scholarly journals Chest CT features of coronavirus disease-19 (COVID-19) pneumonia: which findings on initial CT can predict an adverse short-term outcome?

BJR|Open ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. 20200016 ◽  
Author(s):  
Arshed Hussain Parry ◽  
Abdul Haseeb Wani ◽  
Naveed Nazir Shah ◽  
Mudasira Yaseen ◽  
Majid Jehangir
Keyword(s):  
Chest Ct ◽  
P Value ◽  
Lung Involvement ◽  
Stable Group ◽  
Short Term ◽  
Term Outcome ◽  
Pulmonary Vessel ◽  
Short Term Outcome ◽  
Ct Findings ◽  
Ct Features

Objective: To study the spectrum of chest CT features in coronavirus disease-19 (COVID-19) pneumonia and to identify the initial CT findings that may have the potential to predict a poor short-term outcome. Methods: This was a retrospective study comprising 211 reverse transcriptase-polymerase chain reaction (RT-PCR) positive patients who had undergone non-contrast chest CT. Prevalence, extent, pattern, distribution and type of abnormal lung findings were recorded. Patients with positive CT findings were divided into two groups; clinically stable (requiring in-ward hospitalization) and clinically unstable [requiring intensive care unit (ICU) admission or demised] based on short-term follow-up. Results: Lung parenchymal abnormalities were present in 42.2% (89/211) whereas 57.8% (122/211) cases had a normal chest CT. The mean age of clinically unstable patients (63.6 ± 8.3 years) was significantly different from the clinically stable group (44.6 ± 13.2 years) (p-value < 0.05). Bilaterality, combined involvement of central–peripheral and anteroposterior lung along with a higher percentage of the total lung involvement, presence of crazy paving, coalescent consolidations with air bronchogram and segmental pulmonary vessel enlargement were found in a significantly higher proportion of clinically unstable group (ICU/demised) compared to the stable group (in-ward hospitalization) with all p values < 0.05. Conclusion: Certain imaging findings on initial CT have the potential to predict short-term outcome in COVID-19 pneumonia. Extensive pulmonary abnormalities, evaluated by combined anteroposterior, central–peripheral and a higher percentage of the total lung involvement, indicate a poor short-term outcome. Similarly, the presence of crazy paving pattern, consolidation with air bronchogram and segmental vascular changes are also indicators of poor short-term outcome. Advances in knowledge: Certain findings on initial CT can predict an adverse short-term prognosis in COVID-19 pneumonia.

scholarly journals Commentary on “COVID-19 pneumonia in the emergency department: correlation of initial chest CT findings with short-term outcome”

2021 ◽  
Vol 5 (1) ◽  
pp. 1-2
Author(s):  
Camila Silva Barbosa ◽  
Hye Ju Lee
Keyword(s):  
Emergency Department ◽  
Emergency Radiology ◽  
Early Recognition ◽  
Severe Disease ◽  
Chest Ct ◽  
Imaging Findings ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Ct Findings

On October 15th 2020, the Emergency Radiology Journal published our article entitled “COVID-19 pneumonia in the emergency department: correlation of initial chest CT findings with short-term outcome”, that evaluated clinical, laboratorial and imaging findings of laboratory confirmed COVID-19 patients as predictors of severe disease. In this paper, we will explore the context and significance of the early recognition of the disease severity on patients’ management.

scholarly journals COVID-19 pneumonia in the emergency department: correlation of initial chest CT findings with short-term outcome

2020 ◽  
Vol 27 (6) ◽  
pp. 691-699
Author(s):  
Camila Silva Barbosa ◽  
Guilherme Wilson Otaviano Garcia Chaves ◽  
Camila Vilela de Oliveira ◽  
Guilherme Hipolito Bachion ◽  
Chang Kai Chi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Ct ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Ct Findings

scholarly journals A Predictive Factor For Short-Term Outcome In Patients With COVID-19: CT Score For Lung Involvement

2021 ◽  
Vol 02 (07) ◽  
Author(s):  
Wang G ◽  
Ma K ◽  
Yu N ◽  
Liu F ◽  
Luan Z ◽  
...  
Keyword(s):  
Predictive Factor ◽  
Lung Involvement ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome

CT findings, management and short‐term outcome of dogs with pyothorax: 101 cases (2010 to 2019)

2021 ◽  
Author(s):  
A. Eiras‐Diaz ◽  
A. FrykforsvonHekkel ◽  
E. Hanot ◽  
G. Stanzani ◽  
J. Florey ◽  
...  
Keyword(s):  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Ct Findings

scholarly journals Pattern of Stroke and Short Term Outcome of COVID-19 Patients admitted in a Dedicated Stroke Unit at Referral Neurology Hospital of Bangladesh

2021 ◽  
Vol 7 (1) ◽  
pp. 25-28
Author(s):  
Subir Chandra Das ◽  
Rajib Nayan Chowdhury ◽  
Md Moniruzzaman ◽  
Mohammad Enayet Hussain ◽  
Quazi Deen Mohammad ◽  
...  
Keyword(s):  
Urban Areas ◽  
Stroke Unit ◽  
Hemorrhagic Stroke ◽  
Hospital Death ◽  
P Value ◽  
Short Term ◽  
Term Outcome ◽  
Altered Level ◽  
Short Term Outcome ◽  
Ct Brain

