The mean severity score and its correlation with common computed tomography chest manifestations in Egyptian patients with COVID-2019 pneumonia

Hafez, Mona Ahmed Fouad

doi:10.1186/s43055-020-00368-y

Cited by 22 publications

(32 citation statements)

References 24 publications

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“…Atypical chest CT features also include masses, nodules, cavitation, lymphadenopathy, and pleural effusion [46]. The CT-scoring system (CT-SS), which shows how the severity of COVID-19 pneumonia affects dynamic changes in chest CT exams [46], was used to assess the extent of lung involvement in several studies [47,48]. In this current study, the CT-SS showed significantly higher scores in the severe and non-survivor patients.…”

Section: Discussionmentioning

confidence: 56%

“…Groundglass opacities, consolidations, and Bronchovascular thickening are characteristic chest CT findings in COVID-19 pneumonia. Atypical chest CT features also include masses, nodules, cavitation, lymphadenopathy, and pleural effusion [46]. The CT-scoring system (CT-SS), which shows how the severity of COVID-19 pneumonia affects dynamic changes in chest CT exams [46], was used to assess the extent of lung involvement in several studies [47,48].…”

Section: Discussionmentioning

confidence: 99%

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Baseline Characteristics and Outcomes of 180 Egyptian COVID-19 Patients ‎Admitted to Quarantine Hospitals of Ain Shams University: A Retrospective ‎Comparative Study‎

Taha

Samaan

Shata

et al. 2021

Afro-Egyptian Journal of Infectious and Endemic Diseases

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Background and study aim: COVID-19 mortality, severity, and recovery are major global concerns, but they are still insufficiently understood, particularly in the Middle East. This retrospective study aimed to investigate the link between baseline clinical and laboratory data of COVID-19 patients and disease severity and mortality.Patients and Methods: A total of 180 adult Egyptian COVID-19 patients were compared according to their disease severity and mortality . Results:The Of all, 27.8% had severe disease, and 13.9% died during their hospital stay. Diabetes (46.7%), hypertension (36.1%), and chronic obstructive pulmonary disease (COPD) (33.3%) were the most frequent associated co-morbidities. Severe patients and non-survivors were significantly older compared to their corresponding groups.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Baseline Characteristics and Outcomes of 180 Egyptian COVID-19 Patients ‎Admitted to Quarantine Hospitals of Ain Shams University: A Retrospective ‎Comparative Study‎

Taha

Samaan

Shata

et al. 2021

Afro-Egyptian Journal of Infectious and Endemic Diseases

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“…In 2020, Hafez studied the mean CT-SS and its correlation with chest manifestations in Egyptian patients with COVID-2019 pneumonia and stated that the assessment of the CT severity score of COVID-19 is essential for the extent of pneumonia to allow early diagnosis and accurate treatment and found that the mean CT-SS was 11.2 [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Correlation between CT chest severity score (CT-SS) and ABO blood group system in Egyptian patients with COVID-19

Mansour

Abdelrahman

Abdeldayem

2021

Egypt J Radiol Nucl Med

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Background The 2019 coronavirus disease (COVID-19) has become a global health crisis. CT chest is considered as an important investigation for early diagnosis as well as assessment of severity of COVID-19 pneumonia. Several articles reported that there is a correlation between ABO blood group system and susceptibility as well as prognosis of the disease. In our study we correlated the CT severity score (CT-SS) and the ABO blood group in patients with COVID-19 infection. This study involved 547 symptomatic patients with pathologically proven COVID-19 infection (positive PCR); non contrast CT chest was done for all cases and CT severity score (CT-SS) was calculated followed by its correlation with the patients’ ABO blood group. Aim of the work was to evaluate the relation between CT-SS and the ABO blood groups in Egyptian patients with COVID-19 infection. Results The mean CT-SS in patients with blood group A patients (n = 153; 28%) was 13.7 (moderate severity), while in patients with blood group O (n = 227; 41.5%) the mean CT-SS was 6.7 (mild severity). In blood group B patients (n = 139; 25.4%) the mean CT-SS was 9.1 (mild to moderate severity) and in blood group AB patients (n = 28; 5.1%) the mean CT-SS was 9.7 (mild to moderate severity). Conclusion COVID-19 patients with blood group A are more prone to aggressive CT findings (higher CT-SS) and consequently may be susceptible to increased risk of mortality compared to the patients with other blood groups; however, patients with blood group O are suggested to have the least CT-SS and appear to be relatively protected.

