The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients
Objective: Although thoracic computed tomography (T-CT) has high sensitivity in the diagnosis of coronavirus disease-2019 (COVID-19), a specific involvement type or region for COVID- 19 has not yet been identified in images consistent with viral pneumonia. This study determined the relationship betw...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2022-09-01
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| Series: | Türk Yoğun Bakim Derneği Dergisi |
| Subjects: | |
| Online Access: | https://www.turkishjic.org/archives/archive-detail/article-preview/the-predictive-value-of-thoracic-computed-tomograp/52499 |
| _version_ | 1828019716428398592 |
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| author | Elif Bombacı Kemal Tolga Saraçoğlu Ömer Aydıner Fulya Ciyiltepe Ayten Saraçoğlu Ebru Dülger İliş Recep Demirhan |
| author_facet | Elif Bombacı Kemal Tolga Saraçoğlu Ömer Aydıner Fulya Ciyiltepe Ayten Saraçoğlu Ebru Dülger İliş Recep Demirhan |
| author_sort | Elif Bombacı |
| collection | DOAJ |
| description | Objective: Although thoracic computed tomography (T-CT) has high sensitivity in the diagnosis of coronavirus disease-2019 (COVID-19), a specific involvement type or region for COVID- 19 has not yet been identified in images consistent with viral pneumonia. This study determined the relationship between the degree of involvement in T-CT and mortality in patients with COVID- 19.
Materials and Methods: One hundred and fifteen COVID-19 patients admitted to our intensive care unit were included in this study. Obtained T-CTs were evaluated according to the T-CT severity scoring system. Patients were divided into two groups as the mortality and the survival group. The two groups were compared in terms of age and gender, the presence and localization of abnormal T-CT findings and total CT score.
Results: The total CT score was significantly higher in the mortality group than in the survival group (10.88±5.67 vs 8.53±4.89, p=0.048). Bilateral involvement in the T-CT scan was found to be significantly higher in the mortality group.
Conclusion: Total CT scoring has predictive value in determining the survival of patients with a critical COVID-19. Bilateral involvement in the T-CT scans performed in the early period of disease and a total CT score of ≥10 may be indicative of mortality in COVID-19 patients. |
| first_indexed | 2024-04-10T11:24:48Z |
| format | Article |
| id | doaj.art-bb5c0659244a4a09b4b3955fb6d975dc |
| institution | Directory Open Access Journal |
| issn | 2146-6416 2147-267X |
| language | English |
| last_indexed | 2024-04-10T11:24:48Z |
| publishDate | 2022-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj.art-bb5c0659244a4a09b4b3955fb6d975dc2023-02-15T16:18:30ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2022-09-0120Suppl 19910710.4274/tybd.galenos.2022.6855213049054The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 PatientsElif Bombacı0https://orcid.org/0000-0002-9153-140XKemal Tolga Saraçoğlu1https://orcid.org/0000-0001-9470-7418Ömer Aydıner2https://orcid.org/0000-0003-4895-093XFulya Ciyiltepe3https://orcid.org/0000-0002-0959-5202Ayten Saraçoğlu4https://orcid.org/0000-0002-1186-0933Ebru Dülger İliş5https://orcid.org/0000-0001-9510-9962Recep Demirhan6https://orcid.org/0000-0003-4424-5918University of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Anesthesiology and Reanimation, Division of Intensive Care, İstanbul, TurkeyUniversity of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Anesthesiology and Reanimation, Division of Intensive Care, İstanbul, TurkeyUniversity of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Radiology, İstanbul, TurkeyUniversity of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Anesthesiology and Reanimation, Division of Intensive Care, İstanbul, TurkeyMarmara University Pendik Training and Research Hospital, Clinic of Anesthesiology and Reanimation, Division of Intensive Care, İstanbul, TurkeyUniversity of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Radiology, İstanbul, TurkeyUniversity of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Thoracic Surgery, İstanbul, TurkeyObjective: Although thoracic computed tomography (T-CT) has high sensitivity in the diagnosis of coronavirus disease-2019 (COVID-19), a specific involvement type or region for COVID- 19 has not yet been identified in images consistent with viral pneumonia. This study determined the relationship between the degree of involvement in T-CT and mortality in patients with COVID- 19. Materials and Methods: One hundred and fifteen COVID-19 patients admitted to our intensive care unit were included in this study. Obtained T-CTs were evaluated according to the T-CT severity scoring system. Patients were divided into two groups as the mortality and the survival group. The two groups were compared in terms of age and gender, the presence and localization of abnormal T-CT findings and total CT score. Results: The total CT score was significantly higher in the mortality group than in the survival group (10.88±5.67 vs 8.53±4.89, p=0.048). Bilateral involvement in the T-CT scan was found to be significantly higher in the mortality group. Conclusion: Total CT scoring has predictive value in determining the survival of patients with a critical COVID-19. Bilateral involvement in the T-CT scans performed in the early period of disease and a total CT score of ≥10 may be indicative of mortality in COVID-19 patients.https://www.turkishjic.org/archives/archive-detail/article-preview/the-predictive-value-of-thoracic-computed-tomograp/52499covid-19thoracic computed tomographymortalityintensive care |
| spellingShingle | Elif Bombacı Kemal Tolga Saraçoğlu Ömer Aydıner Fulya Ciyiltepe Ayten Saraçoğlu Ebru Dülger İliş Recep Demirhan The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients Türk Yoğun Bakim Derneği Dergisi covid-19 thoracic computed tomography mortality intensive care |
| title | The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients |
| title_full | The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients |
| title_fullStr | The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients |
| title_full_unstemmed | The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients |
| title_short | The Predictive Value of Thoracic Computed Tomography on the Mortality of Critically Ill COVID-19 Patients |
| title_sort | predictive value of thoracic computed tomography on the mortality of critically ill covid 19 patients |
| topic | covid-19 thoracic computed tomography mortality intensive care |
| url | https://www.turkishjic.org/archives/archive-detail/article-preview/the-predictive-value-of-thoracic-computed-tomograp/52499 |
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