Hubungan Karakteristik Gambaran Radiografi Toraks Distribusi Lesi Paru dengan Prognosis Pasien COVID-19

F. Sinaga, Hetti Rusmini, Alfi Wahyudi, R. A. Soemarwoto, Anse Diana Valentine Messah, Intan Utami Putri
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Abstract

Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The transmission rapidly from human to human via aerosol droplets and direct contact, accelerating the spread of SARS-CoV-2 in various parts of the world. Chest radiograph can be used to monitor the development of pulmonary disorders due to COVID-19, a reference for medical personnel in screening for patients who are suspected of being infected to COVID-19, and to study the prognosis of patients COVID-19 as well. The aims of this study was to determine the relationship between the characteristics of the distribution of chest radiograph lesions and the prognosis of COVID-19 patients in Bandar Lampung City in 2020. This study was a descriptive analytic study with a retrospective approach. Analysis of the data used are univariate analysis and bivariate analysis using the Spearman correlation test. The results of statistical tests using the Spearman Correlation Test showed that there was a relationship between the characteristics of the distribution of chest radiograph lesions and the prognosis of patients who were confirmed positive for COVID-19 in Bandar Lampung City in 2020, p-value = 0.001 (r = 0.203 weak relationship) on the chest radiograph features of involvement lung, p-value = 0.002 (r = 0.188 weak relationship) on the chest radiograph distribution of lesions from top to bottom, and p-value = 0.030 (r = 0.135 weak relationship) on the chest radiograph distribution of central to peripheral lesions. The conclusion of this study is that there is a significant relationship between the characteristics of the distribution of chest radiograph lesions and the prognosis of COVID-19 patients in Bandar Lampung City in 2020.
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胸部x光照片与科维-19患者病理诊断的肺病变分布特征相关
冠状病毒病2019 (COVID-19)是一种由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的传染病。通过气溶胶飞沫和直接接触在人与人之间迅速传播,加速了SARS-CoV-2在世界各地的传播。胸片可监测新冠肺炎所致肺部疾病的发展情况,为医务人员筛查疑似感染新冠肺炎的患者提供参考,也可用于研究患者的预后。本研究的目的是确定2020年楠堡市COVID-19患者胸片病变分布特征与预后之间的关系。本研究为回顾性描述性分析研究。数据分析采用单因素分析和双因素分析,采用Spearman相关检验。Spearman相关检验统计检验结果显示,2020年楠堡市新冠肺炎确诊阳性患者胸片病变分布特征与预后存在相关性,累及肺部胸片特征p值= 0.001 (r = 0.203弱相关),自上而下胸片病变分布p值= 0.002 (r = 0.188弱相关);中枢性到外周性病变胸片分布p值= 0.030 (r = 0.135弱相关)。本研究结论为2020年楠堡市新型冠状病毒肺炎患者胸片病变分布特征与预后之间存在显著关系。
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