Alwaely, E., Kadhim, M. (2023). Comparison of Total CT Severity Score with British Society of Thoracic Imaging score for Adult COVID19 Patients. Alustath, 22(4), 379-385. doi: 10.52573/ipmj.2023.182260
Eman Abdul Ghani Alwaely; Mohammed Abd Kadhim. "Comparison of Total CT Severity Score with British Society of Thoracic Imaging score for Adult COVID19 Patients". Alustath, 22, 4, 2023, 379-385. doi: 10.52573/ipmj.2023.182260
Alwaely, E., Kadhim, M. (2023). 'Comparison of Total CT Severity Score with British Society of Thoracic Imaging score for Adult COVID19 Patients', Alustath, 22(4), pp. 379-385. doi: 10.52573/ipmj.2023.182260
Alwaely, E., Kadhim, M. Comparison of Total CT Severity Score with British Society of Thoracic Imaging score for Adult COVID19 Patients. Alustath, 2023; 22(4): 379-385. doi: 10.52573/ipmj.2023.182260

Comparison of Total CT Severity Score with British Society of Thoracic Imaging score for Adult COVID19 Patients

Iraqi Postgraduate Medical Journal
Volume 22, Issue 4, October 2023, Pages 379-385    PDF (238.38 K)
DOI: 10.52573/ipmj.2023.182260
Authors
Eman Abdul Ghani Alwaely* 1; Mohammed Abd Kadhim2
1X-ray Institute/ Medical City Complex, Baghdad, Iraq
2The Iraqi Board of Medical Specializations
Abstract
BACKGROUND:
COVID-19 disease represented pandemic severe respiratory syndrome affecting hundreds of millions all over the world. The computerized tomography (CT) with polymerase chain reaction tests represented the common diagnostic methods.           
OBJECTIVE:
To compare COVID-19 severity scores between CT scan Total Severity Score (TSS)  and British Society of Thoracic Imaging (BSTI) scores in addition to compare the CT scan severity score of COVID-19 with different clinical data.
PATIENTS AND METHODS:
A descriptive observational cross sectional study was carried out inX-ray Institute/ Medical Complex/ Baghdad/ Iraqbetween 1st of June, and 31st of November, 2020 on a sample of 100 patients with COVID-19. The data was collected from the patients or their relatives. Severity of COVID-19 disease was classified according to TSSand according to BSTIscore.
RESULTS:
There was a highly significant association between severe BSTICT score and moderate CT scan TSS (p<0.001). Severity was significantly increased among patients with severe BSTI CT score of COVID-19 patients (p<0.001). The characteristics related to increased CT severity score of COVID-19 infection are elderly age, male gender, cough, fever, dyspnea, past medical history, delayed CT, and hypoxia.
CONCLUSION:
CT scan is helpful for diagnosis and severity categorization of COVID-19 infection and the CTBSTI score of COVID-19 severity is directly related to CTTSS.
 
