Hubungan Luas Lesi Radiografi Toraks Berdasarkan Sistem Skoring RALE dengan Derajat Klinis Pasien Covid-19 di RS Universitas Andalas Padang

Annisa Dhea Mutiara, Dewi Nadia Purnama, Septiana Vina Tri
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Abstract

COVID-19 is a contagious infectious disease caused by a highly contagious coronavirus. The RT-PCR method is still used as the gold standard for diagnosing COVID-19, but this examination has several limitations, including delays in the release of examination results, causing delays in diagnosis. A chest radiograph can be performed while waiting for the RT-PCR results to come out. The RALE scoring system on chest radiographs can be used as an easy-to-apply method to assess and triage patients diagnosed with COVID-19. To determine the correlation between chest radiographic lesion based on RALE scoring system with clinical severity of COVID-19 patients at RS Universitas Andalas Padang. This research is observational analytic with a cross sectional design. The Population in the study were patients diagnosed with COVID-19 who underwent chest radiography examinations at the Andalas University Hospital, Padang with a total of 124 samples using the consecutive sampling technique. The most gender were women, namely 71 people (57.3%), the most age was 46-55 years, namely 29 people (23.4%), the most comorbids were having comorbidities, namely 72 people (58.1%) with the type the most disease was hypertension, namely 31 people (25.0%), the most clinical degree was mild, namely 78 people (62.9%), the most extensive chest radiographic lesions were normal, namely 89 people (71.8%), the correlation between chest radiographic lesions with the clinical severity of COVID-19 patients at  RS Universitas Andalas Padang, obtained p value = 0.000 with r value = 0.50. The correlation between chest radiographic lesions based on the RALE scoring system and the clinical degree of COVID-19 patients has sufficient correlation strength.
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基于拉德悬挂系统的放射放射病变与安达拉斯巴东大学医院病患者科维-19临床学位的关系
COVID-19是一种由高度传染性冠状病毒引起的传染性疾病。RT-PCR方法仍被用作诊断新冠病毒的金标准,但这种检查存在一些局限性,包括检查结果的发布延迟,导致诊断延迟。在等待RT-PCR结果出来的同时,可以进行胸片检查。胸片上的RALE评分系统可以作为一种易于应用的方法来评估和分类被诊断为COVID-19的患者。目的:探讨基于RALE评分系统的胸片病变与巴东RS大学新冠肺炎患者临床严重程度的相关性。本研究采用横断面设计的观察分析方法。研究人群为在巴东安达拉斯大学医院接受胸部x线检查的COVID-19确诊患者,采用连续抽样技术共采集124例样本。性别最多的是女性,即71人(57.3%),年龄最多的是46-55岁,即29人(23.4%),合并症最多的是有合并症,即72人(58.1%),疾病类型最多的是高血压,即31人(25.0%),临床程度最多的是轻度,即78人(62.9%),胸片病变最广泛的是正常,即89人(71.8%)。巴东RS大学胸片病变与COVID-19患者临床严重程度的相关性,得到p值= 0.000,r值= 0.50。基于RALE评分系统的胸片病变与COVID-19患者临床程度的相关性具有足够的相关强度。
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