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Covid-19: Correlation of Early Chest Computed Tomography Findings With the Course of Disease.

Identifieur interne : 000006 ( Main/Exploration ); précédent : 000005; suivant : 000007

Covid-19: Correlation of Early Chest Computed Tomography Findings With the Course of Disease.

Auteurs : Sukru Mehmet Erturk ; Gorkem Durak ; Hakan Ayyildiz ; Rana Gunoz Comert ; Alpay Medetalibeyoglu ; Naci Senkal ; Emre Uysal [Turquie] ; Atadan Tunaci

Source :

RBID : pubmed:32842068

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To investigate the role of chest computed tomography (CT) examinations acquired early after initial onset of symptoms in predicting disease course in coronavirus disease 2019.

METHODS

Two hundred sixty-two patients were categorized according to intensive care unit (ICU) admission, survival, length of hospital stay, and reverse transcriptase-polymerase chain reaction positivity. Mean time interval between the onset of symptoms and CT scan was 5.2 ± 2.3 days. Groups were compared using Student t test, Mann-Whitney U, and Fisher exact tests.

RESULTS

In the ICU (+) and died groups, crazy paving (64% and 57.1%), bronchus distortion (68% and 66.7%), bronchiectasis-bronchiolectasis (80% and 76.2%), air trapping (52% and 52.4%) and mediastinal-hilar lymph node enlargement (52% and 52.4%) were significantly more encountered (P < 0,05). These findings were correlated with longer hospital stays (P < 0.05). There were no differences between reverse transcriptase-polymerase chain reaction-positive and -negative patients except bronchiectasis-bronchiolectasis.

CONCLUSION

Computed tomography examinations performed early after the onset of symptoms may help in predicting disease course and planning of resources, such as ICU beds.


DOI: 10.1097/RCT.0000000000001073
PubMed: 32842068


Affiliations:


Links toward previous steps (curation, corpus...)


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<b>OBJECTIVE</b>
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<p>To investigate the role of chest computed tomography (CT) examinations acquired early after initial onset of symptoms in predicting disease course in coronavirus disease 2019.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Two hundred sixty-two patients were categorized according to intensive care unit (ICU) admission, survival, length of hospital stay, and reverse transcriptase-polymerase chain reaction positivity. Mean time interval between the onset of symptoms and CT scan was 5.2 ± 2.3 days. Groups were compared using Student t test, Mann-Whitney U, and Fisher exact tests.</p>
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<b>RESULTS</b>
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<p>In the ICU (+) and died groups, crazy paving (64% and 57.1%), bronchus distortion (68% and 66.7%), bronchiectasis-bronchiolectasis (80% and 76.2%), air trapping (52% and 52.4%) and mediastinal-hilar lymph node enlargement (52% and 52.4%) were significantly more encountered (P < 0,05). These findings were correlated with longer hospital stays (P < 0.05). There were no differences between reverse transcriptase-polymerase chain reaction-positive and -negative patients except bronchiectasis-bronchiolectasis.</p>
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<b>CONCLUSION</b>
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<p>Computed tomography examinations performed early after the onset of symptoms may help in predicting disease course and planning of resources, such as ICU beds.</p>
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