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2020 ; 30
(11
): 6139-6150
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English Wikipedia
Relationship between clinical types and radiological subgroups defined by latent
class analysis in 2019 novel coronavirus pneumonia caused by SARS-CoV-2
#MMPMID32474631
Fang X
; Li X
; Bian Y
; Ji X
; Lu J
Eur Radiol
2020[Nov]; 30
(11
): 6139-6150
PMID32474631
show ga
OBJECTIVES: To investigate whether meaningful subgroups sharing the CT features
of patients with COVID-19 pneumonia could be identified using latent class
analysis (LCA) and explore the relationship between the LCA-derived subgroups and
clinical types. METHODS: This retrospective review included 499 patients with
confirmed COVID-19 pneumonia between February 11 and March 8, 2020. Subgroups
sharing the CT features were identified using LCA. Univariate and multivariate
logistic regression models were utilized to analyze the association between
clinical types and the LCA-derived subgroups. RESULTS: Two radiological subgroups
were identified using LCA. There were 228 subjects (45.69%) in class 1 and 271
subjects (54.31%) in class 2. The CT findings of class 1 were smaller pulmonary
infection volume, more peripheral distribution, more GGO, more maximum lesion
range ? 5 cm, a smaller number of lesions, less involvement of lobes, less air
bronchogram, less dilatation of vessels, less hilar and mediastinal lymph node
enlargement, and less pleural effusion than the CT findings of class 2.
Univariate analysis demonstrated that older age, therapy, presence of fever,
presence of hypertension, decreased lymphocyte count, and increased CRP levels
were significant parameters associated with an increased risk for class 2.
Multivariate analyses revealed that the patients with clinically severe type
disease had a 1.97-fold risk of class 2 than the patients with clinically
moderate-type disease. CONCLUSIONS: The demographic and clinical differences
between the two radiological subgroups based on the LCA were significantly
different. Two radiological subgroups were significantly associated with clinical
moderate and severe types. KEY POINTS: ? Two radiological subgroups were
identified using LCA. ? Older age, therapy, presence of fever, presence of
hypertension, decreased lymphocyte count, and increased CRP levels were
significant parameters with an increased risk for class 2 defined by LCA. ?
Patients with clinically severe type had a 1.97-fold higher risk of class 2
defined by LCA in comparison with patients showing clinically moderate-type
disease.