Prognostic Value of Chest-Computed Tomography in Patients with COVID-19

Gökhan Perincek1, Canver Önal2, Timor Omar3

  • 1Department of Chest Disease, Kars Harakani State Hospital, Kars 36200, Turkey.

Insights

Chest CT scans can predict COVID-19 patient outcomes. A higher global CT score indicates a greater risk of in-hospital mortality, aiding in prognosis.

Area of Science:

  • Radiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Chest CT imaging is crucial for diagnosing COVID-19.
  • Prognostic data from chest CT in COVID-19 patients remains limited.

Purpose of the Study:

  • To investigate the prognostic value of chest CT scans in hospitalized COVID-19 patients.
  • To determine if chest CT findings can predict in-hospital mortality.

Main Methods:

  • Retrospective analysis of 521 symptomatic COVID-19 patients.
  • Application of a semi-quantitative CT severity scoring system.
  • Comparison of clinical, laboratory, and CT characteristics between survivors and non-survivors.

Main Results:

  • The global CT score was significantly higher in non-survivors (p < 0.001).
  • A global CT score cutoff of 5.5 predicted in-hospital mortality with 74% sensitivity and 73% specificity.
  • Global CT score, age, C-reactive protein, and diabetes were independent predictors of mortality.

Conclusions:

  • The global CT score offers valuable prognostic information for symptomatic COVID-19 patients.
  • Chest CT severity scoring can aid in assessing mortality risk.

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