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10.1371/journal.pone.0255045

http://scihub22266oqcxt.onion/10.1371/journal.pone.0255045
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34288966!8294495!34288966
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suck abstract from ncbi


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pmid34288966      PLoS+One 2021 ; 16 (7): e0255045
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  • Coronary artery calcification on low-dose chest CT is an early predictor of severe progression of COVID-19-A multi-center, multi-vendor study #MMPMID34288966
  • Fervers P; Kottlors J; Grosse Hokamp N; Bremm J; Maintz D; Tritt S; Safarov O; Persigehl T; Vollmar N; Bansmann PM; Abdullayev N
  • PLoS One 2021[]; 16 (7): e0255045 PMID34288966show ga
  • PURPOSE: Cardiovascular comorbidity anticipates severe progression of COVID-19 and becomes evident by coronary artery calcification (CAC) on low-dose chest computed tomography (LDCT). The purpose of this study was to predict a patient's obligation of intensive care treatment by evaluating the coronary calcium burden on the initial diagnostic LDCT. METHODS: Eighty-nine consecutive patients with parallel LDCT and positive RT-PCR for SARS-CoV-2 were included from three centers. The primary endpoint was admission to ICU, tracheal intubation, or death in the 22-day follow-up period. CAC burden was represented by the Agatston score. Multivariate logistic regression was modeled for prediction of the primary endpoint by the independent variables "Agatston score > 0", as well as the CT lung involvement score, patient sex, age, clinical predictors of severe COVID-19 progression (history of hypertension, diabetes, prior cardiovascular event, active smoking, or hyperlipidemia), and laboratory parameters (creatinine, C-reactive protein, leucocyte, as well as thrombocyte counts, relative lymphocyte count, d-dimer, and lactate dehydrogenase levels). RESULTS: After excluding multicollinearity, "Agatston score >0" was an independent regressor within multivariate analysis for prediction of the primary endpoint (p<0.01). Further independent regressors were creatinine (p = 0.02) and leucocyte count (p = 0.04). The Agatston score was significantly higher for COVID-19 cases which completed the primary endpoint (64.2 [interquartile range 1.7-409.4] vs. 0 [interquartile range 0-0]). CONCLUSION: CAC scoring on LDCT might help to predict future obligation of intensive care treatment at the day of patient admission to the hospital.
  • |*Disease Progression[MESH]
  • |*Radiography, Thoracic[MESH]
  • |COVID-19/*complications/diagnosis/epidemiology[MESH]
  • |Calcinosis/*complications/*diagnostic imaging[MESH]
  • |Coronary Artery Disease/*complications/*diagnostic imaging[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Image Processing, Computer-Assisted[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Prognosis[MESH]


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  • suck abstract from ncbi

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