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Chest computed tomography severity score in patients admitted to intensive care unit with COVID-19 pneumonia
1Division of Intensive Care Medicine, Department of Anesthesiology and Reanimation, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
2Department of Radiology, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
3Department of Radiology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
Eurasian Journal of Pulmonology 2022; 1(24): 40-46 DOI: 10.14744/ejop_56_21
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Abstract


BACKGROUND AND AIM: This study aimed to investigate the association of the chest computed tomography severity score (CT-SS) with mortality in patients who were admitted to the intensive care unit (ICU) with coronavirus disease 2019 (COVID-19) pneumonia.

METHODS: In this single-center retrospective observational study, we reviewed the radiological and medical records of 45 patients with confirmed COVID-19, requiring ICU admission during a 4 month period. The chest CT-SS was used to evaluate the severity of lung involvement.

RESULTS: Forty-five patients who admitted to the ICU with COVID-19 and had undergone chest CT scans on admission were enrolled. There wasn’t a significant difference in total CT-SS neither between patients who died and those who survived [median (interquartile range) 22 (11–30) vs 16 (9–18), p=0.20] nor between patients who underwent invasive mechanical ventilation and those who did not [median (interquartile range) 22 (12–30) vs 15 (8–17), p=0.17]. The median of CT-SS was 17 (2–39) (n=23 vs n=22). The area under the curve for estimation of mortality according to CT-SS was 0.611 at a 95% CI of 0.434–0.788 (p=0.20).

CONCLUSIONS: The total CT-SS, obtained from the chest CT on admission to the ICU, was not associated with an increased risk of mortality in patients admitted to ICU with COVID-19 pneumonia.