疫苗接种状态对CORADS和入院COVID-19患者的计算机断层扫描严重性得分的影响:一项回顾性研究
Umut Devrim Binay1, Erdal Karavaş2, Faruk Karakeçili3
1Department of Infectious Diseases and Clinical Microbiology, Erzincan Binali Yildirim University, Faculty of Medicine, Erzincan 24000, Turkey. umut.binay@erzincan.edu.tr.
在CT扫描上,COVID-19疫苗接种显著降低了肺部疾病的严重程度. 较高的疫苗接种率与较少的典型COVID-19发现和较低的CT严重性得分相关,表明疾病较轻.
科学领域:
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 随着COVID-19的蔓延,肺是主要受影响的器官.
- 胸部CT扫描对于诊断和监测COVID-19肺炎至关重要.
- 接种疫苗是缓解严重COVID-19疾病的关键策略.
研究的目的:
- 评估COVID-19疫苗接种状态对CT严重性得分 (CT-SS) 和CORADS得分的影响.
- 为了确定接种疫苗是否会影响住院COVID-19患者肺部感染的严重程度.
主要方法:
- 对224名住院COVID-19患者的回顾性评估 (2021年4月至2022年4月).
- 纳入标准:年龄大于18岁,SARS-CoV-2 PCR阳性,可用疫苗接种情况,胸部CT.
- 根据接种情况 (未接种疫苗,单剂/多剂量CoronaVac或BioNTech) 将患者分类.
主要成果:
- 与所有接种疫苗的组相比,未接种疫苗的患者的CT-SS显著增加.
- 增加疫苗剂量与CT上的典型COVID-19发现显著下降相关.
- 平均CT-SS在未接种疫苗的人群中最高,在接种了三剂疫苗的人群中最低.
结论:
- 较高的COVID-19疫苗接种率与肺部症状严重程度降低和CT严重性得分降低有关.
- 疫苗接种减少了在CT扫描上典型的COVID-19肺炎模式的可能性.
- 胸部CT对COVID-19肺炎的诊断重要性可能随着疫苗接种范围的增加而减少.
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