Yıl: 2021 Cilt: 51 Sayı: 3 Sayfa Aralığı: 929 - 938 Metin Dili: İngilizce DOI: 10.3906/sag-2009-183 İndeks Tarihi: 17-01-2022

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

Öz:
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.Key words: Chest computed tomography, COVID-19 infection, mortality
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  • 1. World Health Organization Coronavirus Disease (COVID-19): Dashboard. 10 Sept 2020.
  • 2. Yang X, Yu Y, Xu J, Shu H, Xia J et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine 2020;8(5):475-481. doi: 10.1016/S2213-2600(20)30079-5
  • 3. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ et al. China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of Coronavirus Disease 2019 in China. The New England Journal of Medicine. 2020 Apr 30;382(18):1708-1720. doi: 10.1056/NEJMoa2002032
  • 4. Ibrahim NK. Epidemiologic surveillance for controlling Covid-19 pandemic: types, challenges and implications. Journal of Infection and Public Health. 2020;13(11):1630- 1638. doi:10.1016/j.jiph.2020.07.019
  • 5. Akçay Ş, Özlü T, Yılmaz A. Radiological approaches to COVID-19 pneumonia. Turkish Journal of Medical Science 2020;50(SI-1):604-610. doi: 10.3906/sag-2004-160
  • 6. Rubin GD, Ryerson CJ, Haramati LB, Sverzellati N, Kanne JP et al. The Role of Chest Imaging in Patient Management During the COVID-19 Pandemic: A Multinational Consensus Statement From the Fleischner Society. Chest. 2020;158(1):106- 116. doi: 10.1016/j.chest.2020.04.003
  • 7. Pan F, Ye T, Sun P, Gui S, Liang B et al. Time Course of Lung Changes at Chest CT during Recovery from Coronavirus Disease 2019 (COVID-19). Radiology. 2020;295(3):715-721. doi: 10.1148/radiol.2020200370
  • 8. Liu M, Zeng W, Wen Y, Zheng Y, Lv F, Xiao K. COVID-19 pneumonia: CT findings of 122 patients and differentiation from influenza pneumonia. European Radiology 2020;30(10):5463-5469. doi: 10.1007/s00330-020-06928-0
  • 9. El Homsi M, Chung M, Bernheim A, Jacobi A, King MJ et al. Review of chest CT manifestations of COVID-19 infection. Europan Journal of Radiology Open. 2020 ;7:100239. doi: 10.1016/j.ejro.2020.100239
  • 10. Ufuk F, Savaş R. Chest CT features of the novel coronavirus disease (COVID-19). Turkish Journal of Medical Science 2020;50(4):664-678. doi:10.3906/sag-2004-331
  • 11. Li K, Wu J, Wu F. The clinical and chest CT features associated with severe and critical COVID-19 pneumonia. Investigative Radiology 2020;55(6):327–331. doi: 10.1097/ RLI.0000000000000672
  • 12. Dai H, Zhang X, Xia J, Zhang T, Shang Y et al. High-resolution Chest CT Features and Clinical Characteristics of Patients Infected with COVID-19 in Jiangsu, China. International Journal of Infection Disease 2020;95:106-112. doi: 10.1016/j. ijid.2020.04.003
  • 13. Parry AH, Wani AH, Shah NN, Yaseen M, Jehangir M. Chest CT features of coronavirus disease-19 (COVID-19) pneumonia: which findings on initial CT can predict an adverse short-term outcome ?. British Journal of Radiology Open 2020 19;2(1):20200016. doi: 10.1259/bjro.20200016
  • 14. Ye Z, Zhang Y, Wang Y, Huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. European Radiology. 2020;30(8):4381-4389. doi:10.1007/s00330-020-06801-0
  • 15. Larici AR, Cicchetti G, Marano R, Merlino B, Elia L et al. Multimodality imaging of COVID-19 pneumonia: from diagnosis to follow-up. Acomprehensive review. European Journal of Radiology 2020;131:109217. doi: 10.1016/j. ejrad.2020.109217
  • 16. Sun Z, Zhang N, Li Y, Xu X. A systematic review of chest imaging findings in COVID-19. Quantitative Imaging in Medicine and Surgery 2020;10(5):1058-1079. doi: 10.21037/ qims-20-564
  • 17. Pan F, Zheng C, Ye T, Li L, Liu D et al. Different computed tomography patterns of Coronavirus Disease 2019 (COVID-19) between survivors and non-survivors. Scientific Reports 2020 Jul 9;10(1):11336. doi: 10.1038/s41598-020-68057-4
  • 18. Yu M, Xu D, Lan L, Tu M, Liao R et al. Thin-section Chest CT Imaging of Coronavirus Disease 2019 Pneumonia: Comparison Between Patients with Mild and Severe Disease. Radiology: Cardiothoracic Imaging 2020;2(2):e200126. doi: 10.1148/ryct.2020200126
  • 19. Fang C, Garzillo G, Batohi B, Teo JTH, Berovic M et al. Extent of pulmonary thromboembolic disease in patients with COVID-19 on CT: relationship with pulmonary parenchymal disease. Clinical Radiology 2020;75(10):780-788. doi: 10.1016/j.crad.2020.07.002
