Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings
| Autor: | Ahmed Hassan Abdelmoneim, Amal Said Mahran, Banan Qadourah, Abdelwahed Samir Abougazia, Reda R.H. Youssef, Servet Kahveci, Ahmed Khedr, Barham Alqudah, Soubhi Zitouni, Ahmed Sameer Alnuaimi, Mohamed Eldesoky, Yasser Al Yassin, Ahmed Shareef, Tamer A Ali |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Neutrophils Pleural effusion Radiography Leukocyte Count Medicine Child Lung biology Age Factors General Medicine Middle Aged Race Factors C-Reactive Protein medicine.anatomical_structure Child Preschool Absolute neutrophil count Female Research Article Adult Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent Fever Article Subject Southeast asian Sensitivity and Specificity Young Adult Diseases of the respiratory system Internal medicine Humans Noncommunicable Diseases Pandemics Qatar Serum Albumin Aged Retrospective Studies Primary Health Care RC705-779 business.industry X-Rays C-reactive protein COVID-19 Bilirubin Retrospective cohort study medicine.disease Pleural Effusion Cross-Sectional Studies biology.protein business Kidney disease |
| Zdroj: | Pulmonary Medicine, Vol 2021 (2021) Pulmonary Medicine |
| ISSN: | 2090-1844 |
| Popis: | When managing coronavirus disease 2019 (COVID-19) patients, radiological imaging complements clinical evaluation and laboratory parameters. We aimed to assess the sensitivity of chest radiography findings in detecting COVID-19, describe those findings, and assess the association of positive chest radiography findings with clinical and laboratory findings. A multicentre, cross-sectional study was conducted involving all primary health care corporation-registered patients (2485 patients) enrolled over a 1-month period during the peak of the 2020 pandemic wave in Qatar. These patients had reverse transcription-polymerase chain reaction-confirmed COVID-19 and underwent chest radiography within 72 hours of the swab test. A positive result on reverse transcription-polymerase chain reaction was the gold standard for diagnosing COVID-19. The sensitivity of chest radiography was calculated. The airspace opacities were mostly distributed in the peripheral and lower lung zones, and most of the patients had bilateral involvement. Pleural effusion was detected in some cases. The risk of having positive chest X-ray findings increased with age, Southeast Asian nationality, fever, or a history of fever and diarrhoea. Patients with cardiac disease, obesity, hypertension, diabetes, and chronic kidney disease were at a higher risk of having positive chest X-ray findings. There was a statistically significant increase in the mean serum albumin, white blood cell count, neutrophil count, and serum C-reactive protein, hepatic enzymes, and total bilirubin with an increase in the radiographic severity score. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text