Chest radiography evaluation in patients admitted with confirmed COVID-19 infection, in a resource limited South African isolation hospital
SA Journal of Radiology
| Field | Value | |
| Title | Chest radiography evaluation in patients admitted with confirmed COVID-19 infection, in a resource limited South African isolation hospital | |
| Creator | Moodley, Sereesh Sewchuran, Tanusha | |
| Description | Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the subsequent global outbreak (coronavirus disease 2019 [COVID-19]) was declared a public health emergency in January 2020. Recent radiologic literature regarding COVID-19 has primarily focused on Computed Tomography (CT) chest findings, with chest radiography lacking in comparison.Objectives: To describe the demographic profile of adult patients with COVID-19 pneumonia requiring hospital admission. To describe and quantify the imaging spectrum on chest radiography using a severity index, and to correlate the severity of disease with prognosis.Method: Retrospective review of chest radiographs and laboratory records in patients admitted to a South African tertiary hospital with confirmed COVID-19 infection. The chest X-rays were systematically reviewed for several radiographic features, which were then quantified using the Brixia scoring system, and correlated to the patient’s outcome.Results: A total of 175 patients (mean age: 53.34 years) admitted with COVID-19 were included. Ground glass opacification (98.9%), consolidation (86.3%), and pleural effusion (29.1%) was commonly found. Involvement of bilateral lung fields (96.6%) with no zonal predominance (61.7%), was most prevalent. Correlation between the Brixia score and outcome was found between severe disease and death (odds ratio [OR]: 12.86; 95% confidence interval [CI]: 1.58–104.61). Many patients had unknown TB (71.4%) and HIV (72.6%) statuses.Conclusion: In this study population, ground glass opacification, consolidation, and pleural effusions, with bilateral lung involvement and no zonal predominance were the most prevalent findings in proven COVID-19 infection. Quantification using the Brixia scoring system may assist with timeous assessment of disease severity in COVID-19 positive patients, as an overall predicator of clinical outcome. | |
| Publisher | AOSIS | |
| Date | 2022-01-17 | |
| Identifier | 10.4102/sajr.v26i1.2262 | |
| Source | South African Journal of Radiology; Vol 26, No 1 (2022); 7 pages 2078-6778 1027-202X | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajr.org.za/index.php/sajr/article/view/2262/3088
https://sajr.org.za/index.php/sajr/article/view/2262/3089
https://sajr.org.za/index.php/sajr/article/view/2262/3090
https://sajr.org.za/index.php/sajr/article/view/2262/3091
|
|
ADVERTISEMENT
