United Kingdom; radiograph: coronavirus.
. 2020 Nov 16.
doi: 10.1080/17476348.2021.1850278. Online ahead of print.
Chest radiographs may assist in predicting the outcome in the early phase of Covid-19. UK district general hospital experience of Covid-19 first wave
Max Berrill[SUP] 1 [/SUP], Jola Karaj[SUP] 1 [/SUP], Georgiana Zamfir[SUP] 2 [/SUP], Jordan Coleman[SUP] 2 [/SUP], Rachel Mason[SUP] 1 [/SUP], Saeed Akbar[SUP] 1 [/SUP], Shashank Sharma[SUP] 1 [/SUP], Frances Sheehan[SUP] 2 [/SUP], Kanchan Dhamija[SUP] 3 [/SUP], Felicity Saltissi[SUP] 2 [/SUP], Aigul Baltabaeva[SUP] 4 [/SUP], Sujoy Saikia[SUP] 1 [/SUP]
Affiliations
- PMID: 33191824
- DOI: 10.1080/17476348.2021.1850278
Abstract
Objectives: Severe Acute Respiratory Syndrome coronavirus-2 (SARS-CoV-2) has caused enormous strain on healthcare systems worldwide. Early recognition of prognostic markers and appropriate management of patients with coronavirus disease 2019 (Covid-19) remains a major global health concern, particularly when resources are limited. We undertook a study to see if basic tests can inform frontline clinicians of disease trajectory in individual patients with COVID-19. Methods: We retrospectively assessed characteristics of the first 50 consecutive patients admitted to district general hospital in the United Kingdom with positive SARS-Cov-2 RNA swabs. Results: Our patient cohort shared broad similarities with previously published data on comorbidities and presenting features. We have found that chest radiographic assessment differed between survivors and non-survivors. Air space shadowing in middle zones were more prevalent in non-survivors (73.3% vs. 35.5% [p=0.027]). Chest radiograph severity score was also found to be higher in non-survivors compared to survivors (3 vs. 1.5 [p=0.007]). Conclusions: In this small retrospective study, our results suggest features of chest radiographs at presentation may provide a helpful tool for prognostication. In environments with constrained computed tomography (CT) imaging with serial chest radiographs could be a cost-effective tool in the assessment of Covid-19 patients.
Keywords: CXR; Covid-19; United Kingdom; radiograph: coronavirus.