2019冠状病毒病感染住院患者的临床、实验室、通气和结局参数与计算机断层扫描严重程度评分的相关性

IF 0.2 Q4 RESPIRATORY SYSTEM Egyptian Journal of Chest Diseases and Tuberculosis Pub Date : 2023-04-01 DOI:10.4103/ecdt.ecdt_95_22
Mohammed Ibrahim, A. AbdelKhalek, Mohammed Shehta
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引用次数: 0

摘要

2019冠状病毒病(COVID-19)感染广泛流行,发病率和死亡率都很高,因此需要早期定义病例并进行严重程度分级,以预测预后并改善疾病结局参数。目的探讨新型冠状病毒感染患者ct严重程度评分(CTSS)与其临床、实验室、通气方法和疾病结局参数的相关性。患者和方法回顾性分析139例具有典型或不确定的COVID-19放射学特征的COVID-19感染患者,CTSS与其临床、实验室、通气、住院和生存数据之间存在相关性。结果共纳入139例,平均年龄59.81±12.29岁,男性63.3%,无合并症28.77%,血氧饱和度82.53±6.58 SD。根据CTSS进行分组。高CTSS与血氧饱和度、c反应蛋白、铁蛋白、d -二聚体、淋巴细胞减少症、糖尿病合并症患者、需要高流量氧疗、需要无创或有创通气、死亡率和住院天数之间存在显著相关性。结论低血氧饱和度、高c反应蛋白或铁蛋白、糖尿病、住院时间等因素与CTSS升高有关。
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Correlation of clinical, laboratory, ventilation, and outcome parameters in hospitalized Coronavirus Disease 2019-infected patients with computed tomography severity score
Context Widespread prevalence of Coronavirus Disease 2019 (COVID-19) infection with high rates of morbidity and mortality necessitates early case definition and severity grading to predict prognosis and improve disease outcome parameters. Purpose To correlate computed tomography severity score (CTSS) in COVID-19-infected patients with their clinical, laboratory, method of ventilation, and disease outcome parameters. Patients and methods A retrospective analysis was performed on 139 COVID-19-infected patients with typical or indeterminate COVID radiological patterns with a correlation between CTSS and their clinical, laboratory, ventilation, hospital stay, and survival data. Results A total of 139 cases were included, with a mean age of 59.81 ± 12.29 years, 63.3% males, 28.77% were noncomorbid, and oxygen saturation of 82.53 ± 6.58 SD. They were subgrouped based on CTSS. A significant correlation was found between high CTSS and oxygen saturation, C-reactive protein, ferritin, D-dimer, lymphopenia, diabetes comorbid patients, need for high-flow oxygen therapy, need for noninvasive or invasive ventilation, mortality, and number of hospital stay in days. Conclusion Different parameters are correlated with high CTSS, especially low oxygen saturation, high C-reactive protein or ferritin values, diabetes, and long hospital stay.
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来源期刊
自引率
0.00%
发文量
46
审稿时长
22 weeks
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.
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