| Popis: |
The initial evaluation of patients with COVID-19 represents a challenge to regulate a decision in preventive and timely management. There are various proposals as support tools that deserve to be evaluated.Aim. Evaluation of Chest CT Score performance and prognostic indices in COVID-19 patients to predict progress to critical illness.Methods. This was a retrospective study run from April to December 2020. Patients of any age and gender and who required hospitalization due to a confirmed diagnosis of COVID-19 by RT-PCR and Chest CT, were included. Demographic, characteristics prognosis indexes and laboratory were analyzed. Patients with acute coronary ischemic syndrome (ACS), acute heart failure, those who developed critical illness in the first 24 hours, and those with no RT-PCR result were excluded. Critical illness was defined by the need for supplemental oxygen and / or death during the hospitalization.Results. 109 patients were included. The mean age was 53.88 ± 13.51 years. In 75% of them, there was at least one comorbidity and 30% developed critical illness. In 49.5% there was a CORADS-5 on admission, and in 50% there was a peripheral distribution of the interstitial infiltrate in the left lower lobe. The risk factors were FiO2, CT Score> 18 and the NRL index. The combination of the High risk qCSI plus CT score> 18 indices was the best prediction index for development of a critical condition. Average mortality was 10%.Conclusion. The combined use of indices in patients infected with SARSCoV2 shows diagnostic accuracy and predicts severity. |
