Factors Predicting Outcome in Intensive Care Unit-Admitted COVID-19 Patients: Using Clinical, Laboratory, and Radiologic Characteristics.


Journal

Critical care research and practice
ISSN: 2090-1305
Titre abrégé: Crit Care Res Pract
Pays: Egypt
ID NLM: 101539357

Informations de publication

Date de publication:
2021
Historique:
received: 23 03 2021
revised: 23 05 2021
accepted: 23 06 2021
entrez: 26 7 2021
pubmed: 27 7 2021
medline: 27 7 2021
Statut: epublish

Résumé

To investigate the factors contributing to mortality in coronavirus disease 2019 (COVID-19) patients admitted in the intensive care unit (ICU) and design a model to predict the mortality rate. We retrospectively evaluated the medical records and CT images of the ICU-admitted COVID-19 patients who had an on-admission chest CT scan. We analyzed the patients' demographic, clinical, laboratory, and radiologic findings and compared them between survivors and nonsurvivors. Among the 121 enrolled patients (mean age, 62.2 ± 14.0 years; male, 82 (67.8%)), 41 (33.9%) survived, and the rest succumbed to death. The most frequent radiologic findings were ground-glass opacity (GGO) (71.9%) with peripheral (38.8%) and bilateral (98.3%) involvement, with lower lobes (94.2%) predominancy. The most common additional findings were cardiomegaly (63.6%), parenchymal band (47.9%), and crazy-paving pattern (44.4%). Univariable analysis of radiologic findings showed that cardiomegaly ( A combination of underlying diseases, vital signs, and radiologic factors might have prognostic value for mortality rate prediction in ICU-admitted COVID-19 patients.

Identifiants

pubmed: 34306751
doi: 10.1155/2021/9941570
pmc: PMC8285200
doi:

Types de publication

Journal Article

Langues

eng

Pagination

9941570

Informations de copyright

Copyright © 2021 Aminreza Abkhoo et al.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Rev Esp Anestesiol Reanim (Engl Ed). 2020 Oct;67(8):425-437
pubmed: 32800622
Med Hypotheses. 2021 Jan;146:110410
pubmed: 33267999
Trauma Surg Acute Care Open. 2021 Jun 16;6(1):e000726
pubmed: 34222675
Diagn Interv Radiol. 2020 Jul;26(4):323-332
pubmed: 32352917
Clin Case Rep. 2021 Feb 27;:
pubmed: 33821188
PLoS One. 2020 Aug 25;15(8):e0237302
pubmed: 32841294
Bull Emerg Trauma. 2021 Apr;9(2):67-72
pubmed: 34150916
Clin Infect Dis. 2021 May 4;72(9):e206-e214
pubmed: 32674114
Radiol Med. 2020 Jul;125(7):636-646
pubmed: 32500509
JAMA. 2020 Jun 2;323(21):2195-2198
pubmed: 32329797
EClinicalMedicine. 2020 Aug;25:100449
pubmed: 32838231
JAMA Intern Med. 2020 Oct 1;180(10):1345-1355
pubmed: 32667669
J Med Virol. 2020 Sep;92(9):1449-1459
pubmed: 32242947
JAMA. 2020 May 26;323(20):2052-2059
pubmed: 32320003
Eur Radiol. 2021 Jul;31(7):5178-5188
pubmed: 33449185
Eur Radiol. 2020 Oct;30(10):5720-5727
pubmed: 32415585
Radiol Cardiothorac Imaging. 2020 Mar 25;2(2):e200152
pubmed: 33778571
PLoS One. 2020 Jul 30;15(7):e0236618
pubmed: 32730358
Med Princ Pract. 2021;30(2):185-192
pubmed: 33197912
Arch Iran Med. 2020 May 01;23(5):296-301
pubmed: 32383613
Process Biochem. 2020 Nov;98:233-240
pubmed: 32843849
Sci Rep. 2020 Jul 9;10(1):11336
pubmed: 32647307
BMJ. 2020 May 22;369:m1966
pubmed: 32444366
J Infect. 2020 Jul;81(1):e84-e86
pubmed: 32283158
Radiology. 2020 Aug;296(2):E15-E25
pubmed: 32083985
Ann Intern Med. 2020 Aug 18;173(4):262-267
pubmed: 32422057
Radiology. 2008 Mar;246(3):697-722
pubmed: 18195376
IEEE Rev Biomed Eng. 2021;14:16-29
pubmed: 32356760
Anaesthesia. 2020 Oct;75(10):1340-1349
pubmed: 32602561
Lancet Respir Med. 2020 May;8(5):506-517
pubmed: 32272080
Anaesthesist. 2020 Mar 24;:
pubmed: 32211920
AJR Am J Roentgenol. 2020 Jul;215(1):87-93
pubmed: 32174129
J Heart Lung Transplant. 2020 May;39(5):405-407
pubmed: 32362390
Allergy. 2021 Feb;76(2):533-550
pubmed: 32662525
Arch Acad Emerg Med. 2020 Nov 10;9(1):e2
pubmed: 33313569
Eur Radiol. 2020 Nov;30(11):6151-6160
pubmed: 32474629
Lancet Microbe. 2020 May;1(1):e14-e23
pubmed: 32835326

Auteurs

Aminreza Abkhoo (A)

Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Elaheh Shaker (E)

Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Mohammad-Mehdi Mehrabinejad (MM)

Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Javid Azadbakht (J)

Department of Radiology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.

Nahid Sadighi (N)

Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Faeze Salahshour (F)

Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Classifications MeSH