Prediction of Clinical Results with the First Thoracic CT Findings in COVID-2019 Patients; Survey Study

Abstract

Objective: This study aimed to investigate the clinical and computed tomography (CT) features associated with severe and critical coronavirus disease-2019 (COVID-19) pneumonia. Methods: A total of 50 patients with critical COVID-19 pneumonia, receiving mechanical ventilation support in the intensive care unit (ICU) due to moderate-severe acute respiratory distress syndrome (ARDS), were included in this retrospective study. Chest CT, laboratory results, and clinical conditions of patients were concurrently identified. Only the first chest CT findings of patients were reviewed by 50 physicians and they were asked about their opinions on the laboratory results and clinical conditions of patients. Data were then compared with the real-time data. The efficacy of the first chest CT findings in diagnosis and treatment guidance was analyzed. Results: The simultaneous laboratory analyses of patients receiving mechanical ventilation support due to moderate-severe ARDS found a C-reactive protein of >40 mg/L in 72%, D-dimer was >1000 ng/mL and ferritin was >500 ng/mL in 57%, and lymphocyte count