胸部计算机断层扫描结果与COVID-19诊断患者的预后之间的关系
1Department of Radiology, Ankara Oncology Education and Research Hospital, Ankara, Turkey. elifaktasmd@gmail.com.
European review for medical and pharmacological sciences
|December 1, 2023
概括
这项研究发现,虽然胸部CT扫描和严重性得分对于COVID-19患者的早期诊断和预后有价值,但它们与死亡率没有直接关系. 然而,CT得分与重症监护室的入院和患者的治疗结果相关.
科学领域:
- 放射学和成像学 放射学和成像学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 在计算机断层扫描 (CT) 上呈现出各种胸部表现.
- 评估COVID-19患者的预后对于临床管理至关重要.
- 半定量CT评分系统提供了一种标准化的方法来评估疾病严重程度.
研究的目的:
- 调查COVID-19患者胸部CT发现和预后之间的相关性.
- 评估半定量CT严重性评分系统对预测结果的有用性.
主要方法:
- 对305名确诊COVID-19患者的RT-PCR回顾性分析 (2020年3月至7月).
- 胸部CT扫描用评分系统分析了磨砂玻璃的不透明度,巩固和隔膜加厚.
- 人口统计数据,临床表现和结果从电子医疗记录中提取.
主要成果:
- 在死亡率和CT得分或其他参数之间没有发现显著的关系.
- CT评分显示了与重症监护室入院的显著关系 (p=0.014).
- 在CT得分和大动脉直径,慢性肺病,光环标志,发烧和呼吸障碍之间观察到显著的相关性. 检测出出院患者和被送往ICU的患者之间在得分上存在统计学上显著的差异 (p<0.001).
结论:
- 胸部CT是COVID-19早期诊断和预后评估的一个有价值的工具.
- 半定量CT严重性评分提供了重要的预后信息,特别是关于ICU入院和生存结果.
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