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Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study

BACKGROUND/AIM: There is no study in the literature in which only chest computed tomography (CT) findings of deceased cases obtained at admission were examined, and the relationship between these findings and mortality was evaluated. MATERIALS AND METHODS: In this retrospective study, a total of 117...

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Autores principales: GÜNDÜZ, Yasemin, KARABAY, Oguz, ERDEM, Ali Fuat, ARIK, Erbil, ÖZTÜRK, Mehmet Halil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Scientific and Technological Research Council of Turkey 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283471/
https://www.ncbi.nlm.nih.gov/pubmed/33315351
http://dx.doi.org/10.3906/sag-2009-183
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author GÜNDÜZ, Yasemin
KARABAY, Oguz
ERDEM, Ali Fuat
ARIK, Erbil
ÖZTÜRK, Mehmet Halil
author_facet GÜNDÜZ, Yasemin
KARABAY, Oguz
ERDEM, Ali Fuat
ARIK, Erbil
ÖZTÜRK, Mehmet Halil
author_sort GÜNDÜZ, Yasemin
collection PubMed
description BACKGROUND/AIM: There is no study in the literature in which only chest computed tomography (CT) findings of deceased cases obtained at admission were examined, and the relationship between these findings and mortality was evaluated. MATERIALS AND METHODS: In this retrospective study, a total of 117 deceased patients with COVID-19 infection confirmed by positive polymerase chain reaction and undergone chest CT were enrolled. We evaluated initial chest CT findings and their relationship, location, prevalence, and the frequency with mortality. RESULTS: The mean age of patients was 73 ±18 years; 71 of all patients were male and 46 were female. The predominant feature was pure ground-glass opacity (GGO) lesion (82.0%), and 59.8% of cases had pure consolidation. There was no cavitation or architectural distorsion. Pericardial effusion was found in 9.4% the patients, and pleural effusions were found in 15.3% of them. Mediastinal lymphadenopathy was only 11.9% in total. CONCLUSION: In deceased patients, on admission CTs, pure consolidation, pleural and pericardial effusion, mediastinal LAP were more common than ordinary cases. It was these findings that should also raise the concern when they were seen on chest CT; therefore, these radiologic features have the potential to represent prognostic imaging markers in patients with COVID-19 pneumonia.
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spelling pubmed-82834712021-08-02 Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study GÜNDÜZ, Yasemin KARABAY, Oguz ERDEM, Ali Fuat ARIK, Erbil ÖZTÜRK, Mehmet Halil Turk J Med Sci Article BACKGROUND/AIM: There is no study in the literature in which only chest computed tomography (CT) findings of deceased cases obtained at admission were examined, and the relationship between these findings and mortality was evaluated. MATERIALS AND METHODS: In this retrospective study, a total of 117 deceased patients with COVID-19 infection confirmed by positive polymerase chain reaction and undergone chest CT were enrolled. We evaluated initial chest CT findings and their relationship, location, prevalence, and the frequency with mortality. RESULTS: The mean age of patients was 73 ±18 years; 71 of all patients were male and 46 were female. The predominant feature was pure ground-glass opacity (GGO) lesion (82.0%), and 59.8% of cases had pure consolidation. There was no cavitation or architectural distorsion. Pericardial effusion was found in 9.4% the patients, and pleural effusions were found in 15.3% of them. Mediastinal lymphadenopathy was only 11.9% in total. CONCLUSION: In deceased patients, on admission CTs, pure consolidation, pleural and pericardial effusion, mediastinal LAP were more common than ordinary cases. It was these findings that should also raise the concern when they were seen on chest CT; therefore, these radiologic features have the potential to represent prognostic imaging markers in patients with COVID-19 pneumonia. The Scientific and Technological Research Council of Turkey 2021-06-28 /pmc/articles/PMC8283471/ /pubmed/33315351 http://dx.doi.org/10.3906/sag-2009-183 Text en Copyright © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Article
GÜNDÜZ, Yasemin
KARABAY, Oguz
ERDEM, Ali Fuat
ARIK, Erbil
ÖZTÜRK, Mehmet Halil
Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study
title Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study
title_full Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study
title_fullStr Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study
title_full_unstemmed Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study
title_short Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study
title_sort evaluation of initial chest computed tomography (ct) findings of covid-19 pneumonia in 117 deceased patients: a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283471/
https://www.ncbi.nlm.nih.gov/pubmed/33315351
http://dx.doi.org/10.3906/sag-2009-183
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