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“…Ground-glass opacities, consolidations and Broncho vascular 2 thickening are characteristic chest CT findings in COVID-19 pneumonia. Atypical chest CT 2 features also include masses, nodules, cavitation, lymphadenopathy, and pleural effusion [46].…”

mentioning

confidence: 99%

“…The CT-scoring system (CT-SS), which has a high predictive value for the dynamic changes in 2 chest CT exams in different severities of COVID-19 pneumonia [46], can be used to assess the 2 extent of lung involvement. Both lungs were divided into 12 zones in total in the scoring 2 methodology of Zhou et al; the degree of involvement in each lung zone was scored from 0 to 4, 2 with a maximum achievable score of 48 [47].…”

mentioning

confidence: 99%

Baseline Characteristics and Outcomes of 180 Egyptian COVID-19 Patients Admitted to Quarantine Hospitals of Ain Shams University: A Retrospective Comparative Study

Taha

Samaan

Shata

et al. 2021

Preprint

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Background: COVID-19 mortality, severity, and recovery are major global concerns, but they are still insufficiently understood, particularly in the Middle East. Methods: This retrospective study comprised 180 adult Egyptian COVID-19 patients who were categorized and compared to evaluate if there was a link between their clinical and laboratory findings at hospital admission and disease severity and mortality risk. Results: Of all patients enrolled, 27.8% had severe disease and 13.9% died during their hospital stay. Diabetes mellitus (46.7%), hypertension (36.1%) and chronic obstructive pulmonary disease (COPD) (33.3%) were the most frequent associated co-morbidities. Severe patients and non-survivors were significantly older compared to their corresponding groups. Their absolute neutrophil count, procalcitonin (PCT), ESR, C-reactive protein (CRP), AST, ALT, LDH, D-dimer, and ferritin levels were all significantly higher (P ≤ 0.05), whereas their absolute lymphocyte count was significantly lower (P ≤ 0.05). COPD (OR: 3.294; 95% CI: 1.199-9.053; P= 0.021), diabetes mellitus (OR: 2.951; 95% CI:1.070-8.137; P= 0.037), ferritin ≥ 350 ng/mL (OR: 11.08; 95% CI: 2.796-41.551; P= 0.001), AST ≥ 40 IU/L (OR: 3.07; 95% CI: 1.842-7.991; P= 0.021), CT-SS ≥ 17 (OR: 1.205; 95% CI: 1.089-1.334; P ≤ 0.001) and absolute lymphocyte count < 1×103/μL (OR: 4.002; 95% CI: 1.537-10.421; P= 0.005), were all linked to a higher risk of COVID-19 severity. Furthermore, COVID-19 in-hospital mortality was predicted by dyspnea (OR: 4.006; 95% CI: 1.045-15.359; P= 0.043), CT-SS ≥ 17 (OR: 1.271; 95% CI: 1.091-1.482; P= 0.002) and AST ≥ 40 IU/L (OR: 2.89; 95% CI: 1.091-7.661; P= 0.033). Conclusions: Clinical and laboratory data of COVID-19 patients at their hospital admission may aid in identifying early risk factors for severe illness and a high mortality rate, as well as determining the most effective management for them.

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The mean severity score and its correlation with common computed tomography chest manifestations in Egyptian patients with COVID-2019 pneumonia

Cited by 22 publications

References 24 publications

Baseline Characteristics and Outcomes of 180 Egyptian COVID-19 Patients ‎Admitted to Quarantine Hospitals of Ain Shams University: A Retrospective ‎Comparative Study‎

Baseline Characteristics and Outcomes of 180 Egyptian COVID-19 Patients ‎Admitted to Quarantine Hospitals of Ain Shams University: A Retrospective ‎Comparative Study‎

Correlation between CT chest severity score (CT-SS) and ABO blood group system in Egyptian patients with COVID-19

Baseline Characteristics and Outcomes of 180 Egyptian COVID-19 Patients Admitted to Quarantine Hospitals of Ain Shams University: A Retrospective Comparative Study

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