Visceral adipose tissue area predicts intensive care unit admission in COVID-19 patients
Federica Pediconi1, Veronica Rizzo1, Simone Schiaffino2
1Department of Radiological, Oncological and Pathological Sciences, Università degli Studi di Roma "La Sapienza", Viale Regina Elena 324, 00161 Roma, Italy.
Abstract:
We retrospectively investigated, in 62 consecutive hospitalised COVID-19 patients (aged 70 ± 14 years, 40 males), the prognostic value of CT-derived subcutaneous adipose tissue and visceral adipose tissue (VAT) metrics, testing them in four predictive models for admission to intensive care unit (ICU), with and without pre-existing comorbidities. Multivariate logistic regression identified VAT score as the best ICU admission predictor (odds ratios 4.307-12.842). A non-relevant contribution of comorbidities at receiver operating characteristic analysis (area under the curve 0.821 for the CT-based model, 0.834 for the one including comorbidities) highlights the potential one-stop-shop prognostic role of CT-derived lung and adipose tissue metrics.
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