Volume 6, Issue 1 (2021)
SJMR 2021, 6(1): 53-60 |
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Shafiei G, Barati E, Zarei A P, Hekmatnia F, Almasi M, Hekmatnia A, et al . The Value of Chest CT Scan As A Prognostic Tool in Patients With COVID-19. SJMR 2021; 6 (1) :53-60
URL: http://saremjrm.com/article-1-214-en.html
URL: http://saremjrm.com/article-1-214-en.html
Golnaz Shafiei1 
, Erfaneh Barati2 , Andrew Parviz Zarei3 , Farzaneh Hekmatnia4 , Majid Almasi2 , Ali Hekmatnia5 , Ghazaleh Moshkdanian2 , Shamim Shafieyoon5 , Ghazaleh Jamalipour Soufi *5
, Erfaneh Barati2 , Andrew Parviz Zarei3 , Farzaneh Hekmatnia4 , Majid Almasi2 , Ali Hekmatnia5 , Ghazaleh Moshkdanian2 , Shamim Shafieyoon5 , Ghazaleh Jamalipour Soufi *5
1- Gametogenesis Research Center, Kashan University of Medical Sciences, Kashan, Iran.& Department of Anatomy, Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
2- Gametogenesis Research Center, Kashan University of Medical Sciences, Kashan, Iran.
3- Department of medicine, The Princes Alexandra Hospital, London, UK.
4- Radiology Department, Lister hospital, London, UK.
5- Radiology Department, Isfahan University of Medical Sciences, Isfahan, Iran.
2- Gametogenesis Research Center, Kashan University of Medical Sciences, Kashan, Iran.
3- Department of medicine, The Princes Alexandra Hospital, London, UK.
4- Radiology Department, Lister hospital, London, UK.
5- Radiology Department, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract: (8915 Views)
Objective: The increasing speed of confirmed 2019 novel coronavirus (COVID-19) cases in Iran is striking. We assessed the chest CT findings and the clinical manifestations of COVID-19 pneumonia.
Material and methods: Data on 94 cases of COVID-19 pneumonia were retrospectively collected from Sepahan Medical Imaging Center, Isfahan, Iran, between 25th March 2020 and 13th April 2020. Basic clinical characteristics, underlying comorbidities, and detailed imaging features were evaluated and compared between two groups based on clinical status: hospitalized (admitted to medical wards) and non-hospitalized cases (not admitted to hospital). All patients were symptomatic with laboratory-confirmed COVID-19.
Results: Of the 94 patients in this retrospective cohort study (54 males, 40 females) with a mean age of 50.95±13.45 years, 26 (27.7%) were hospitalized. The most common symptoms in hospitalized groups were fever and diarrhea. More than half of hospitalized patients were diabetic. Peribronchovascular features were seen significantly more in hospitalized patients with COVID-19 pneumonia. With increasing patient age, we observed a significant increase in the number of lobes involved. In addition, the level of the consolidation was significantly higher in the hospitalized cases with fever or myalgia and a significant increase in the presence of linear opacities was detected in the hospitalized patients with diarrhea or nausea (all P-values <0.05).
Conclusion: Patients with confirmed COVID-19 pneumonia have typical imaging features that can be helpful in early screening of highly suspected cases, and an evaluation of the severity and extent of the disease. In our study, peribronchovascular features were present significantly more in hospitalized patients. There is a significant relationship between increased age and the increasing number of lobes involved. Background history of diabetes and clinical presentation with fever and diarrhea were observed significantly more in hospitalized patients.
Material and methods: Data on 94 cases of COVID-19 pneumonia were retrospectively collected from Sepahan Medical Imaging Center, Isfahan, Iran, between 25th March 2020 and 13th April 2020. Basic clinical characteristics, underlying comorbidities, and detailed imaging features were evaluated and compared between two groups based on clinical status: hospitalized (admitted to medical wards) and non-hospitalized cases (not admitted to hospital). All patients were symptomatic with laboratory-confirmed COVID-19.
Results: Of the 94 patients in this retrospective cohort study (54 males, 40 females) with a mean age of 50.95±13.45 years, 26 (27.7%) were hospitalized. The most common symptoms in hospitalized groups were fever and diarrhea. More than half of hospitalized patients were diabetic. Peribronchovascular features were seen significantly more in hospitalized patients with COVID-19 pneumonia. With increasing patient age, we observed a significant increase in the number of lobes involved. In addition, the level of the consolidation was significantly higher in the hospitalized cases with fever or myalgia and a significant increase in the presence of linear opacities was detected in the hospitalized patients with diarrhea or nausea (all P-values <0.05).
Conclusion: Patients with confirmed COVID-19 pneumonia have typical imaging features that can be helpful in early screening of highly suspected cases, and an evaluation of the severity and extent of the disease. In our study, peribronchovascular features were present significantly more in hospitalized patients. There is a significant relationship between increased age and the increasing number of lobes involved. Background history of diabetes and clinical presentation with fever and diarrhea were observed significantly more in hospitalized patients.
Article Type: Original Research |
Subject:
Health and safety
Received: 2021/06/10 | Accepted: 2021/06/21 | Published: 2021/12/18
Received: 2021/06/10 | Accepted: 2021/06/21 | Published: 2021/12/18
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