| Autor: |
Orsi MA; 1Department of Radiology, ASST Fatebenefratelli Sacco, Milan, Italy., Oliva G; 1Department of Radiology, ASST Fatebenefratelli Sacco, Milan, Italy., Toluian T; 2Post-graduate School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy., Valenti Pittino C; 2Post-graduate School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy., Panzeri M; 3Department of Radiology, IRCCS Ospedale San Raffaele, Milan, Italy., Cellina M; 1Department of Radiology, ASST Fatebenefratelli Sacco, Milan, Italy. |
| Jazyk: |
angličtina |
| Zdroj: |
The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2020 Aug; Vol. 103 (2), pp. 822-827. Date of Electronic Publication: 2020 Jul 02. |
| DOI: |
10.4269/ajtmh.20-0535 |
| Abstrakt: |
Chest X-ray (CXR) is an essential first-line tool in COVID-19 pneumonia diagnosis and management. Our study aimed at assessing 1) CXR manifestations, frequency, and distribution; 2) the feasibility and repeatability of a CXR severity score; and 3) the correlation between the CXR severity score and clinical and laboratory parameters. We reviewed baseline CXRs and clinical data of consecutive patients who presented to our emergency department and resulted positive at SARS-CoV-2 reverse transcriptase-PCR oropharyngeal swab test from March 1, 2020 to April 6, 2020. Lung abnormalities and their distribution were analyzed. A score of CXR severity was assigned by two radiologists, independently, according to the extent of lung involvement, with a maximum score of 8 for CXR. Correlations between the CXR score and the clinical data were assessed. One hundred fifty-five patients were included; 143/155 (92%) were positive at baseline CXR. Ground-glass opacity was the most common finding (141/143, 99%). Involvement was mainly bilateral (96/143, 67%), with peripheral distribution (79/143, 55%). The mean CXR severity score was 3.3 (±2); interobserver agreement was excellent, with a Cohen's K correlation coefficient of 0.901. The CXR score showed a significant positive correlation with C-reactive protein, lactate dehydrogenase, and fever duration, and a negative correlation with oxygen saturation. Chest X-ray findings are in line with those reported by computed tomography studies. The use of a visual CXR score, easy to assess and highly reproducible, can reflect the clinical severity and help the patients' management. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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