High Resolution Computed Tomography Finding in 552 Patients with Symptomatic COVID-19: First Report from North of Iran

Abstract

Purpose: Due to the emergence of the new Coronavirus-2019 and the lack of sufficient information about infected patients, this study was conducted to investigate the Chest High Resolution Computed Tomography (HRCT) findings of patients infected with the new Coronavirus 2019.Methods: This cross-sectional study was performed on COVID-19 patients referred to Medical Imaging Centers of Sari, Mazandaran, Iran, on March 2020 for Computed Tomography Scan (CT-Scan). Symptomatic patients were referred to the Medical Imaging Center for diagnosis confirmation through CT-scan. In addition to age and sex, HRCT findings were collected from the picture archiving and communication system (PACS) for further evaluations.Results: Out of 552 patients with mean age of 14.8 ± 51.2 years, the male/female ratio was 1.38 to 1. The most common expressive findings in patients were ground-glass opacity (GGO) (87.3%), peripheral distribution (82.4%) and posterior distribution (81.5%). The most conflicting findings in patients were pleural effusion (7.6%), peribronchovascular distribution (7.6%), and lymphadenopathy (5.1%). The peripheral distribution (p = 0.034), round opacities (p = 0.02), single lobe (p = 0.003) and pleural effusion (p = 0.037) were significantly in people under and over 50 years of age.Conclusion: In summary, the present study indicated that in addition to GGO, peripheral distribution findings could be a vital diagnostic choice in COVID-19 patients.

Anxiety and Depression in Health Workers and General Population During COVID‐19 in IRAN: A Cross‐Sectional Study

“…The present study made use of online demographic questionnaires and Hospital Anxiety and Depression Scale (HADS) for the general public and healthcare workers 10 …”

“…Due to the increase in the virus‐related mortalities, both the medical staff and the general public 8 have experienced psychological problems such as anxiety and depression 9 . On average, the medical personnel work for 16 to 22 hours per day, putting their mental health at risk 10 . High‐risk positions with constant contact with the infected and high‐risk‐infected environments with inadequate protection from contamination, lack of contact with family members, frustration, prejudice, loneliness, and fatigue further cause mental health issues such as stress, anxiety, depressive symptoms, insomnia, denial, anger, and fear 9,11 .…”

Pleural diseases and COVID-19: ubi fumus, ibi ignis

“…However, the frequency of pleural effusions varies with age and disease severity. For example, in an Iranian study of 552 COVID-19 symptomatic patients, CT detected pleural effusions in 7.6% of cases overall; a percentage which was significantly higher in those over 50 years of age versus under (10% versus 5.2%, p=0.037) [ 11 ]. Additionally, in a multi-center study of 476 patients with COVID-19, more patients in the critical than in the severe or moderate disease groups had pleural effusions on CT images at admission (18%, 7.4%, and 3.1%, respectively; p<0.001) [ 12 ].…”

Evaluation of High Resolution Computed Tomography Findings and its Relationship with the Clinical Course of Patients with Covid-19&nbsp;

“…The SARS-COV-2 disease is considered a global threat with a high infectious rate and CT imaging has an important role in its rapid diagnosis and evaluation [13,14]. To our knowledge, this is the rst study about hospitalized patients from Guilan province by HRCT for diagnosis and evaluation.…”