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Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia

Evaluation in medical emergencies of COVID-19 patients represents a challenge to regulate preventive and timely management. There are key imaging and laboratory tools to classify the severity. The aim of the study was to evaluate the chest CT score performance and prognostic indices in COVID-19 pati...

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Autores principales: Críales-Vera, Sergio, Saucedo-Orozco, Huitzilihuitl, Iturralde-Torres, Pedro, Martínez-Mota, Gustavo, Dávila-Medina, Estefanía, Guarner-Lans, Verónica, Manzano-Pech, Linaloe, Pérez-Torres, Israel, Soto, María Elena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697491/
https://www.ncbi.nlm.nih.gov/pubmed/36365031
http://dx.doi.org/10.3390/pathogens11111281
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author Críales-Vera, Sergio
Saucedo-Orozco, Huitzilihuitl
Iturralde-Torres, Pedro
Martínez-Mota, Gustavo
Dávila-Medina, Estefanía
Guarner-Lans, Verónica
Manzano-Pech, Linaloe
Pérez-Torres, Israel
Soto, María Elena
author_facet Críales-Vera, Sergio
Saucedo-Orozco, Huitzilihuitl
Iturralde-Torres, Pedro
Martínez-Mota, Gustavo
Dávila-Medina, Estefanía
Guarner-Lans, Verónica
Manzano-Pech, Linaloe
Pérez-Torres, Israel
Soto, María Elena
author_sort Críales-Vera, Sergio
collection PubMed
description Evaluation in medical emergencies of COVID-19 patients represents a challenge to regulate preventive and timely management. There are key imaging and laboratory tools to classify the severity. The aim of the study was to evaluate the chest CT score performance and prognostic indices in COVID-19 patients to predict the progression to critical illness. This was a retrospective study between run between April and December 2020, in which 109 patients were included. Patients of any age and gender and who required hospitalization due to a confirmed COVID-19 diagnosis by RT-PCR and chest CT and laboratory were analyzed. In 75% of them, there was at least one comorbidity, and 30% developed critical illness, and the average mortality was 10%. In 49.5%, there was a CORADS-5 on admission, and in 50%, there was a peripheral distribution of the interstitial infiltrate in the left lower lobe. The risk factors were FiO(2), CT score > 18, and the NRL index. The combination of the high-risk Quick COVID-19 Severity Index (qCSI) plus CT score > 18 indices was the best prediction index for the development of a critical condition. The combined use of indices in infected COVID-19 patients showed diagnostic accuracy and predicted severity. Imaging and the laboratory tests are key tools independent of the wave of recurrence.
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spelling pubmed-96974912022-11-26 Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia Críales-Vera, Sergio Saucedo-Orozco, Huitzilihuitl Iturralde-Torres, Pedro Martínez-Mota, Gustavo Dávila-Medina, Estefanía Guarner-Lans, Verónica Manzano-Pech, Linaloe Pérez-Torres, Israel Soto, María Elena Pathogens Article Evaluation in medical emergencies of COVID-19 patients represents a challenge to regulate preventive and timely management. There are key imaging and laboratory tools to classify the severity. The aim of the study was to evaluate the chest CT score performance and prognostic indices in COVID-19 patients to predict the progression to critical illness. This was a retrospective study between run between April and December 2020, in which 109 patients were included. Patients of any age and gender and who required hospitalization due to a confirmed COVID-19 diagnosis by RT-PCR and chest CT and laboratory were analyzed. In 75% of them, there was at least one comorbidity, and 30% developed critical illness, and the average mortality was 10%. In 49.5%, there was a CORADS-5 on admission, and in 50%, there was a peripheral distribution of the interstitial infiltrate in the left lower lobe. The risk factors were FiO(2), CT score > 18, and the NRL index. The combination of the high-risk Quick COVID-19 Severity Index (qCSI) plus CT score > 18 indices was the best prediction index for the development of a critical condition. The combined use of indices in infected COVID-19 patients showed diagnostic accuracy and predicted severity. Imaging and the laboratory tests are key tools independent of the wave of recurrence. MDPI 2022-11-01 /pmc/articles/PMC9697491/ /pubmed/36365031 http://dx.doi.org/10.3390/pathogens11111281 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Críales-Vera, Sergio
Saucedo-Orozco, Huitzilihuitl
Iturralde-Torres, Pedro
Martínez-Mota, Gustavo
Dávila-Medina, Estefanía
Guarner-Lans, Verónica
Manzano-Pech, Linaloe
Pérez-Torres, Israel
Soto, María Elena
Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia
title Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia
title_full Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia
title_fullStr Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia
title_full_unstemmed Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia
title_short Tomography and Prognostic Indices in the State of the Art of Evaluation in Hospitalized Patients with COVID-19 Pneumonia
title_sort tomography and prognostic indices in the state of the art of evaluation in hospitalized patients with covid-19 pneumonia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697491/
https://www.ncbi.nlm.nih.gov/pubmed/36365031
http://dx.doi.org/10.3390/pathogens11111281
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