AI Summary & Key Takeaways
AI InsightConclusion: CTR may be taken into consideration as a potential risk factor in the evaluation of the patients with COVID-19 infections The diameter of PA was found to be higher in all groups so it might be an indicator of inflammation of the lungs.
📌 3 Key Takeaways
Abstract
Objective: The aim of this study was to document some measurable thoracic computed tomography (CT) parameters investigated as a risk factors for prognosis in patients with coronavirus disease-2019 (COVID-19). Materials and Methods: We retrospectively analysed the patients with COVID-19 infection in three groups. Group 1 patients were the patients who were treated in the inpatient clinic or at home for COVID-19 pneumonia, group 2 patients consisted of patients who survived after treatment for COVID-19 pneumonia in intensive care unit (ICU), group 3 patients consisted of patients who died during treatment for COVID-19 pneumonia in the ICU. We evaluated the diameter of the aorta (A) and pulmonary artery (PA), PA/A ratio, cardiothoracic ratio (CTR), the fat to muscle ratio, and paraspinal muscle density as CT parameters evaluated as risk factors for COVID-19 infection. Results: The median age of all patients was 67 (Q1: 58-Q3: 75) and 60,6 % (n=143) of the patients were male. CTR was the only parameter for admission to ICU found statistically significant in multivariate analysis for both men and women. Additionally, it was the only significant risk factor for death in patients with COVID-19 infection. Although not statistically significant, the diameter of PA was found to be high in all groups. The other parameters evaluated did not provide statistically significant results between the groups. Conclusion: CTR may be taken into consideration as a potential risk factor in the evaluation of the patients with COVID-19 infections The diameter of PA was found to be higher in all groups so it might be an indicator of inflammation of the lungs.
Özet
Amaç: Bu çalışmanın amacı koronavirüs hastalığı-2019 (COVİD-19) olgularında risk faktörü olabilecek toraks bilgisayarlı tomografi (BT) tetkiki ile değerlendirilen bazı ölçülebilen parametrelerin dökümente edilmesidir. Gereç ve Yöntem: Çalışmada COVİD-19 olguları retrospektif olarak incelendi ve 3 grup oluşturuldu. Grup 1 COVİD-19 pnömonisi nedeni ile normal servislerde veya evde tedavi olan olgular, grup 2 COVİD-19 pnömonisi olan ve yoğun bakım ünitesine (YBÜ) alınan ve yaşayan olgular, grup 3 ise COVİD-19 pnömonisi sonrası eks olan olgulardan oluştu. BT tetkikinde aorta (A) ve pulmoner arter (PA) çapı, PA/A oranı, kardiyotorasik oran (KTO), yağ kas oranı, paraspinal kas densitesi gibi COVİD- 19 enfeksiyonu için risk olarak kabul edilen parametreler değerlendirildi. Bulgular: Olguların ortanca yaşı 67 yıl idi (Q1: 58-Q3: 75). Olguların %60,6’sı (n=143) erkek hastalardı. Multivariate analizde KTO, erkek ve bayan olgular için YBÜ’ye başvuruda tespit edilen tek risk faktörü idi. Ek olarak COVİD-19’lu erkek olgularda KTÖ ölüm riski ile ilişkili olarak bulunan tek parametre idi. Tüm olgularda PA çapı normalden daha yüksek bulundu. Diğer incelenen parametrelerde gruplar arasında istatistiksel olarak anlamlı bir fark saptanmadı. Sonuç: KTO, COVİD-19 olgularının değerlendirilmesinde potansiyel bir risk faktörüdür. PA çapı tüm olgularda yüksek olup akciğer enflamasyonunun bir bulgusu olabilir.