Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings

When managing coronavirus disease 2019 (COVID-19) patients, radiological imaging complements clinical evaluation and laboratory parameters. We aimed to assess the sensitivity of chest radiography findings in detecting COVID-19, describe those findings, and assess the association of positive chest ra...

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Autores principales: Abdelwahed Abougazia, Ahmed Alnuaimi, Amal Mahran, Tamer Ali, Ahmed Khedr, Banan Qadourah, Ahmed Shareef, Soubhi Zitouni, Servet Kahveci, Barham Alqudah, Yasser Al Yassin, Mohamed Eldesoky, Ahmed Abdelmoneim, Reda Youssef
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Publicado: Hindawi Limited 2021
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Acceso en línea:https://doaj.org/article/d6408e61a2ba41e8b36491c9021195a0
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spelling oai:doaj.org-article:d6408e61a2ba41e8b36491c9021195a02021-11-08T02:36:15ZChest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings2090-184410.1155/2021/4496488https://doaj.org/article/d6408e61a2ba41e8b36491c9021195a02021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/4496488https://doaj.org/toc/2090-1844When managing coronavirus disease 2019 (COVID-19) patients, radiological imaging complements clinical evaluation and laboratory parameters. We aimed to assess the sensitivity of chest radiography findings in detecting COVID-19, describe those findings, and assess the association of positive chest radiography findings with clinical and laboratory findings. A multicentre, cross-sectional study was conducted involving all primary health care corporation-registered patients (2485 patients) enrolled over a 1-month period during the peak of the 2020 pandemic wave in Qatar. These patients had reverse transcription-polymerase chain reaction-confirmed COVID-19 and underwent chest radiography within 72 hours of the swab test. A positive result on reverse transcription-polymerase chain reaction was the gold standard for diagnosing COVID-19. The sensitivity of chest radiography was calculated. The airspace opacities were mostly distributed in the peripheral and lower lung zones, and most of the patients had bilateral involvement. Pleural effusion was detected in some cases. The risk of having positive chest X-ray findings increased with age, Southeast Asian nationality, fever, or a history of fever and diarrhoea. Patients with cardiac disease, obesity, hypertension, diabetes, and chronic kidney disease were at a higher risk of having positive chest X-ray findings. There was a statistically significant increase in the mean serum albumin, white blood cell count, neutrophil count, and serum C-reactive protein, hepatic enzymes, and total bilirubin with an increase in the radiographic severity score.Abdelwahed AbougaziaAhmed AlnuaimiAmal MahranTamer AliAhmed KhedrBanan QadourahAhmed ShareefSoubhi ZitouniServet KahveciBarham AlqudahYasser Al YassinMohamed EldesokyAhmed AbdelmoneimReda YoussefHindawi LimitedarticleDiseases of the respiratory systemRC705-779ENPulmonary Medicine, Vol 2021 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the respiratory system
RC705-779
spellingShingle Diseases of the respiratory system
RC705-779
Abdelwahed Abougazia
Ahmed Alnuaimi
Amal Mahran
Tamer Ali
Ahmed Khedr
Banan Qadourah
Ahmed Shareef
Soubhi Zitouni
Servet Kahveci
Barham Alqudah
Yasser Al Yassin
Mohamed Eldesoky
Ahmed Abdelmoneim
Reda Youssef
Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings
description When managing coronavirus disease 2019 (COVID-19) patients, radiological imaging complements clinical evaluation and laboratory parameters. We aimed to assess the sensitivity of chest radiography findings in detecting COVID-19, describe those findings, and assess the association of positive chest radiography findings with clinical and laboratory findings. A multicentre, cross-sectional study was conducted involving all primary health care corporation-registered patients (2485 patients) enrolled over a 1-month period during the peak of the 2020 pandemic wave in Qatar. These patients had reverse transcription-polymerase chain reaction-confirmed COVID-19 and underwent chest radiography within 72 hours of the swab test. A positive result on reverse transcription-polymerase chain reaction was the gold standard for diagnosing COVID-19. The sensitivity of chest radiography was calculated. The airspace opacities were mostly distributed in the peripheral and lower lung zones, and most of the patients had bilateral involvement. Pleural effusion was detected in some cases. The risk of having positive chest X-ray findings increased with age, Southeast Asian nationality, fever, or a history of fever and diarrhoea. Patients with cardiac disease, obesity, hypertension, diabetes, and chronic kidney disease were at a higher risk of having positive chest X-ray findings. There was a statistically significant increase in the mean serum albumin, white blood cell count, neutrophil count, and serum C-reactive protein, hepatic enzymes, and total bilirubin with an increase in the radiographic severity score.
format article
author Abdelwahed Abougazia
Ahmed Alnuaimi
Amal Mahran
Tamer Ali
Ahmed Khedr
Banan Qadourah
Ahmed Shareef
Soubhi Zitouni
Servet Kahveci
Barham Alqudah
Yasser Al Yassin
Mohamed Eldesoky
Ahmed Abdelmoneim
Reda Youssef
author_facet Abdelwahed Abougazia
Ahmed Alnuaimi
Amal Mahran
Tamer Ali
Ahmed Khedr
Banan Qadourah
Ahmed Shareef
Soubhi Zitouni
Servet Kahveci
Barham Alqudah
Yasser Al Yassin
Mohamed Eldesoky
Ahmed Abdelmoneim
Reda Youssef
author_sort Abdelwahed Abougazia
title Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings
title_short Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings
title_full Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings
title_fullStr Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings
title_full_unstemmed Chest X-Ray Findings in COVID-19 Patients Presenting to Primary Care during the Peak of the First Wave of the Pandemic in Qatar: Their Association with Clinical and Laboratory Findings
title_sort chest x-ray findings in covid-19 patients presenting to primary care during the peak of the first wave of the pandemic in qatar: their association with clinical and laboratory findings
publisher Hindawi Limited
publishDate 2021
url https://doaj.org/article/d6408e61a2ba41e8b36491c9021195a0
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