Severity of lung involvement on chest X-rays in SARS-coronavirus-2 infected patients as a possible tool to predict clinical progression: an observational retrospective analysis of the relationship between radiological, clinical, and laboratory data

Baratella, Elisa; Crivelli, Paola; Marrocchio, Cristina; Bozzato, Alessandro Marco; Vito, Andrea De; Madeddu, Giordano; Saderi, Laura; Confalonieri, Marco; Tenaglia, Luigi; Cova, Maria Assunta

doi:10.36416/1806-3756/e20200226

Cited by 30 publications

(28 citation statements)

References 24 publications

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“…16 83% of patients had an abnormal chest x-ray in our study which is consistent with the findings of a previous study done by Baratella et al They found 95% of patients had abnormal chest x-ray at baseline. 17 Like previous study male patients were more than female (63% vs 37%) in our study and male patients showing a high radiological score and high rate of hospitalization, development of sepsis, and ICU admission. The most common symptoms among our patients were fever (99%) followed by cough (89%), shortness of breath (74%), which are the common presentation among patients with COVID -19 disease worldwide.…”

Section: Discussionsupporting

confidence: 82%

Role of Chest X-ray abnormalities in predicting outcome of COVID-19 in Young Adult Patient

Jahan¹,

Rahman²,

Hossain³

et al. 2021

Bangabandhu Sheikh Mujib Medical Univ J

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COVID-19 is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). Recently COVID -19 radiological literature focuses primarily on CT scan findings which are more sensitive (about 97%) and specific than chest x-ray. But it has to be remembered that performing CT scan is not easy during this pandemic situation. So, the aim of the study was to analyze the chest x-ray severity scoring system and its association with outcome in a young adult patient with COVID-19. This cross-sectional study was carried out from September 15 to December 31 2020 in the COVID unit of BSMMU and it included 100 RT-PCR positive COVID-19 patients according to selection criteria. Chest x-ray postero-anterior view was done in the radiology department of BSMMU. Each patient’s chest x-ray was examined by a radiologist and a pulmonologist with experience of 10 years. Radiological scoring was done by using a scoring system. All patients were followed after 20 days from the first presentation to see the outcome. Out of 100 patients, 73 patients (73%) needed hospital admission, 33(33%) patients were hospitalized but did not developed sepsis, 29 (29%) patient developed sepsis, 10(10%) patient needed ICU support among them 2 patients got intubation. 1(1%) patient was dead. Radiological score ≥ 4 was associated with increased risk of hospitalization. (Area under curve = 0.956). Score ≥ 5 was associated with increased risk of sepsis; score ≥7 was associated with increased risk of ICU admission. (p-value<0.001). BSMMU J 2021; 14 (COVID -19 Supplement): 30-35

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Section: Discussionsupporting

confidence: 82%

Role of Chest X-ray abnormalities in predicting outcome of COVID-19 in Young Adult Patient

Jahan¹,

Rahman²,

Hossain³

et al. 2021

Bangabandhu Sheikh Mujib Medical Univ J

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“…Chest X-rays and high-resolution computed tomography (HRCT) of the chest play important auxiliary roles in the diagnosis and management of patients with suspected cases of COVID-19 [9,10]. The newly applied artificial intelligence (AI)-assisted pneumonia diagnosis system has been described as an objective tool that can be used to qualitatively and quantitatively assess the progression of pulmonary inflammation [11].…”

Section: Introductionmentioning

confidence: 99%

The characteristics and evolution of pulmonary fibrosis in COVID-19 patients as assessed by AI-assisted chest HRCT

et al. 2021

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The characteristics and evolution of pulmonary fibrosis in patients with coronavirus disease 2019 (COVID-19) have not been adequately studied. AI-assisted chest high-resolution computed tomography (HRCT) was used to investigate the proportion of COVID-19 patients with pulmonary fibrosis, the relationship between the degree of fibrosis and the clinical classification of COVID-19, the characteristics of and risk factors for pulmonary fibrosis, and the evolution of pulmonary fibrosis after discharge. The incidence of pulmonary fibrosis in patients with severe or critical COVID-19 was significantly higher than that in patients with moderate COVID-19. There were significant differences in the degree of pulmonary inflammation and the extent of the affected area among patients with mild, moderate and severe pulmonary fibrosis. The IL-6 level in the acute stage and albumin level were independent risk factors for pulmonary fibrosis. Ground-glass opacities, linear opacities, interlobular septal thickening, reticulation, honeycombing, bronchiectasis and the extent of the affected area were significantly improved 30, 60 and 90 days after discharge compared with at discharge. The more severe the clinical classification of COVID-19, the more severe the residual pulmonary fibrosis was; however, in most patients, pulmonary fibrosis was improved or even resolved within 90 days after discharge.

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“…No presente número do Jornal Brasileiro de Pneumologia, Baratella et al (3) apresentam um interessante estudo retrospectivo que visa avaliar o potencial de um escore visual semiquantitativo simples baseado em radiografia de tórax (RT), assim como de parâmetros clínico-laboratoriais para a predição de desfecho grave (necessidade de ventilação não invasiva, de intubação ou ocorrência de óbito) em pacientes com quadro de COVID-19. Os dados apresentados mostram um possível papel da RT no auxílio à estratificação de risco de evolução para gravidade, reforçando dados de estudos prévios da literatura.…”

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“…Os dados apresentados mostram um possível papel da RT no auxílio à estratificação de risco de evolução para gravidade, reforçando dados de estudos prévios da literatura. (4,5) No estudo de Baratella et al, (3) a ausência de desfecho grave esteve significativamente associada à menor proporção de pacientes com escores altos na RT de base, e pacientes com resultado de RT de entrada normal não necessitaram ventilação não invasiva ou intubação e nem morreram.…”

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“…(10)(11)(12) O estudo de Baratella et al (3) traz foco para uma perspectiva diferente das discussões sobre o papel dos métodos de imagem no rastreamento e diagnóstico da doença, focando na triagem de pacientes com potencial para complicações. Embora ainda haja questões sobre como e quais métodos de imagem podem auxiliar no diagnóstico e monitoramento evolutivo da COVID-19 (considerando-se questões de acurácia, disponibilidade de recursos e políticas regionais), o estudo em questão (3) adiciona evidências ao fato de que a RT, isoladamente ou compondo escores multiparamétricos clínico-laboratoriais, pode auxiliar na estratificação de risco para desfechos graves na avaliação inicial de pacientes com COVID-19, com consequentes implicações no manejo clínico, assim como na gestão de leitos e de recursos. (2,4,5) CONTRIBUIÇÃO DOS AUTORES PPTST, KLI e EM: concepção e planejamento do trabalho; interpretação das evidências; redação e/ ou revisão das versões preliminares e definitiva; e aprovação da versão final.…”

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COVID-19: chest X-rays to predict clinical outcomes

Torres¹,

Irion²,

Marchiori³

2020

J Bras Pneumol.

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Severity of lung involvement on chest X-rays in SARS-coronavirus-2 infected patients as a possible tool to predict clinical progression: an observational retrospective analysis of the relationship between radiological, clinical, and laboratory data

Cited by 30 publications

References 24 publications

Role of Chest X-ray abnormalities in predicting outcome of COVID-19 in Young Adult Patient

Role of Chest X-ray abnormalities in predicting outcome of COVID-19 in Young Adult Patient

The characteristics and evolution of pulmonary fibrosis in COVID-19 patients as assessed by AI-assisted chest HRCT

COVID-19: chest X-rays to predict clinical outcomes

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