Acute Middle East Respiratory Syndrome Coronavirus: Temporal Lung Changes Observed on the Chest Radiographs of 55 Patients.
Identifieur interne : 000635 ( PubMed/Corpus ); précédent : 000634; suivant : 000636Acute Middle East Respiratory Syndrome Coronavirus: Temporal Lung Changes Observed on the Chest Radiographs of 55 Patients.
Auteurs : Karuna M. Das ; Edward Y. Lee ; Suhayla E. Al Jawder ; Mushira A. Enani ; Rajvir Singh ; Leila Skakni ; Nizar Al-Nakshabandi ; Khalid Aldossari ; Sven G. LarssonSource :
- AJR. American journal of roentgenology [ 1546-3141 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Child, Disease Progression, Female, Humans, Length of Stay, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus, Outcome Assessment, Health Care, Pneumonia, Viral (diagnostic imaging), Pneumonia, Viral (mortality), Pneumonia, Viral (therapy), Radiography, Thoracic, Retrospective Studies, Saudi Arabia, Severe Acute Respiratory Syndrome (diagnostic imaging), Severe Acute Respiratory Syndrome (mortality), Severe Acute Respiratory Syndrome (therapy), Survival Rate, Time Factors, Young Adult.
- MESH :
- geographic : Saudi Arabia.
- diagnostic imaging : Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- mortality : Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- therapy : Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- Adolescent, Adult, Aged, Child, Disease Progression, Female, Humans, Length of Stay, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus, Outcome Assessment, Health Care, Radiography, Thoracic, Retrospective Studies, Survival Rate, Time Factors, Young Adult.
Abstract
The objective of our study was to describe lung changes on serial chest radiographs from patients infected with the acute Middle East respiratory syndrome corona-virus (MERS-CoV) and to compare the chest radiographic findings and final outcomes with those of health care workers (HCWs) infected with the same virus. Chest radiographic scores and comorbidities were also examined as indicators of a fatal outcome to determine their potential prognostic value.
DOI: 10.2214/AJR.15.14445
PubMed: 26102309
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Al Jawder</name><affiliation><nlm:affiliation>5 Department of Pulmonary & Sleep Medicine, King Fahad Medical City, Riyadh, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Enani, Mushira A" sort="Enani, Mushira A" uniqKey="Enani M" first="Mushira A" last="Enani">Mushira A. Enani</name><affiliation><nlm:affiliation>6 Department of Medicine, Infectious Disease Division, King Fahad Medical City, Riyadh, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Singh, Rajvir" sort="Singh, Rajvir" uniqKey="Singh R" first="Rajvir" last="Singh">Rajvir Singh</name><affiliation><nlm:affiliation>7 Department of Cardiology, Hamad Medical Corporation, Doha, Qatar.</nlm:affiliation></affiliation></author><author><name sortKey="Skakni, Leila" sort="Skakni, Leila" uniqKey="Skakni L" first="Leila" last="Skakni">Leila Skakni</name><affiliation><nlm:affiliation>8 Department of Virology, King Fahad Medical City, Riyadh, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Al Nakshabandi, Nizar" sort="Al Nakshabandi, Nizar" uniqKey="Al Nakshabandi N" first="Nizar" last="Al-Nakshabandi">Nizar Al-Nakshabandi</name><affiliation><nlm:affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Aldossari, Khalid" sort="Aldossari, Khalid" uniqKey="Aldossari K" first="Khalid" last="Aldossari">Khalid Aldossari</name><affiliation><nlm:affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Larsson, Sven G" sort="Larsson, Sven G" uniqKey="Larsson S" first="Sven G" last="Larsson">Sven G. 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Das</name><affiliation><nlm:affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Edward Y" sort="Lee, Edward Y" uniqKey="Lee E" first="Edward Y" last="Lee">Edward Y. Lee</name><affiliation><nlm:affiliation>3 Department of Radiology, Boston Children's Hospital and Harvard Medical School, Boston, MA.</nlm:affiliation></affiliation></author><author><name sortKey="Al Jawder, Suhayla E" sort="Al Jawder, Suhayla E" uniqKey="Al Jawder S" first="Suhayla E" last="Al Jawder">Suhayla E. Al Jawder</name><affiliation><nlm:affiliation>5 Department of Pulmonary & Sleep Medicine, King Fahad Medical City, Riyadh, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Enani, Mushira A" sort="Enani, Mushira A" uniqKey="Enani M" first="Mushira A" last="Enani">Mushira A. Enani</name><affiliation><nlm:affiliation>6 Department of Medicine, Infectious Disease Division, King Fahad Medical City, Riyadh, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Singh, Rajvir" sort="Singh, Rajvir" uniqKey="Singh R" first="Rajvir" last="Singh">Rajvir Singh</name><affiliation><nlm:affiliation>7 Department of Cardiology, Hamad Medical Corporation, Doha, Qatar.