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Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19)

PURPOSE: Some patients with novel coronavirus disease 2019 (COVID-2019) present with abdominal symptoms. Abdominal manifestations of COVID on imaging are not yet established. The goal of this study was to quantify the frequency of positive findings on abdominopelvic CT in COVID-positive patients, an...

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Autores principales: Goldberg-Stein, Shlomit, Fink, Adam, Paroder, Viktoriya, Kobi, Mariya, Yee, Judy, Chernyak, Victoria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406871/
https://www.ncbi.nlm.nih.gov/pubmed/32761402
http://dx.doi.org/10.1007/s00261-020-02669-2
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author Goldberg-Stein, Shlomit
Fink, Adam
Paroder, Viktoriya
Kobi, Mariya
Yee, Judy
Chernyak, Victoria
author_facet Goldberg-Stein, Shlomit
Fink, Adam
Paroder, Viktoriya
Kobi, Mariya
Yee, Judy
Chernyak, Victoria
author_sort Goldberg-Stein, Shlomit
collection PubMed
description PURPOSE: Some patients with novel coronavirus disease 2019 (COVID-2019) present with abdominal symptoms. Abdominal manifestations of COVID on imaging are not yet established. The goal of this study was to quantify the frequency of positive findings on abdominopelvic CT in COVID-positive patients, and to identify clinical factors associated with positive findings to assist with imaging triage. MATERIALS AND METHODS: This retrospective study included adult COVID-positive patients with abdominopelvic CT performed within 14 days of their COVID PCR nasal swab assay from 3/1/2020 to 5/1/2020. Clinical CT reports were reviewed for the provided indication and any positive abdominopelvic findings. Demographic and laboratory data closest to the CT date were recorded. Multivariate logistic regression model with binary outcome of having no reported positive abdominopelvic findings was constructed. RESULTS: Of 141 COVID-positive patients having abdominopelvic CT (average age 64 years [± 16], 91 [64%] women), 80 (57%) had positive abdominopelvic findings. Abdominal pain was the most common indication, provided in 54% (43/80) and 74% (45/61) of patients with and without reported positive abdominopelvic findings, respectively (p = 0.015). 70% (98/141) of patients overall had reported findings in the lung bases. Findings either typical or intermediate for COVID were reported in 50% (40/80) and 64% (39/61) of patients with and without positive abdominopelvic findings, respectively (p = 0.099). Of 80 patients with positive abdominopelvic findings, 25 (31%) had an abnormality of gastrointestinal tract, and 14 (18%) had solid organ infarctions or vascular thromboses. In multivariate analysis, age (OR 0.85, p = 0.023), hemoglobin (OR 0.83, p = 0.029) and male gender (OR 2.58, p = 0.032) were independent predictors of positive abdominopelvic findings, adjusted for race and Charlson comorbidity index. CONCLUSION: Abdominopelvic CT performed on COVID-positive patients yielded a positive finding in 57% of patients. Younger age, male gender, and lower hemoglobin were associated with higher odds of having reportable positive abdominopelvic CT findings.
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spelling pubmed-74068712020-08-06 Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19) Goldberg-Stein, Shlomit Fink, Adam Paroder, Viktoriya Kobi, Mariya Yee, Judy Chernyak, Victoria Abdom Radiol (NY) Practice PURPOSE: Some patients with novel coronavirus disease 2019 (COVID-2019) present with abdominal symptoms. Abdominal manifestations of COVID on imaging are not yet established. The goal of this study was to quantify the frequency of positive findings on abdominopelvic CT in COVID-positive patients, and to identify clinical factors associated with positive findings to assist with imaging triage. MATERIALS AND METHODS: This retrospective study included adult COVID-positive patients with abdominopelvic CT performed within 14 days of their COVID PCR nasal swab assay from 3/1/2020 to 5/1/2020. Clinical CT reports were reviewed for the provided indication and any positive abdominopelvic findings. Demographic and laboratory data closest to the CT date were recorded. Multivariate logistic regression model with binary outcome of having no reported positive abdominopelvic findings was constructed. RESULTS: Of 141 COVID-positive patients having abdominopelvic CT (average age 64 years [± 16], 91 [64%] women), 80 (57%) had positive abdominopelvic findings. Abdominal pain was the most common indication, provided in 54% (43/80) and 74% (45/61) of patients with and without reported positive abdominopelvic findings, respectively (p = 0.015). 70% (98/141) of patients overall had reported findings in the lung bases. Findings either typical or intermediate for COVID were reported in 50% (40/80) and 64% (39/61) of patients with and without positive abdominopelvic findings, respectively (p = 0.099). Of 80 patients with positive abdominopelvic findings, 25 (31%) had an abnormality of gastrointestinal tract, and 14 (18%) had solid organ infarctions or vascular thromboses. In multivariate analysis, age (OR 0.85, p = 0.023), hemoglobin (OR 0.83, p = 0.029) and male gender (OR 2.58, p = 0.032) were independent predictors of positive abdominopelvic findings, adjusted for race and Charlson comorbidity index. CONCLUSION: Abdominopelvic CT performed on COVID-positive patients yielded a positive finding in 57% of patients. Younger age, male gender, and lower hemoglobin were associated with higher odds of having reportable positive abdominopelvic CT findings. Springer US 2020-08-06 2020 /pmc/articles/PMC7406871/ /pubmed/32761402 http://dx.doi.org/10.1007/s00261-020-02669-2 Text en © Springer Science+Business Media, LLC, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Practice
Goldberg-Stein, Shlomit
Fink, Adam
Paroder, Viktoriya
Kobi, Mariya
Yee, Judy
Chernyak, Victoria
Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19)
title Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19)
title_full Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19)
title_fullStr Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19)
title_full_unstemmed Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19)
title_short Abdominopelvic CT findings in patients with novel coronavirus disease 2019 (COVID-19)
title_sort abdominopelvic ct findings in patients with novel coronavirus disease 2019 (covid-19)
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7406871/
https://www.ncbi.nlm.nih.gov/pubmed/32761402
http://dx.doi.org/10.1007/s00261-020-02669-2
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