Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study

Background: Even though Real-Time Polymerase Chain Reaction (RT-PCR) is a gold standard for confirming COVID-19, it continues to be plagued by a lack of RT-PCR kits and the potential of false-negative results. Hence, during the second wave of COVID-19 in India, Computed Tomography (CT) scan is an e...

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Autores principales:	Akshat Sanjay Shukla, Sanjay Rajendraprasad Shukla, Feral Ravi Daruwala
Formato:	article
Lenguaje:	EN
Publicado:	Journal of Ideas in Health 2021
Materias:	COVID-19, Computed Tomography, Lung Disease, Reverse Transcriptase Polymerase Chain Reaction, SARS-Cov-2, India Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5419be8788344924adbbb530586d74cc
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spelling	oai:doaj.org-article:5419be8788344924adbbb530586d74cc2021-11-24T12:41:51ZEvaluation of chest computed tomography features in COVID-19: a single-center retrospective study10.47108/jidhealth.Vol4.Iss4.1722645-9248https://doaj.org/article/5419be8788344924adbbb530586d74cc2021-11-01T00:00:00Zhttps://www.jidhealth.com/index.php/jidhealth/article/view/172https://doaj.org/toc/2645-9248 Background: Even though Real-Time Polymerase Chain Reaction (RT-PCR) is a gold standard for confirming COVID-19, it continues to be plagued by a lack of RT-PCR kits and the potential of false-negative results. Hence, during the second wave of COVID-19 in India, Computed Tomography (CT) scan is an emerging diagnostic tool in evaluating the severity of illness in COVID-19 pneumonia. The present study endeavored to assess chest CT features of COVID-19 pneumonia in Indian population. Methods: This was a single-center, retrospective, observational study conducted in 300 consecutive adults RT-PCR confirmed COVID-19 patients from 1, Jan 2021 to 31, March 2021 at a private radio diagnostic center. Data regarding baseline demographics, clinical and laboratory characteristics, extent, pattern, and type of abnormal CT findings were noted. Results: The study population (204 males and 108 females) had mean age of 43.18 ± 8.27 years. Our study's most common clinical presentation was cough (48.1%) and fever (47.1%), respectively. Lung parenchymal abnormalities were found in 294 (94.2%) patients. Abnormal CT findings revealed the involvement of bilateral (45.6%) and multilobar (42.9%) with a predominant peripheral (92.3%) and posterior (80.8%) distribution. According to the type of opacity, Ground Glass Opacity (GGO) was the dominant abnormality found in 270 (91.8%) patients, in which pure GGO (36.7%), GGO with crazy paving pattern (39.8%), and GGO mixed with consolidation (52.0 %) were noted. Peri-lesional or intralesional segmental or subsegmental pulmonary vessel enlargement was found in 192 (65.3 %) patients. Conclusion: During the second wave of COVID-19, a chest CT scan is a modality of choice in diagnosing COVID-19 pneumonia and related lung parenchymal changes. Akshat Sanjay ShuklaSanjay Rajendraprasad ShuklaFeral Ravi DaruwalaJournal of Ideas in HealtharticleCOVID-19, Computed Tomography, Lung Disease, Reverse Transcriptase Polymerase Chain Reaction, SARS-Cov-2, IndiaMedicineRMedicine (General)R5-920ENJournal of Ideas in Health, Vol 4, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19, Computed Tomography, Lung Disease, Reverse Transcriptase Polymerase Chain Reaction, SARS-Cov-2, India Medicine R Medicine (General) R5-920
spellingShingle	COVID-19, Computed Tomography, Lung Disease, Reverse Transcriptase Polymerase Chain Reaction, SARS-Cov-2, India Medicine R Medicine (General) R5-920 Akshat Sanjay Shukla Sanjay Rajendraprasad Shukla Feral Ravi Daruwala Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study
description	Background: Even though Real-Time Polymerase Chain Reaction (RT-PCR) is a gold standard for confirming COVID-19, it continues to be plagued by a lack of RT-PCR kits and the potential of false-negative results. Hence, during the second wave of COVID-19 in India, Computed Tomography (CT) scan is an emerging diagnostic tool in evaluating the severity of illness in COVID-19 pneumonia. The present study endeavored to assess chest CT features of COVID-19 pneumonia in Indian population. Methods: This was a single-center, retrospective, observational study conducted in 300 consecutive adults RT-PCR confirmed COVID-19 patients from 1, Jan 2021 to 31, March 2021 at a private radio diagnostic center. Data regarding baseline demographics, clinical and laboratory characteristics, extent, pattern, and type of abnormal CT findings were noted. Results: The study population (204 males and 108 females) had mean age of 43.18 ± 8.27 years. Our study's most common clinical presentation was cough (48.1%) and fever (47.1%), respectively. Lung parenchymal abnormalities were found in 294 (94.2%) patients. Abnormal CT findings revealed the involvement of bilateral (45.6%) and multilobar (42.9%) with a predominant peripheral (92.3%) and posterior (80.8%) distribution. According to the type of opacity, Ground Glass Opacity (GGO) was the dominant abnormality found in 270 (91.8%) patients, in which pure GGO (36.7%), GGO with crazy paving pattern (39.8%), and GGO mixed with consolidation (52.0 %) were noted. Peri-lesional or intralesional segmental or subsegmental pulmonary vessel enlargement was found in 192 (65.3 %) patients. Conclusion: During the second wave of COVID-19, a chest CT scan is a modality of choice in diagnosing COVID-19 pneumonia and related lung parenchymal changes.
format	article
author	Akshat Sanjay Shukla Sanjay Rajendraprasad Shukla Feral Ravi Daruwala
author_facet	Akshat Sanjay Shukla Sanjay Rajendraprasad Shukla Feral Ravi Daruwala
author_sort	Akshat Sanjay Shukla
title	Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study
title_short	Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study
title_full	Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study
title_fullStr	Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study
title_full_unstemmed	Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study
title_sort	evaluation of chest computed tomography features in covid-19: a single-center retrospective study
publisher	Journal of Ideas in Health
publishDate	2021
url	https://doaj.org/article/5419be8788344924adbbb530586d74cc
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Evaluation of chest computed tomography features in COVID-19: a single-center retrospective study

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