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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
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A Meta-Analysis: Coronary Artery Calcium Score and COVID-19 Prognosis
Kevin Kyungmin Lee1, Osman Rahimi1, Charlie Kyungchan Lee2
1Department of Internal Medicine, University of Nevada Las Vegas, Las Vegas, NV 89102, USA.
Medical Sciences (Basel, Switzerland)
|February 28, 2022
Summary
Coronary artery calcium (CAC) scoring indicates higher mortality risk in hospitalized COVID-19 patients. CAC scoring can help stratify patients for earlier interventions during severe illness.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Coronary artery calcium (CAC) scoring is increasingly studied for its prognostic value.
- Previous research explored CAC scores' correlation with mortality, mechanical ventilation, and ICU admissions.
- The prognostic capability of CAC scoring in COVID-19 patients requires further overview.
Purpose of the Study:
- To analyze the prognostic capability of CAC scoring in predicting mortality, mechanical ventilation, and ICU admission in hospitalized COVID-19 patients.
- To synthesize findings from multiple studies on CAC scores and COVID-19 outcomes.
Main Methods:
- A comprehensive online literature search was performed on PubMed, Cochrane Library, and Scopus.
- Studies published up to November 22, 2021, investigating CAC scores in relation to COVID-19 outcomes were included.
- A meta-analysis was conducted on eight selected studies.
Main Results:
- The presence of CAC was associated with a significant increase in mortality (RR 2.24).
- Higher CAC scores correlated with increased mortality compared to lower scores (RR 2.74).
- No statistically significant differences in mechanical ventilation or ICU admission rates were observed between CAC groups.
Conclusions:
- CAC scoring demonstrates prognostic value for mortality in COVID-19 patients.
- CAC scoring can assist in patient stratification, enabling timely interventions for severe COVID-19.
- Further research may refine the role of CAC scoring in managing COVID-19 patients.
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