  • 20. Hu Q, Guan H, Sun Z, Huang L, Chen C et al. Early CT features and temporal lung changes in COVID-19 pneumonia in Wuhan, China. European Journal of Radiology 2020;128:109017. doi: 10.1016/j.ejrad.2020.109017
  • 21. De Wever W, Meersschaert J, Coolen J, Verbeken E, Verschakelen JA. The crazy-paving pattern: a radiologicalpathological correlation. Insights Imaging 2011;2:2117–2132 . doi:10.1007/s13244-010-0060-5
  • 22. Carotti M, Salaffi F, Sarzi-Puttini P, Agostini A, Borgheresi A et al. Chest CT features of coronavirus disease 2019 (COVID-19) pneumonia: key points for radiologists. La Radiologia medica 2020;125: 636–646. doi:10.1007/s11547-020-01237-4
  • 23. Ding X, Xu J, Zhou J, Long Q. Chest CT findings of COVID-19 pneumonia by duration of symptoms. European Journal of Radiology 2020;127:109009. doi: 10.1016/j.ejrad.2020.109009
  • 24. Aujayeb A. Clarification on Pleural Effusions in COVID-19. Radiology Cardiothoracic Imaging 2020;2(3):e200330. doi: 10.1148/ryct.2020200330
  • 25. Wang J, Zhu X, Xu Z, Yang G, Mao G et al. Clinical and CT findings of COVID-19: differences among three age groups. BMC Infectious Diseases 2020;20(1):434. doi: 10.1186/s12879- 020-05154-9
  • 26. Pan F, Zheng C, Ye T, Li L, Liu D et al. Different computed tomography patterns of Coronavirus Disease 2019 (COVID-19) between survivors and non-survivors. Scientific Reports 2020;10(1):11336. doi: 10.1038/s41598-020-68057-4
  • 27. Du RH, Liang LR, Yang CQ, Wang W, Cao TZ et al. Predictors of mortality for patients with COVID-19 pneumonia caused by SARS-CoV-2: a prospective cohort study. European Respiratory Journal 2020 May 7;55(5):2000524. doi: 10.1183/13993003.00524-2020
APA KARABAY O, ÜNAL E, Erdem A, Arık E, Cakar M (2021). Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. , 929 - 938. 10.3906/sag-2009-183
Chicago KARABAY OĞUZ,ÜNAL Egemen,Erdem Ali Fuat,Arık Erbil,Cakar Mehmet Akif Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. (2021): 929 - 938. 10.3906/sag-2009-183
MLA KARABAY OĞUZ,ÜNAL Egemen,Erdem Ali Fuat,Arık Erbil,Cakar Mehmet Akif Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. , 2021, ss.929 - 938. 10.3906/sag-2009-183
AMA KARABAY O,ÜNAL E,Erdem A,Arık E,Cakar M Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. . 2021; 929 - 938. 10.3906/sag-2009-183
Vancouver KARABAY O,ÜNAL E,Erdem A,Arık E,Cakar M Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. . 2021; 929 - 938. 10.3906/sag-2009-183
IEEE KARABAY O,ÜNAL E,Erdem A,Arık E,Cakar M "Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study." , ss.929 - 938, 2021. 10.3906/sag-2009-183
ISNAD KARABAY, OĞUZ vd. "Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study". (2021), 929-938. https://doi.org/10.3906/sag-2009-183
APA KARABAY O, ÜNAL E, Erdem A, Arık E, Cakar M (2021). Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. Turkish Journal of Medical Sciences, 51(3), 929 - 938. 10.3906/sag-2009-183
Chicago KARABAY OĞUZ,ÜNAL Egemen,Erdem Ali Fuat,Arık Erbil,Cakar Mehmet Akif Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. Turkish Journal of Medical Sciences 51, no.3 (2021): 929 - 938. 10.3906/sag-2009-183
MLA KARABAY OĞUZ,ÜNAL Egemen,Erdem Ali Fuat,Arık Erbil,Cakar Mehmet Akif Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. Turkish Journal of Medical Sciences, vol.51, no.3, 2021, ss.929 - 938. 10.3906/sag-2009-183
AMA KARABAY O,ÜNAL E,Erdem A,Arık E,Cakar M Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. Turkish Journal of Medical Sciences. 2021; 51(3): 929 - 938. 10.3906/sag-2009-183
Vancouver KARABAY O,ÜNAL E,Erdem A,Arık E,Cakar M Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study. Turkish Journal of Medical Sciences. 2021; 51(3): 929 - 938. 10.3906/sag-2009-183
IEEE KARABAY O,ÜNAL E,Erdem A,Arık E,Cakar M "Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study." Turkish Journal of Medical Sciences, 51, ss.929 - 938, 2021. 10.3906/sag-2009-183
ISNAD KARABAY, OĞUZ vd. "Evaluation of initial chest computed tomography (CT) findings of COVID-19 pneumonia in 117 deceased patients: a retrospective study". Turkish Journal of Medical Sciences 51/3 (2021), 929-938. https://doi.org/10.3906/sag-2009-183