Cargando…

Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India

OBJECTIVE: To analyze radiological changes in portable chest radiographs in coronavirus disease-19(COVID-19) patients to optimize the management of hospitalized patients. METHODS: We retrospectively reviewed 638 portable radiographs of 422 hospitalized COVID-19 patients with RT-PCR confirmed COVID-1...

Descripción completa

Detalles Bibliográficos
Autores principales: Goyal, Alka, Tiwari, Raghav, Bagarhatta, Meenu, Ashwini, B, Rathi, Bhavyansh, Bhandari, Sudhir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996700/
https://www.ncbi.nlm.nih.gov/pubmed/33814767
http://dx.doi.org/10.4103/ijri.IJRI_480_20
_version_ 1783670160238837760
author Goyal, Alka
Tiwari, Raghav
Bagarhatta, Meenu
Ashwini, B
Rathi, Bhavyansh
Bhandari, Sudhir
author_facet Goyal, Alka
Tiwari, Raghav
Bagarhatta, Meenu
Ashwini, B
Rathi, Bhavyansh
Bhandari, Sudhir
author_sort Goyal, Alka
collection PubMed
description OBJECTIVE: To analyze radiological changes in portable chest radiographs in coronavirus disease-19(COVID-19) patients to optimize the management of hospitalized patients. METHODS: We retrospectively reviewed 638 portable radiographs of 422 hospitalized COVID-19 patients with RT-PCR confirmed COVID-19 infection. All the radiographs were reported in a structured format by two experienced radiologists. A severity score was assigned to every Chest Xray (CXR) and correlation was done with the CT scans whenever available. RESULTS: Out of 422 baseline portable radiographs assessed, the ratio of male: female patients was 337:85 that is 79.8% were males and 20.14% were females. The mean age was 50.5 years and the range was 17–84 years. Of these 422 patients, 187 patients (44.3%) had abnormal baseline CXR. 161 out of 187 (86%) had either typical or indeterminate findings for COVID-19 pneumonia, rest 26 (13.9%) patients had CXR findings not consistent with COVID-19, like pleural effusion, hydropneumothorax, or lung cavity. Most commonly observed CXR findings in COVID 19 pneumonia were bilateral, multifocal air space opacities (consolidation and ground-glass opacities) predominantly involving lower zones and peripheral lung fields. X-ray identifiable lung changes of COVID-19 were mostly seen at 9-11 days after symptom onset. CONCLUSION: The presence of multifocal air-space opacities with bilateral, peripheral distribution on chest radiograph is highly suggestive of COVID-19 pneumonia in this pandemic setting. Portable chest radiography is a widely available and quicktool for estimating the evolution and assessing the severity of lung involvement of COVID-19 pneumonia in hospitalized symptomatic patients.
format Online
Article
Text
id pubmed-7996700
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-79967002021-04-01 Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India Goyal, Alka Tiwari, Raghav Bagarhatta, Meenu Ashwini, B Rathi, Bhavyansh Bhandari, Sudhir Indian J Radiol Imaging Original Article OBJECTIVE: To analyze radiological changes in portable chest radiographs in coronavirus disease-19(COVID-19) patients to optimize the management of hospitalized patients. METHODS: We retrospectively reviewed 638 portable radiographs of 422 hospitalized COVID-19 patients with RT-PCR confirmed COVID-19 infection. All the radiographs were reported in a structured format by two experienced radiologists. A severity score was assigned to every Chest Xray (CXR) and correlation was done with the CT scans whenever available. RESULTS: Out of 422 baseline portable radiographs assessed, the ratio of male: female patients was 337:85 that is 79.8% were males and 20.14% were females. The mean age was 50.5 years and the range was 17–84 years. Of these 422 patients, 187 patients (44.3%) had abnormal baseline CXR. 161 out of 187 (86%) had either typical or indeterminate findings for COVID-19 pneumonia, rest 26 (13.9%) patients had CXR findings not consistent with COVID-19, like pleural effusion, hydropneumothorax, or lung cavity. Most commonly observed CXR findings in COVID 19 pneumonia were bilateral, multifocal air space opacities (consolidation and ground-glass opacities) predominantly involving lower zones and peripheral lung fields. X-ray identifiable lung changes of COVID-19 were mostly seen at 9-11 days after symptom onset. CONCLUSION: The presence of multifocal air-space opacities with bilateral, peripheral distribution on chest radiograph is highly suggestive of COVID-19 pneumonia in this pandemic setting. Portable chest radiography is a widely available and quicktool for estimating the evolution and assessing the severity of lung involvement of COVID-19 pneumonia in hospitalized symptomatic patients. Wolters Kluwer - Medknow 2021-01 2021-01-23 /pmc/articles/PMC7996700/ /pubmed/33814767 http://dx.doi.org/10.4103/ijri.IJRI_480_20 Text en Copyright: © 2021 Indian Journal of Radiology and Imaging http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Goyal, Alka
Tiwari, Raghav
Bagarhatta, Meenu
Ashwini, B
Rathi, Bhavyansh
Bhandari, Sudhir
Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India
title Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India
title_full Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India
title_fullStr Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India
title_full_unstemmed Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India
title_short Role of portable chest radiography in management of COVID-19: Experience of 422 patients from a tertiary care center in India
title_sort role of portable chest radiography in management of covid-19: experience of 422 patients from a tertiary care center in india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996700/
https://www.ncbi.nlm.nih.gov/pubmed/33814767
http://dx.doi.org/10.4103/ijri.IJRI_480_20
work_keys_str_mv AT goyalalka roleofportablechestradiographyinmanagementofcovid19experienceof422patientsfromatertiarycarecenterinindia
AT tiwariraghav roleofportablechestradiographyinmanagementofcovid19experienceof422patientsfromatertiarycarecenterinindia
AT bagarhattameenu roleofportablechestradiographyinmanagementofcovid19experienceof422patientsfromatertiarycarecenterinindia
AT ashwinib roleofportablechestradiographyinmanagementofcovid19experienceof422patientsfromatertiarycarecenterinindia
AT rathibhavyansh roleofportablechestradiographyinmanagementofcovid19experienceof422patientsfromatertiarycarecenterinindia
AT bhandarisudhir roleofportablechestradiographyinmanagementofcovid19experienceof422patientsfromatertiarycarecenterinindia