Background: COVID-19 was declared as a pandemic by WHO on March 11, 2020. Though the most common and important presentation is with respiratory disease, reports of neurological features are increasing. Objective: In this study it was described the pattern of stroke in COVID-19 patients admitted in a dedicated stroke unit and their short term outcome. Methodology: This single arm, single centreprospective cohortstudy was conducted in the Stroke Unit of National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from April to August, 2020 and wasincluded acute stroke patients irrespective of age and sex who were found RT-PCR positive for SARS CoV-2. The patientswere evaluated clinically, biochemically and by imaging. After diagnosis patients were referred to a COVIDdedicated hospital and were followed up over phone for 4 weeks from the day of admission in stroke unit to assess short term outcome. Results: Among the 41 patients, 21 were male and 20 female with an age range of 26 to 90 years where 58.5% patients were aged 60 and above. Majority (58.5%) of them came from different urban areas. Common co-morbidities were Hypertension (68.3%) and Diabetes mellitus (39%). Most common presenting features were hemiplegia (48.8%) and altered level of consciousness (39%). More than seventy percent (70.7%) patients had GCS of 10 or less and 56.1% patients had oxygen saturation 90% or less in room air. CT brain imaging revealed infarct in 39% and hemorrhage in 51.2%. Chest radiography revealed abnormality in 14.6% cases. Regarding the short term outcome, total 20 (48.8%) patients died where 7 died before referral to COVID-19 dedicated hospital. Death was higher in hemorrhagic stroke but there was no significant association between outcome and the type of stroke (p value>0.05). Conclusions: Hemorrhagic stroke is the most commonly occurring stroke among the COVID-19 patients and associated with p oor outcome. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 25-28

scholarly journals Association of Serum Albumin with Short-Term Outcome of Ischemic Stroke

2019 ◽  
Vol 5 (2) ◽  
pp. 101-105
Author(s):  
Md Bakhtiar Azam ◽  
AFM Al Masum Khan ◽  
Muhammad Enayet Hussain ◽  
Riaz Ferdaus ◽  
Sirajee Shafiqul Islam ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Serum Albumin ◽  
Focal Cerebral Ischemia ◽  
Experimental Studies ◽  
P Value ◽  
Short Term ◽  
College Hospital ◽  
Term Outcome ◽  
Poor Outcome ◽  
Short Term Outcome

Background: Serum albumin is proved to be a neuroprotective substance in experimental studies in focal cerebral ischemia. Objective: The aim of this study was to find out any association of serum albumin with the short term outcome of ischemic stroke. Methodology: This observational study was conducted in the Department of Neurology and Department of Internal Medicine at Dhaka Medical College Hospital, Dhaka from January 2011 to December 2011. A total of fifty consecutive patient with first ever ischemic stroke were included. Short term outcome was measured on day 7 using the modified Rankin Scale (mRS) and poor outcome was defined as mRS score 4 to 6 or death. Serum albumin was measured within 24 hours of onset of stroke. Result: Serum albumin was found to be significantly associated with the short-term outcome of ischemic stroke [P-value of Chi square (df = 1) was 0.010]. On logistic regression analysis, SA level [p = 0.018, Odds Ratio (OR) =5.817; 95% confidence interval: 1.348 to 25.106] remained significantly and positively associated with the short-term outcome of ischemic stroke. Conclusion: Serum albumin is significantly associated with the short-term outcome of ischemic stroke and lower level predicts poor outcome and higher level predicts good outcome. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 101-105

scholarly journals Clinical presentation, risk factors and factors affecting short term outcome in patients with cerebral venous thrombosis

2020 ◽  
Vol 7 (7) ◽  
pp. 1100
Author(s):  
Josy J. Vallippalam ◽  
Balakrishnan R. ◽  
Saloni Krishna ◽  
Karthik Thamaraikannan ◽  
Nitya Suresh
Keyword(s):  
Risk Factors ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
P Value ◽  
Short Term ◽  
Term Outcome ◽  
Factors Influencing ◽  
Short Term Outcome

Background: Cerebral venous thrombosis is a rare cause of stroke, with a predilection to females. Since the past two decades its morbidity and mortality had decreased because of the new effective diagnostic and therapeutic interventions. This study mainly intends to assess, the clinical and aetiological factors of cerebral venous thrombosis and the factors predicting its short-term outcome. Objective was to study the factors influencing the short-term outcome of CVT and to study the pattern of clinical presentation and risk factors for CVT.Methods: It was a cross-sectional study done at a tertiary care Centre in Tamil Nadu, in adult CVT patients from august 2018 to august 2019. Clinical, aetiological and radiological data were collected from patients and assessed and factors influencing the short-term outcome at discharge and at 15 days after discharge were studied. Data was analysed using SPSS16 software. Analysis of the descriptive data was performed and independent factors influencing the short-term outcome were analysed subsequently.Results: Males predominated in the study with a mean age of 38yrs. Most common presentation was headache. Infarct was present in 61 (56.5%). The most common site of venous involvement was superior sagittal sinus 81 (75%). Short term outcome had shown a significant association with hypertension (p value -0.019 and odds ratio-65.439) and baseline MRS (p value- 0.000, OR - 0.004) only.Conclusions: Nowadays, the mortality and morbidity of CVT has decreased. Hypertension has emerged as an independent predictive factor in the short -term outcome of CVT.

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