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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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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 |
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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 |
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