Pulmonary Artery Enlargement: An Independent Risk Factor for Mortality in Patients Hospitalized With COVID-19.
COVID-19, coronavirus disease
NCCT, noncontrast nongated computed tomography
NEWS2, National Early Warning Score 2
PAD, pulmonary artery diameter
PCFS, Post–COVID-19 Functional Status
SARS-Cov-2, severe acute respiratory syndrome coronavirus 2
Journal
Mayo Clinic proceedings. Innovations, quality & outcomes
ISSN: 2542-4548
Titre abrégé: Mayo Clin Proc Innov Qual Outcomes
Pays: Netherlands
ID NLM: 101728275
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
pubmed:
27
7
2022
medline:
27
7
2022
entrez:
26
7
2022
Statut:
ppublish
Résumé
To assess whether baseline pulmonary artery diameter (PAD), obtained from noncontrast nongated computed tomography (NCCT), can be associated with coronavirus disease 2019 (COVID-19) outcomes. This is a retrospective study of patients hospitalized with COVID-19 admitted to Hôtel-Dieu de France university hospital (Beirut, Lebanon) between March 1, 2020 and March 1, 2021. Pulmonary artery diameter was measured at baseline NCCT. Various outcomes were assessed, including hospital length of stay, intensive care unit admission, invasive mechanical ventilation, mortality, and Post-COVID-19 Functional Status scale at discharge and at 2-month follow-up. Four hundred sixty-five patients underwent baseline NCCT, including 315 men (67.7%) with a mean age of 63.7±16 years. Baseline PAD was higher in critically ill patients admitted to the intensive care unit (mean difference, 0.8 mm; 95% CI, 0.4-1.59 mm) and those receiving invasive mechanical ventilation (mean difference, 1.1 mm; 95% CI, 0.11-2.04 mm). Pulmonary artery diameter at baseline correlated significantly with hospital length of stay ( Baseline PAD measurement using NCCT can be a useful prognostic parameter. Its measurement can help to identify early severe cases and adapt the initial management of patients hospitalized with COVID-19.
Identifiants
pubmed: 35880237
doi: 10.1016/j.mayocpiqo.2022.07.001
pii: S2542-4548(22)00046-7
pmc: PMC9300717
doi:
Types de publication
Journal Article
Langues
eng
Pagination
399-408Informations de copyright
© 2022 Published by Elsevier Inc on behalf of Mayo Foundation for Medical Education and Research.
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