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10.1259/bjro.20200016

http://scihub22266oqcxt.onion/10.1259/bjro.20200016
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33178976!7594891!33178976
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suck abstract from ncbi


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pmid33178976      BJR+Open 2020 ; 2 (1): 20200016
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  • Chest CT features of coronavirus disease-19 (COVID-19) pneumonia: which findings on initial CT can predict an adverse short-term outcome? #MMPMID33178976
  • Parry AH; Wani AH; Shah NN; Yaseen M; Jehangir M
  • BJR Open 2020[]; 2 (1): 20200016 PMID33178976show ga
  • OBJECTIVE: To study the spectrum of chest CT features in coronavirus disease-19 (COVID-19) pneumonia and to identify the initial CT findings that may have the potential to predict a poor short-term outcome. METHODS: This was a retrospective study comprising 211 reverse transcriptase-polymerase chain reaction (RT-PCR) positive patients who had undergone non-contrast chest CT. Prevalence, extent, pattern, distribution and type of abnormal lung findings were recorded. Patients with positive CT findings were divided into two groups; clinically stable (requiring in-ward hospitalization) and clinically unstable [requiring intensive care unit (ICU) admission or demised] based on short-term follow-up. RESULTS: Lung parenchymal abnormalities were present in 42.2% (89/211) whereas 57.8% (122/211) cases had a normal chest CT. The mean age of clinically unstable patients (63.6 +/- 8.3 years) was significantly different from the clinically stable group (44.6 +/- 13.2 years) (p-value < 0.05). Bilaterality, combined involvement of central-peripheral and anteroposterior lung along with a higher percentage of the total lung involvement, presence of crazy paving, coalescent consolidations with air bronchogram and segmental pulmonary vessel enlargement were found in a significantly higher proportion of clinically unstable group (ICU/demised) compared to the stable group (in-ward hospitalization) with all p values < 0.05. CONCLUSION: Certain imaging findings on initial CT have the potential to predict short-term outcome in COVID-19 pneumonia. Extensive pulmonary abnormalities, evaluated by combined anteroposterior, central-peripheral and a higher percentage of the total lung involvement, indicate a poor short-term outcome. Similarly, the presence of crazy paving pattern, consolidation with air bronchogram and segmental vascular changes are also indicators of poor short-term outcome. ADVANCES IN KNOWLEDGE: Certain findings on initial CT can predict an adverse short-term prognosis in COVID-19 pneumonia.
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