Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective study
Abstract Background During the coronavirus disease 2019 (COVID-19) pandemic, most patients experienced various respiratory and cardiovascular problems, and their health suddenly deteriorated despite active treatment. Many parameters have been used to assess patient health status. However, few have c...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-10-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43055-022-00910-0 |
| _version_ | 1798028589784891392 |
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| author | Mahmoud Mousa Marwan Matar Mohammad Matar Sadi Jaber Fouad S. Jaber Yasser Al Ajerami Amjad Falak Mohammed Abujazar Ammar A. Oglat Hammoda Abu-Odah |
| author_facet | Mahmoud Mousa Marwan Matar Mohammad Matar Sadi Jaber Fouad S. Jaber Yasser Al Ajerami Amjad Falak Mohammed Abujazar Ammar A. Oglat Hammoda Abu-Odah |
| author_sort | Mahmoud Mousa |
| collection | DOAJ |
| description | Abstract Background During the coronavirus disease 2019 (COVID-19) pandemic, most patients experienced various respiratory and cardiovascular problems, and their health suddenly deteriorated despite active treatment. Many parameters have been used to assess patient health status. However, few have considered chest computed tomography (CCT) and lung findings to predict patient outcomes. This single-centre retrospective observational study was conducted between December 2020 and March 2021 at the European Gaza Hospital to predict the mortality of COVID-19 patients based on their CCT parameters and lung involvement scores. Results A total of 152 patients with severe respiratory symptoms were admitted during the study period, of which 93 (61.2%) improved and 59 (38.8%) died. Deceased patients showed a significantly higher right pulmonary diameter, cardiothoracic ratio, and ground glass with crazy paving opacity (p < 0.05). A cardiothoracic ratio ≥ 0.49 was associated with significantly higher mortality risk (p < 0.05) and a fourfold higher hazard ratio (p < 0.05) compared to < 0.49. Conclusions Assessing cardiac indices on CCT could provide prognostic information and guide physicians in patient management and risk stratification. |
| first_indexed | 2024-04-11T19:10:29Z |
| format | Article |
| id | doaj.art-283f25f2d1d944c49a538b1514e862a3 |
| institution | Directory Open Access Journal |
| issn | 2090-4762 |
| language | English |
| last_indexed | 2024-04-11T19:10:29Z |
| publishDate | 2022-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-283f25f2d1d944c49a538b1514e862a32022-12-22T04:07:37ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622022-10-0153111110.1186/s43055-022-00910-0Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective studyMahmoud Mousa0Marwan Matar1Mohammad Matar2Sadi Jaber3Fouad S. Jaber4Yasser Al Ajerami5Amjad Falak6Mohammed Abujazar7Ammar A. Oglat8Hammoda Abu-Odah9Department of Radiology, Turkish Friendship HospitalDepartment of Radiology, Turkish Friendship HospitalDepartment of Radiology, Al-Shifa Medical ComplexDepartment of Radiology, Nasser Medical ComplexInternal Medicine Department, University of Missouri–Kansas CityDepartment of Medical Imaging, Applied Medical Sciences, Al-Azhar UniversityDepartment of Advanced Material Technologies, Faculty of Material Engineering, Silesian University of Technology (SUT)Center for Medical Imaging, Uppsala University HospitalDepartment of Medical Imaging, Faculty of Applied Medical Sciences, The Hashemite UniversitySchool of Nursing, The Hong Kong Polytechnic UniversityAbstract Background During the coronavirus disease 2019 (COVID-19) pandemic, most patients experienced various respiratory and cardiovascular problems, and their health suddenly deteriorated despite active treatment. Many parameters have been used to assess patient health status. However, few have considered chest computed tomography (CCT) and lung findings to predict patient outcomes. This single-centre retrospective observational study was conducted between December 2020 and March 2021 at the European Gaza Hospital to predict the mortality of COVID-19 patients based on their CCT parameters and lung involvement scores. Results A total of 152 patients with severe respiratory symptoms were admitted during the study period, of which 93 (61.2%) improved and 59 (38.8%) died. Deceased patients showed a significantly higher right pulmonary diameter, cardiothoracic ratio, and ground glass with crazy paving opacity (p < 0.05). A cardiothoracic ratio ≥ 0.49 was associated with significantly higher mortality risk (p < 0.05) and a fourfold higher hazard ratio (p < 0.05) compared to < 0.49. Conclusions Assessing cardiac indices on CCT could provide prognostic information and guide physicians in patient management and risk stratification.https://doi.org/10.1186/s43055-022-00910-0COVID-19Chest CTCardiovascularLung findingsDeath predictor |
| spellingShingle | Mahmoud Mousa Marwan Matar Mohammad Matar Sadi Jaber Fouad S. Jaber Yasser Al Ajerami Amjad Falak Mohammed Abujazar Ammar A. Oglat Hammoda Abu-Odah Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective study The Egyptian Journal of Radiology and Nuclear Medicine COVID-19 Chest CT Cardiovascular Lung findings Death predictor |
| title | Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective study |
| title_full | Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective study |
| title_fullStr | Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective study |
| title_full_unstemmed | Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective study |
| title_short | Role of cardiovascular computed tomography parameters and lungs findings in predicting severe COVID-19 patients: a single-centre retrospective study |
| title_sort | role of cardiovascular computed tomography parameters and lungs findings in predicting severe covid 19 patients a single centre retrospective study |
| topic | COVID-19 Chest CT Cardiovascular Lung findings Death predictor |
| url | https://doi.org/10.1186/s43055-022-00910-0 |
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