tetano
Editor, Senior Moderator
Cureus
. 2021 Sep 20;13(9):e18114.
doi: 10.7759/cureus.18114. eCollection 2021 Sep.
Evaluation of Admission Chest X-Ray Findings in Patients With Respiratory Infection During the COVID-19 Pandemic
Dimitrios Velissaris[SUP] 1 [/SUP], Maria Lagadinou[SUP] 1 [/SUP], Themistoklis Paraskevas[SUP] 1 [/SUP], Eleousa Oikonomou[SUP] 1 [/SUP], Vasileios Karamouzos[SUP] 2 [/SUP], Fotios Sampsonas[SUP] 3 [/SUP], Markos Marangos[SUP] 1 [/SUP], Menelaos Karanikolas[SUP] 4 [/SUP]
Affiliations
Abstract
Aims: To evaluate the prevalence of X-ray findings in hospitalized patients requiring hospitalization with suspected Coronavirus disease 2019 (COVID-19) infection and potential differences in the laboratory values and clinical outcomes related to the presence of abnormal chest X-ray (CXR) findings.
Methods: A total of 117 patients suspected of COVID-19 pneumonia and hospitalized with symptoms of lower respiratory tract disease were included in this study. Patients were divided into subgroups according to COVID-19 diagnosis and statistical comparisons were made according to CXR findings.
Results: In our cohort, CXR abnormalities were more common in patients with confirmed COVID-19 diagnosis and were associated with increased mortality. Patients with abnormal chest X-rays had a significantly lower PaO[SUB]2[/SUB]/FiO[SUB]2[/SUB] ratio both in the COVID-19 and non-COVID-19 groups.
Conclusion: CXR is a routine examination in all patients with symptoms of lower respiratory tract disease and its findings relate to in-hospital mortality and PaO[SUB]2[/SUB]/FiO[SUB]2[/SUB] ratio. Thus, it can be a significant measure of disease severity, especially in resource restrained settings and emergency situations such as the COVID-19 pandemic.
Keywords: chest x-ray (cx-ray); covid-19; emergency medicine; pneumonia; thoracic radiography.
. 2021 Sep 20;13(9):e18114.
doi: 10.7759/cureus.18114. eCollection 2021 Sep.
Evaluation of Admission Chest X-Ray Findings in Patients With Respiratory Infection During the COVID-19 Pandemic
Dimitrios Velissaris[SUP] 1 [/SUP], Maria Lagadinou[SUP] 1 [/SUP], Themistoklis Paraskevas[SUP] 1 [/SUP], Eleousa Oikonomou[SUP] 1 [/SUP], Vasileios Karamouzos[SUP] 2 [/SUP], Fotios Sampsonas[SUP] 3 [/SUP], Markos Marangos[SUP] 1 [/SUP], Menelaos Karanikolas[SUP] 4 [/SUP]
Affiliations
- PMID: 34692325
- PMCID: PMC8527435
- DOI: 10.7759/cureus.18114
Abstract
Aims: To evaluate the prevalence of X-ray findings in hospitalized patients requiring hospitalization with suspected Coronavirus disease 2019 (COVID-19) infection and potential differences in the laboratory values and clinical outcomes related to the presence of abnormal chest X-ray (CXR) findings.
Methods: A total of 117 patients suspected of COVID-19 pneumonia and hospitalized with symptoms of lower respiratory tract disease were included in this study. Patients were divided into subgroups according to COVID-19 diagnosis and statistical comparisons were made according to CXR findings.
Results: In our cohort, CXR abnormalities were more common in patients with confirmed COVID-19 diagnosis and were associated with increased mortality. Patients with abnormal chest X-rays had a significantly lower PaO[SUB]2[/SUB]/FiO[SUB]2[/SUB] ratio both in the COVID-19 and non-COVID-19 groups.
Conclusion: CXR is a routine examination in all patients with symptoms of lower respiratory tract disease and its findings relate to in-hospital mortality and PaO[SUB]2[/SUB]/FiO[SUB]2[/SUB] ratio. Thus, it can be a significant measure of disease severity, especially in resource restrained settings and emergency situations such as the COVID-19 pandemic.
Keywords: chest x-ray (cx-ray); covid-19; emergency medicine; pneumonia; thoracic radiography.