Sextus chest radiograph severity score correlates to clinical outcomes in patients with COVID-19: A cross-sectional study
| Autor: | Daohai Yu, Hillel S Maresky, Robert Y Choi, T. Standiford, Maruti Kumaran, Gary Cohen, Nathaniel Marchetti, Justin Sun, Xiaoning Lu, Kevin Yoo, Omar Agosto |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Cross-sectional study Radiography Population Logistic regression Interquartile range Internal medicine medicine Humans education Aged Retrospective Studies education.field_of_study medicine.diagnostic_test business.industry SARS-CoV-2 X-Rays COVID-19 Reproducibility of Results General Medicine Odds ratio Middle Aged Confidence interval Cross-Sectional Studies Female Radiography Thoracic Chest radiograph business |
| Zdroj: | Medicine. 100(45) |
| ISSN: | 1536-5964 |
| Popis: | The value of chest radiography (CXR) in detection and as an outcome predictor in the management of patients with coronavirus disease-2019 (COVID-19) has not yet been fully understood.To validate a standardized CXR scoring system and assess its prognostic value in hospitalized patients found to have COVID-19 by imaging criteria and to compare it to computed tomography (CT).In this cross-sectional chart review study, patients aged 18-years or older who underwent chest CT at a single institution with an imaging-based diagnosis of COVID-19 between March 15, 2020 to April 15, 2020 were included. Each patient's CXR and coronal CT were analyzed for opacities in a 6-zonal assessment method and aggregated into a "Sextus score." Inter-reader variability and correlation between CXR and coronal CT images were investigated to validate this scoring system. Univariable and multiple logistic regression techniques were used to investigate relationships between CXR scores and clinical parameters in relation to patient outcomes.One hundred twenty-four patients (median [interquartile range] age 58.5 [47.5-69.0] years, 72 [58%] men, 58 [47%] Blacks, and 35 [28%] Hispanics) were included. The CXR Sextus score (range: 0-6) was reliable (inter-rater kappa = 0.76; 95% confidence interval [CI]: 0.69-0.83) and correlated strongly with the CT Sextus score (Spearman correlation coefficient = 0.75, P |
| Databáze: | OpenAIRE |
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