tetano
Editor, Senior Moderator
Sci Rep
. 2021 Jan 13;11(1):1103.
doi: 10.1038/s41598-020-79183-4.
Correlation between CT findings and outcomes in 46 patients with coronavirus disease 2019
Qiang Lei[SUP] 1 [/SUP], Guangming Li[SUP] 2 [/SUP], Xiaofen Ma[SUP] 1 [/SUP], Junzhang Tian[SUP] 1 [/SUP], Yun Fan Wu[SUP] 1 [/SUP], Hui Chen[SUP] 2 [/SUP], Wen Xu[SUP] 2 [/SUP], Cheng Li[SUP] 3 [/SUP], Guihua Jiang[SUP] 4 [/SUP]
Affiliations
Abstract
The aim of this study was to analyze initial chest computed tomography (CT) findings in COVID-19 pneumonia and identify features associated with poor prognosis. Patients with RT-PCR-confirmed COVID-19 infection were assigned to recovery group if they made a full recovery and to death group if they died within 2 months of hospitalization. Chest CT examinations for ground-glass opacity, crazy-paving pattern, consolidation, and fibrosis were scored by two reviewers. The total CT score comprised the sum of lung involvement (5 lobes, scores 1-5 for each lobe, range; 0, none; 25, maximum). 40 patients who recovered from COVID-19 and six patients who died were enrolled. The initial chest CTs showed 27 (58.7%) patients had ground-glass opacity, 19 (41.3%) had ground glass and consolidation, and 35 (76.1%) patients had crazy-paving pattern. None of the patients who died had fibrosis in contrast to six (15%) patients who recovered from COVID-19. Most patients had subpleural lesions (89.0%) as well as bilateral (87.0%) and lower (93.0%) lung lobe involvement. Diffuse lesions were present in four (67%) patients who succumbed to coronavirus but only one (2.5%) patient who recovered (p < 0.001). In the death group of patients, the total CT score was higher than that of the recovery group (p = 0.005). Patients in the death group had lower lymphocyte count and higher C-reactive protein than those in the recovery group (p = 0.011 and p = 0.041, respectively). A high CT score and diffuse distribution of lung lesions in COVID-19 are indicative of disease severity and short-term mortality.
. 2021 Jan 13;11(1):1103.
doi: 10.1038/s41598-020-79183-4.
Correlation between CT findings and outcomes in 46 patients with coronavirus disease 2019
Qiang Lei[SUP] 1 [/SUP], Guangming Li[SUP] 2 [/SUP], Xiaofen Ma[SUP] 1 [/SUP], Junzhang Tian[SUP] 1 [/SUP], Yun Fan Wu[SUP] 1 [/SUP], Hui Chen[SUP] 2 [/SUP], Wen Xu[SUP] 2 [/SUP], Cheng Li[SUP] 3 [/SUP], Guihua Jiang[SUP] 4 [/SUP]
Affiliations
- PMID: 33441572
- DOI: 10.1038/s41598-020-79183-4
Abstract
The aim of this study was to analyze initial chest computed tomography (CT) findings in COVID-19 pneumonia and identify features associated with poor prognosis. Patients with RT-PCR-confirmed COVID-19 infection were assigned to recovery group if they made a full recovery and to death group if they died within 2 months of hospitalization. Chest CT examinations for ground-glass opacity, crazy-paving pattern, consolidation, and fibrosis were scored by two reviewers. The total CT score comprised the sum of lung involvement (5 lobes, scores 1-5 for each lobe, range; 0, none; 25, maximum). 40 patients who recovered from COVID-19 and six patients who died were enrolled. The initial chest CTs showed 27 (58.7%) patients had ground-glass opacity, 19 (41.3%) had ground glass and consolidation, and 35 (76.1%) patients had crazy-paving pattern. None of the patients who died had fibrosis in contrast to six (15%) patients who recovered from COVID-19. Most patients had subpleural lesions (89.0%) as well as bilateral (87.0%) and lower (93.0%) lung lobe involvement. Diffuse lesions were present in four (67%) patients who succumbed to coronavirus but only one (2.5%) patient who recovered (p < 0.001). In the death group of patients, the total CT score was higher than that of the recovery group (p = 0.005). Patients in the death group had lower lymphocyte count and higher C-reactive protein than those in the recovery group (p = 0.011 and p = 0.041, respectively). A high CT score and diffuse distribution of lung lesions in COVID-19 are indicative of disease severity and short-term mortality.