Acute Middle East Respiratory Syndrome Coronavirus: Temporal Lung Changes Observed on the Chest Radiographs of 55 Patients.
Identifieur interne : 000525 ( Ncbi/Merge ); précédent : 000524; suivant : 000526Acute Middle East Respiratory Syndrome Coronavirus: Temporal Lung Changes Observed on the Chest Radiographs of 55 Patients.
Auteurs : Karuna M. Das ; Edward Y. Lee [États-Unis] ; Suhayla E. Al Jawder ; Mushira A. Enani ; Rajvir Singh [Qatar] ; Leila Skakni ; Nizar Al-Nakshabandi ; Khalid Aldossari ; Sven G. LarssonSource :
- AJR. American journal of roentgenology [ 1546-3141 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Arabie saoudite, Coronavirus du syndrome respiratoire du Moyen-Orient, Durée du séjour, Enfant, Facteurs temps, Femelle, Humains, Jeune adulte, Mâle, Pneumopathie virale (), Pneumopathie virale (imagerie diagnostique), Pneumopathie virale (mortalité), Radiographie thoracique, Sujet âgé, Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (imagerie diagnostique), Syndrome respiratoire aigu sévère (mortalité), Taux de survie, Études rétrospectives, Évolution de la maladie.
- MESH :
- imagerie diagnostique : Pneumopathie virale, Syndrome respiratoire aigu sévère.
- mortalité : Pneumopathie virale, Syndrome respiratoire aigu sévère.
- Adolescent, Adulte, Adulte d'âge moyen, Arabie saoudite, Coronavirus du syndrome respiratoire du Moyen-Orient, Durée du séjour, Enfant, Facteurs temps, Femelle, Humains, Jeune adulte, Mâle, Pneumopathie virale, Radiographie thoracique, Sujet âgé, Syndrome respiratoire aigu sévère, Taux de survie, Études rétrospectives, Évolution de la maladie.
- Wicri :
- geographic : Arabie saoudite.
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
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000C89
- to stream PubMed, to step Curation: 000C89
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pubmed:26102309Le document en format XML
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<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>
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<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>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic"><Year>2015</Year>
<Month>06</Month>
<Day>23</Day>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>AJR Am J Roentgenol. 2016 Jan;206(1):W38</RefSource>
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<CommentsCorrections RefType="CommentIn"><RefSource>AJR Am J Roentgenol. 2016 Jan;206(1):W39</RefSource>
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<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>
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<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
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