</nlm:affiliation></affiliation></author><author><name sortKey="Skakni, Leila" sort="Skakni, Leila" uniqKey="Skakni L" first="Leila" last="Skakni">Leila Skakni</name><affiliation><nlm:affiliation>8 Department of Virology, King Fahad Medical City, Riyadh, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Al Nakshabandi, Nizar" sort="Al Nakshabandi, Nizar" uniqKey="Al Nakshabandi N" first="Nizar" last="Al-Nakshabandi">Nizar Al-Nakshabandi</name><affiliation><nlm:affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Aldossari, Khalid" sort="Aldossari, Khalid" uniqKey="Aldossari K" first="Khalid" last="Aldossari">Khalid Aldossari</name><affiliation><nlm:affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</nlm:affiliation></affiliation></author><author><name sortKey="Larsson, Sven G" sort="Larsson, Sven G" uniqKey="Larsson S" first="Sven G" last="Larsson">Sven G. Larsson</name><affiliation><nlm:affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">AJR. American journal of roentgenology</title><idno type="eISSN">1546-3141</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Length of Stay</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus</term><term>Outcome Assessment, Health Care</term><term>Pneumonia, Viral (diagnostic imaging)</term><term>Pneumonia, Viral (mortality)</term><term>Pneumonia, Viral (therapy)</term><term>Radiography, Thoracic</term><term>Retrospective Studies</term><term>Saudi Arabia</term><term>Severe Acute Respiratory Syndrome (diagnostic imaging)</term><term>Severe Acute Respiratory Syndrome (mortality)</term><term>Severe Acute Respiratory Syndrome (therapy)</term><term>Survival Rate</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Pneumonia, Viral</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Pneumonia, Viral</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Pneumonia, Viral</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Length of Stay</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus</term><term>Outcome Assessment, Health Care</term><term>Radiography, Thoracic</term><term>Retrospective Studies</term><term>Survival Rate</term><term>Time Factors</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective of our study was to describe lung changes on serial chest radiographs from patients infected with the acute Middle East respiratory syndrome corona-virus (MERS-CoV) and to compare the chest radiographic findings and final outcomes with those of health care workers (HCWs) infected with the same virus. Chest radiographic scores and comorbidities were also examined as indicators of a fatal outcome to determine their potential prognostic value.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26102309</PMID><DateCompleted><Year>2015</Year><Month>11</Month><Day>12</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1546-3141</ISSN><JournalIssue CitedMedium="Internet"><Volume>205</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>AJR. American journal of roentgenology</Title><ISOAbbreviation>AJR Am J Roentgenol</ISOAbbreviation></Journal><ArticleTitle>Acute Middle East Respiratory Syndrome Coronavirus: Temporal Lung Changes Observed on the Chest Radiographs of 55 Patients.</ArticleTitle><Pagination><MedlinePgn>W267-74</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2214/AJR.15.14445</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The objective of our study was to describe lung changes on serial chest radiographs from patients infected with the acute Middle East respiratory syndrome corona-virus (MERS-CoV) and to compare the chest radiographic findings and final outcomes with those of health care workers (HCWs) infected with the same virus. Chest radiographic scores and comorbidities were also examined as indicators of a fatal outcome to determine their potential prognostic value.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Chest radiographs of 33 patients and 22 HCWs infected with MERS-CoV were examined for radiologic features indicative of disease and for evidence of radiographic deterioration and progression. Chest radiographic scores were estimated after dividing each lung into three zones. The scores (1 [mild] to 4 [severe]) for all six zones per chest radiographic examination were summed to provide a cumulative chest radiographic score (range, 0-24). Serial radiographs were also examined to assess for radiographic deterioration and progression from type 1 (mild) to type 4 (severe) disease. Multivariate logistic regression analysis, Kaplan-Meier survival curve analysis, and the Mann-Whitney U test were used to compare data of deceased patients with those of individuals who recovered to identify prognostic radiographic features.