Modified Brixia chest X-ray severity scoring system and correlation with intubation, non-invasive ventilation and death in a hospitalised COVID-19 cohort
| Autor: | Mark Logan, Martina M. Morrin, Michael J. Lee, Ross K. Morgan, Marion Hanley, Neasa Ni Mhuircheartaigh, Damien O’Neill, Killian Hurley, Imran Sulaiman, Conor Brosnan, Emmet O'Brien |
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| Rok vydání: | 2021 |
| Předmět: |
Scoring system
Noninvasive Ventilation Coronavirus disease 2019 (COVID-19) Receiver operating characteristic business.industry SARS-CoV-2 medicine.medical_treatment X-Rays COVID-19 Correlation Oncology Interquartile range Anesthesia Cohort Breathing Intubation Intratracheal Medicine Intubation Humans Radiology Nuclear Medicine and imaging business Retrospective Studies |
| Zdroj: | Journal of medical imaging and radiation oncologyReferences. 66(6) |
| ISSN: | 1754-9485 |
| Popis: | INTRODUCTION There are few existing severity scoring systems in the literature, and no formally widely accepted chest X-ray template for reporting COVID-19 infection. We aimed to modify the chest X-ray COVID-19 severity scoring system from the Brixia scoring system with placement of more emphasis on consolidation and to assess if the scoring tool could help predict intubation. METHODS A severity chest X-ray scoring system was modified from the Brixia scoring system. PCR positive COVID-19 positive patient's chest X-rays admitted to our hospital over 3 months were reviewed and correlated with; non-invasive ventilation, intubation and death. An analysis was performed using a receiver operating curve to predict intubation from all admission chest X-rays. RESULTS The median score of all 325 admission chest X-rays was 3 (Interquartile range (IQR) 0-6.5). The median score of admission chest X-rays of those who did not require ICU admission and survived was 1.5 (IQR 0-5); and 9 (IQR 4.75-12) was median admission score of those requiring intubation. The median scores of the pre-intubation ICU chest X-rays was 11.5 (IQR 9-14.125), this increased from a median admission chest X-ray score for this group of 9 (P-value |
| Databáze: | OpenAIRE |
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