Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral center
Purpose: To describe the radiographic findings of hospitalized adult Filipino COVID-19 patients on serial chest x-ray imaging. Method: We performed a retrospective review of records and chest x-rays of eligible adult Filipinos with confirmed COVID-19 admitted from 1 March 2020 to 31 July 2020. Demog...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | European Journal of Radiology Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352047721000654 |
| _version_ | 1831758594203189248 |
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| author | Julian A. Santos Johanna Patricia A. Cañal |
| author_facet | Julian A. Santos Johanna Patricia A. Cañal |
| author_sort | Julian A. Santos |
| collection | DOAJ |
| description | Purpose: To describe the radiographic findings of hospitalized adult Filipino COVID-19 patients on serial chest x-ray imaging. Method: We performed a retrospective review of records and chest x-rays of eligible adult Filipinos with confirmed COVID-19 admitted from 1 March 2020 to 31 July 2020. Demographics, clinical outcomes, and chest radiographic findings were recorded. Serial chest x-ray findings were correlated with the clinical outcome. Results: From 144 adult patients (93 males and 51 females), a total of 785 chest x-rays were reviewed (144 baseline and 641 follow-up). The most common finding overall is ground-glass opacity. The most common distribution pattern is bilateral, patchy/diffuse involvement of the central/peripheral zones. In x-rays taken after the third admission day, reticular opacities become more common than consolidation. The radiographic extent score was higher for deceased patients compared to the survivors at Day 7–9 (6 vs 4.4, p-value = 0.0011), Day 10–12 (5.9 vs 4.3, p-value = 0.0079) and Day 13–15 (5.5 vs 4.1, p-value = 0.0297). The presence of endotracheal tubes (68 % vs 7.5 %, p-value < 0.001) and pleural effusion (70 % vs. 36 %, p-value = 0.0004) were higher among the deceased. Reticular opacities were more common for discharged patients (50 % vs 30 %, p-value = 0.0021). Conclusion: Ground-glass opacities with bilateral, patchy/diffuse involvement of the central/peripheral zones are the most common findings. The presence of endotracheal intubation, pleural effusion, and persistently elevated radiographic extent scores are typically seen in deceased patients. Serial chest radiography with radiographic extent scoring is a useful tool in monitoring COVID-19 for hospitalized adult patients. |
| first_indexed | 2024-12-22T00:52:35Z |
| format | Article |
| id | doaj.art-cd3a321924374b64a4c9e354f17d1148 |
| institution | Directory Open Access Journal |
| issn | 2352-0477 |
| language | English |
| last_indexed | 2024-12-22T00:52:35Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Journal of Radiology Open |
| spelling | doaj.art-cd3a321924374b64a4c9e354f17d11482022-12-21T18:44:25ZengElsevierEuropean Journal of Radiology Open2352-04772021-01-018100385Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral centerJulian A. Santos0Johanna Patricia A. Cañal1Department of Radiology, University of the Philippines Manila – Philippine General Hospital, Taft Avenue, Ermita, Manila, 1000, Philippines; Corresponding author at: Department of Radiology, University of the Philippines Manila – Philippine General Hospital, Taft Avenue, Manila, Philippines.Department of Radiology, College of Medicine, University of the Philippines Manila – Philippine General Hospital, Taft Avenue, Ermita, Manila, 1000, PhilippinesPurpose: To describe the radiographic findings of hospitalized adult Filipino COVID-19 patients on serial chest x-ray imaging. Method: We performed a retrospective review of records and chest x-rays of eligible adult Filipinos with confirmed COVID-19 admitted from 1 March 2020 to 31 July 2020. Demographics, clinical outcomes, and chest radiographic findings were recorded. Serial chest x-ray findings were correlated with the clinical outcome. Results: From 144 adult patients (93 males and 51 females), a total of 785 chest x-rays were reviewed (144 baseline and 641 follow-up). The most common finding overall is ground-glass opacity. The most common distribution pattern is bilateral, patchy/diffuse involvement of the central/peripheral zones. In x-rays taken after the third admission day, reticular opacities become more common than consolidation. The radiographic extent score was higher for deceased patients compared to the survivors at Day 7–9 (6 vs 4.4, p-value = 0.0011), Day 10–12 (5.9 vs 4.3, p-value = 0.0079) and Day 13–15 (5.5 vs 4.1, p-value = 0.0297). The presence of endotracheal tubes (68 % vs 7.5 %, p-value < 0.001) and pleural effusion (70 % vs. 36 %, p-value = 0.0004) were higher among the deceased. Reticular opacities were more common for discharged patients (50 % vs 30 %, p-value = 0.0021). Conclusion: Ground-glass opacities with bilateral, patchy/diffuse involvement of the central/peripheral zones are the most common findings. The presence of endotracheal intubation, pleural effusion, and persistently elevated radiographic extent scores are typically seen in deceased patients. Serial chest radiography with radiographic extent scoring is a useful tool in monitoring COVID-19 for hospitalized adult patients.http://www.sciencedirect.com/science/article/pii/S2352047721000654COVID-19Serial chest x-rayRadiographic extent scoringPhilippines |
| spellingShingle | Julian A. Santos Johanna Patricia A. Cañal Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral center European Journal of Radiology Open COVID-19 Serial chest x-ray Radiographic extent scoring Philippines |
| title | Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral center |
| title_full | Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral center |
| title_fullStr | Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral center |
| title_full_unstemmed | Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral center |
| title_short | Chest x-ray findings and temporal changes among adult patients with COVID-19 admitted in a tertiary referral center |
| title_sort | chest x ray findings and temporal changes among adult patients with covid 19 admitted in a tertiary referral center |
| topic | COVID-19 Serial chest x-ray Radiographic extent scoring Philippines |
| url | http://www.sciencedirect.com/science/article/pii/S2352047721000654 |
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