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Ground-glass opacity was the most common abnormality (66%) followed by consolidation (18%). Overall mortality was 35% (19/55). Mortality was higher in the patient group (55%, 18/33) than in the HCW group (5%, 1/22). The mean chest radiographic score for deceased patients was significantly higher than that for those who recovered (13 ± 2.6 [SD] vs 5.8 ± 5.6, respectively; p = 0.001); in addition, higher rates of pneumothorax (deceased patients vs patients who recovered, 47% vs 0%; p = 0.001), pleural effusion (63% vs 14%; p = 0.001), and type 4 radiographic progression (63% vs 6%; p = 0.001) were seen in the deceased patients compared with those who recovered. Univariate and logistic regression analyses identified the chest radiographic score as an independent predictor of mortality (odds ratio [OR], 1.38; 95% CI, 1.07-1.77; p = 0.01). The number of comorbidities in the patient group (n = 33) was significantly higher than that in the HCW group (n = 22) (mean number of comorbidities, 1.90 ± 1.27 vs 0.17 ± 0.65, respectively; p = 0.001). The Kaplan-Meier analysis revealed a median survival time of 15 days (95% CI, 4-26 days).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Ground-glass opacity in a peripheral location was the most common abnormality noted on chest radiographs. A higher chest radiographic score coupled with a high number of medical comorbidities was associated with a poor prognosis and higher mortality in those infected with MERS-CoV. Younger HCWs with few or no comorbidities had a higher survival rate.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Das</LastName><ForeName>Karuna M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>2 Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, UAE.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Edward Y</ForeName><Initials>EY</Initials><AffiliationInfo><Affiliation>3 Department of Radiology, Boston Children's Hospital and Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>4 Department of Medicine, Pulmonary Division, Boston Children's Hospital and Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al Jawder</LastName><ForeName>Suhayla E</ForeName><Initials>SE</Initials><AffiliationInfo><Affiliation>5 Department of Pulmonary & Sleep Medicine, King Fahad Medical City, Riyadh, KSA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Enani</LastName><ForeName>Mushira A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>6 Department of Medicine, Infectious Disease Division, King Fahad Medical City, Riyadh, KSA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Rajvir</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>7 Department of Cardiology, Hamad Medical Corporation, Doha, Qatar.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Skakni</LastName><ForeName>Leila</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>8 Department of Virology, King Fahad Medical City, Riyadh, KSA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Nakshabandi</LastName><ForeName>Nizar</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>9 Department of Radiology, College of Medicine, King Saud University, Riyadh, KSA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>AlDossari</LastName><ForeName>Khalid</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Larsson</LastName><ForeName>Sven G</ForeName><Initials>SG</Initials><AffiliationInfo><Affiliation>1 Department of Medical Imaging, King Fahad Medical City, Riyadh 11525, KSA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>06</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>AJR Am J Roentgenol</MedlineTA><NlmUniqueID>7708173</NlmUniqueID><ISSNLinking>0361-803X</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>AJR Am J Roentgenol. 2016 Jan;206(1):W38</RefSource><PMID Version="1">26700365</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>AJR Am J Roentgenol. 2016 Jan;206(1):W39</RefSource><PMID Version="1">26700366</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065207" MajorTopicYN="Y">Middle East Respiratory Syndrome Coronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013902" MajorTopicYN="N">Radiography, Thoracic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012529" MajorTopicYN="N" Type="Geographic">Saudi Arabia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Middle East respiratory syndrome coronavirus (MERS-CoV)</Keyword><Keyword MajorTopicYN="N">chest radiographic score</Keyword><Keyword MajorTopicYN="N">chest radiographs</Keyword><Keyword MajorTopicYN="N">mortality</Keyword><Keyword MajorTopicYN="N">radiographic deterioration pattern</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>11</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26102309</ArticleId><ArticleId IdType="doi">10.2214/AJR.15.14445</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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