Int J Clin Pract

. 2021 Sep 15;e14869.
doi: 10.1111/ijcp.14869. Online ahead of print.
Relationship between Chest CT scan Findings with SOFA score, CRP, Comorbidity, and Mortality in ICU Patients with COVID-19

Mohammad Esmaeil Hejazi 1 , Aida Malek Mahdavi 2 , Zahra Navarbaf 1 3 , Mohammad Kazem Tarzamni 4 5 , Rozhin Moradi 1 3 , Armin Sadeghi 1 , Hamed Valizadeh 1 , Leila Namvar 1



Objective: This study aimed to investigate the relationship between chest computed tomography (CT) scan findings with sequential organ failure assessment (SOFA) score, C-reactive protein (CRP), comorbidity, and mortality in intensive care unit (ICU) patients with coronavirus disease 19 (COVID-19).
Method: Adult patients (≥18 years old) with COVID-19 who were consecutively admitted to the Imam-Reza Hospital, Tabriz, East-Azerbaijan Province, North-West of Iran between March 2020 and August 2020 were screened and total of 168 patients were included. Demographic, clinical, and mortality data were gathered. Severity of disease was evaluated using the SOFA score system. CRP levels were measured and chest CT scans were performed.
Results: Most of patients had multifocal and bilateral ground glass opacity (GGO) pattern in chest CT scan. There were significant correlations between SOFA score on admission with multifocal and bilateral GGO (P=0.010 and P=0.011, respectively). Significant relationships were observed between unilateral and bilateral GGO patterns with CRP (P=0.049 and P=0.046, respectively). There was significant relationship between GGO patterns with comorbidities including overweight/obesity, heart failure, cardiovascular diseases, and malignancy (P<0.05). No significant relationships were observed between chest CT scan results with mortality (P>0.05).
Conclusion: Multifocal bilateral GGO was the most common pattern. Although chest CT scan characteristics were significantly related with SOFA score, CRP, and comorbidity in ICU patients with COVID-19, a relationship with mortality was not significant.

Keywords: C-reactive protein; Chest computed tomography scan; Comorbidity; Coronavirus disease 2019; Mortality; Sequential Organ Failure Assessment score.