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Published on: December 19, 2020
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Chest X-Ray Severity Index as a Predictor of Requiring Invasive Positive Pressure Ventilation in COVID-19 Positive
Muhammad Awais Hashmat1,2, Muhammad Saqib Saeed1,2, Sadaf Arooj3
1Department of Pulmonology, Mayo Hospital, Lahore, Pakistan.
Summary
The Brixia score on chest X-rays effectively predicts the need for invasive positive pressure ventilation in COVID-19 patients. A high Brixia score indicates a significantly increased risk, aiding clinical decision-making.
Area of Science:
- Medical Imaging
- Pulmonology
- Infectious Diseases
Background:
- COVID-19 poses significant respiratory challenges, often necessitating mechanical ventilation.
- Accurate prediction of ventilation requirements is crucial for patient management.
Purpose of the Study:
- To evaluate the Chest X-ray Severity Index (Brixia score) as a predictor for invasive positive pressure ventilation (IPPV) in COVID-19 patients.
Main Methods:
- A prospective, descriptive, cross-sectional study involving 60 COVID-19 positive patients.
- Analysis included patient demographics, clinical presentation, and chest X-ray (CXR) Brixia scores.
- Statistical analysis assessed the predictive performance of the Brixia score for IPPV need.
Main Results:
- 81.7% of patients presented with positive Brixia scores (≥8).
- The Brixia score demonstrated high sensitivity (93.9%) and specificity (90.9%) for predicting IPPV.
- The score showed excellent predictive power with a high AUC (0.870) and statistical significance (p<0.0001).
Conclusions:
- A high Brixia score is a strong indicator of increased risk for requiring invasive positive pressure ventilation in COVID-19.
- Chest X-ray and the Brixia score can serve as valuable tools in assessing COVID-19 severity and guiding ventilation decisions.
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