Radiological Findings as Predictors of COVID-19 Lung Sequelae: A Systematic Review and Meta-analysis

Alilou, Sanam; Zangiabadian, Moein; Pouramini, Alireza; Jaberinezhad, Mehran; Shobeiri, Parnian; Ghozy, Sherief; Haseli, Sara; Beizavi, Zahra

doi:10.1016/j.acra.2023.06.002

Cited by 5 publications

(2 citation statements)

References 36 publications

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“…They found that abnormal ndings on chest X-ray at admission were signi cantly associated with residual abnormalities on follow-up CT (RR: 1.21; 95%CI 1.05-1.40) (27). On the other hand, a systematic review by Alilou et al found that consolidations at admission, abnormal chest X-ray, and pleural abnormalities were signi cantly associated with the development of lung sequela as brosis (9).…”

Section: Resultsmentioning

confidence: 99%

“…The initial radiological ndings, as predictors of severity and mortality in patients with COVID-19, have been studied, along with their prognostic value concerning persistent lung abnormalities such as brosis (8,9). However, the question arises whether these ndings can play a role as predictors of the persistence of long-term symptoms in patients with COVID-19, as, to date, no evidence has been found in the scienti c literature that analyzes this possible association.…”

Section: Introductionmentioning

confidence: 99%

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Association Between Chest Imaging and Persistent Symptoms: A Six-Month Follow-Up Study on COVID-19 SurvivorsChest imaging and COVID-19 persistent symptoms at six months follow-up.

Mantilla,

Ramirez,

Gutierrez

et al. 2024

Preprint

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Background: The COVID-19 pandemic remains a global challenge with over 750 million cases. Post-COVID-19 condition (PCC) involves persistent symptoms three months post-infection, affecting 30%-50% of recovered individuals for up to two years. Risk factors include female sex, smoking, lung disease, and severe initial infection. This article examines if initial chest radiological findings predict PCC. Objective: This study aims to explore the association between initial chest radiological findings and the risk of PCC. Materials and Methods: A single-center ambidirectional cohort study included 1063 COVID-19 patients with thoracic imaging within 72 hours of admission. Baseline data, clinical symptoms, and imaging findings were collected. Six-month follow-up telephone interviews assessed persistent symptoms and PCC development. Results: 47.1% of patients developed PCC and 35% of these patients showed abnormalities in X-ray. Abnormal chest X-ray findings (RR: 1.19; 95%CI: 1.04-1.35), particularly ground glass opacities (RR: 1.18; 95%CI: 1.03-1.36), and multilobar involvement (RR: 1.348; 95%CI: 1.080-1.682) were associated with PCC at 6 months. Conclusion: This study establishes a link between initial chest X-ray findings and PCC development. Despite limited literature support, our findings stress the prognostic value of early imaging in predicting long-term outcomes. Further research is needed to validate imaging's role in understanding and predicting PCC.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%