Keywords
COVID-19; CT scan; Total Severity Score
References
  1. Hui DSC, Zumla A. Severe Acute Respiratory Syndrome: Historical, Epidemiologic, and Clinical Features. Infect Dis Clin North Am. 2019; 33:869-89.
  2. Azhar EI, Hui DSC, Memish ZA, Drosten C, Zumla A. The Middle East Respiratory Syndrome (MERS). Infect Dis Clin North Am. 2019; 33:891-905.
  3. Perlman S, Netland J. Coronaviruses post-SARS: update on replication and pathogenesis. Nat Rev Microbiol. 2009; 7:439-50.
  4. Flaxman S, Mishra S, Gandy A, Unwin HJT, Mellan TA, Coupland H, et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. 2020;584:257-61.
  5. Clark A, Jit M, Warren-Gash C, Guthrie B, Wang HHX, Mercer SW, et al. Global, regional, and national estimates of the population at increased risk of severe COVID-19 due to underlying health conditions in 2020: a modelling study. Lancet Glob Health. 2020; 8:e1003-e1017.
  6. Chan JF, To KK, Tse H, Jin DY, Yuen KY. Interspecies transmission and emergence of novel viruses: lessons from bats and birds. Trends Microbiol. 2013;21:544-55.
  7. Yoon SH, Lee KH, Kim JY. Chest radiographic and CT findings of the 2019 novel coronavirus disease (COVID-19): analysis of nine patients treated in Korea. Korean J Radiol. 2020;21:494–500.
  8. Wu R, Wang L, Kuo HD. An update on current therapeutic drugs treating COVID-19. CurrPharmacol Rep. 2020; 11:1–15.
  9. Salaffi F, Carotti M, Tardella M, Borgheresi A, Agostini A, Minorati D, et al. The role of a chest computed tomography severity score in coronavirus disease 2019 pneumonia. Medicine (Baltimore). 2020; 99:e22433.
  • Wasilewski PG, Mruk B, Mazur S, Półtorak-Szymczak G, Sklinda K, Walecki J. COVID-19 severity scoring systems in radiological imaging - a review. Pol J Radiol. 2020; 85:e361-e368.
  • Hare SS, Tavare AN, Dattani V. Validation of the British Society of Thoracic Imaging guidelines for COVID-19 chest radiograph reporting. ClinRadiol. 2020; 75:710.e9-710.e14.
  • Inui S, Kurokawa R, Nakai Y, Watanabe Y, Kurokawa M, Sakurai K, et al. Comparison of Chest CT Grading Systems in Coronavirus Disease 2019 (COVID-19) Pneumonia. RadiolCardiothorac Imaging. 2020; 2:e200492.
  • Ran Yang XL, Liu Huan, Zhen Yanling. Chest CT severity score: An imaging tool for assessing severe COVID-19. Radiol: Cardiothoracic Image. 2020; 2:6-9.
  • Hafez M. The mean severity score and its correlation with common computed tomography chest manifestations in Egyptian patients with COVID-2019 pneumonia. Egyptian Journal of Radiology and Nuclear Medicine. 2020;51:254.
  • Hassan BM, Khalil MA, Abdulhameed RA, Al-Anbari AJK. A Comparative Study on the Chest CT Scan Radiological Findings and Hematological Parameters of COVID–19 and NON–COVID-19 Pneumoniapatients in Al-Yarmouk Teaching Hospital in Baghdad, Iraq. Medico Legal Update. 2020; 20: 833-40.
  • Ai T, Yang Z, Hou H. Correlation of chest CT and RT-PCR testing for coronavirus disease 2019 (COVID-19) in China: A report of 1014 cases. 2020;296:E32–E40.
  • Tabatabaei S, Talari H, Moghaddas F, Rajebi H. CT Features and Short-term Prognosis of COVID-19 Pneumonia: A Single-Center Study from Kashan, Iran. Radiology: Cardiothoracic Imaging. 2020;2:e200130.
  • Yu M, Xu D, Lan L, Tu M, Liao R, Cai S, et al. Thinsection Chest CT Imaging of Coronavirus Disease 2019 Pneumonia: Comparison Between Patients with Mild and Severe Disease. RadiolCardiothorac Imaging. 2020;2:e200126.
  • COVID-19 BSTI Reporting templates. 2020. Available at: https:// bsti.org.uk/covid-19-resources/covid-19-bstireporting
  • Borakati A, Perera A, Johnson J, Sood T. Diagnostic accuracy of X-ray versus CT in COVID-19: a propensity-matched database study. BMJ Open. 2020;10:e042946.
  1. Omar S, Motawea AM, Yasin R. High-resolution CT features of COVID-19 pneumonia in confirmed cases. The Egyptian Journal of Radiology and Nuclear Medicine. 2020; 51:121.
  2. Carotti M, Salaffi F, Sarzi-Puttini P. Chest CT features of coronavirus disease 2019 (COVID-19) pneumonia: key points for radiologists. Radiol Med. 2020;125:636-46.
  3. Ye Z, Zhang Y, Wang Y.  Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. EurRadiol. 2020; 30:4381–89. COVID-19 pneumonia: Focus on pregnant women and children. J Infect. 2020;80:e7-e13. 
  4. Liu H, Liu F, Li J, Zhang T, Wang D, Lan W. Clinical and CT imaging features of the
  5. Feng Z, Yu Q, Yao S, Luo L, Zhou W, Mao X, et al. Early prediction of disease progression in COVID-19 pneumonia patients with chest CT and clinical characteristics. Nat Commun. 2020;11:4968. 
  6. Xiao J, Li X, Xie Y, Huang Z, Ding Y, Zhao S, et al. Maximum chest CT score is associated with progression to severe illness in patients with COVID-19: a retrospective study from Wuhan, China. BMC Infect Dis. 2020;20:953.
  7. Al-MosaweAM, Abdulwahid HM, Fayadh NAH. Spectrum of CT appearance and CT severity index of COVID-19 pulmonary infection in correlation with age, sex, and PCR test: an Iraqi experience. The Egyptian Journal of Radiology and Nuclear Medicine. 2021;52:40.
  8. Shen ZJ, Lu N, Gao LL, Lv J, Luo HF, Jiang JF, et al. Initial chest CT findings in COVID-19: correlation with clinical features. J Zhejiang UnivSci B. 2020;21:668-72. 
  9. Li D, Zhang Q, Tan Y. Prediction of COVID-19 Severity Using Chest Computed Tomography and Laboratory Measurements: Evaluation Using Machine Learning Approach. JMIR Med Inform. 2020; 8:e21604.
  10. Raoufi M, Khalili S, Mansouri M, Mahdavi A, Khalili N. Well-controlled vs poorly-controlled diabetes in patients with COVID-19: Are there any differences in outcomes and imaging findings? Diabetes Res ClinPract. 2020; 166:108286.
 

Statistics
Article View: 73
PDF Download: 39


Journal Management System. Powered by ejournalplus.com