在COVID-19中临床严重程度和高分辨率CT严重程度得分:有没有关联?
Raja Mobeen Ahmed1, Kaleem Ullah Toori2, Muhammad Arsalan Qureshi3
1Raja Mobeen Ahmed, MBBS. Department of Medicine, KRL Hospital, Islamabad, Pakistan.
Pakistan journal of medical sciences
|March 28, 2024
概括
在COVID-19患者中,CT胸部严重程度得分较高与疾病严重程度和死亡风险增加有关. 这一发现有助于评估患者的预后,并指导临床管理策略.
科学领域:
- 放射学和传染病的研究.
背景情况:
- COVID-19呈现出各种不同的临床和放射性表现.
- 准确评估疾病严重程度对于患者管理和预测结果至关重要.
研究的目的:
- 调查COVID-19患者的临床参数和CT胸部严重程度得分之间的相关性.
- 为了确定CT严重性得分是否可以预测临床严重性和死亡率.
主要方法:
- 一项描述性的横截面研究包括205名RT-PCR阳性COVID-19患者.
- 根据世卫组织的指导方针,根据疾病严重程度对患者进行了分层.
- 分析了临床和放射学数据,比较了幸存者和未幸存者.
主要成果:
- 患者的平均年龄为57岁,57%为男性. 总体死亡率为22%.
- 没有幸存者表现出更高的刻,缺氧,CT严重性得分,临床严重性,并发症和炎症标志物 (TLC,D-Dimers,LDH,CRP,NLR) 的升高.
- 在CT严重性得分和疾病严重性之间发现了显著的正相关性,疾病类别之间存在显著差异.
结论:
- 升高的CT胸部严重性得分表明COVID-19的临床严重性增加.
- 较高的CT严重性得分与COVID-19患者死亡的可能性更高有关.
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