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About:
A pattern categorization of CT findings to predict outcome of COVID-19 pneumonia
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
A pattern categorization of CT findings to predict outcome of COVID-19 pneumonia
Creator
Yang, Jian
Wang, Yan
Zhou, Jie
Liu, Yang
Li, Hao
Liu, Zhe
Cai, Shubo
Zhou, Heping
Wang, Zekun
Li, Fen
Med, M
Wu, Carol
Med, B
Jian, Zhijie
Jin, Chao
Li, Runqing
Liang, Ting
Liang, Yukun
Ren, Zhuanqin
Wang, Xibin
Zhao, Huifang
Li, Zhongyi
source
MedRxiv
abstract
Purpose As global healthcare system is overwhelmed by novel coronavirus disease (COVID-19), early identification of risks of adverse outcomes becomes the key to optimize management and improve survival. This study aimed to provide a CT-based pattern categorization to predict outcome of COVID-19 pneumonia. Methods 165 patients with COVID-19 (91 men, 4-89 years) underwent chest CT were retrospectively enrolled. CT findings were categorized as Pattern0 (negative), Pattern1 (bronchopneumonia), Pattern2 (organizing pneumonia), Pattern3 (progressive organizing pneumonia) and Pattern4 (diffuse alveolar damage). Clinical findings were compared across different categories. Time-dependent progression of CT patterns and correlations with clinical outcomes, i.e. discharge or adverse outcome (admission to ICU, requiring mechanical ventilation, or death), with pulmonary sequelae (complete absorption or residuals) on CT after discharge were analyzed. Results Of 94 patients with outcome, 81(86.2%) were discharged, 3(3.2%) were admitted to ICU, 4(4.3%) required mechanical ventilation, 6(6.4%) died. 31(38.3%) had complete absorption at median day 37 after symptom-onset. Significant differences between pattern-categories were found in age, disease-severity, comorbidity and laboratory results (all P<0.05). Remarkable evolution was observed in Pattern0-2 and Pattern3-4 within 3 and 2 weeks after symptom-onset, respectively; most of patterns remained thereafter. After controlling for age, CT pattern significantly correlated with adverse outcomes (Pattern4 vs. Pattern0-3 [reference]; hazard-ratio[95%CI], 18.90[1.91-186.60], P=0.012). CT pattern (Pattern3-4 vs. Pattern0-2 [reference]; 0.26[0.08-0.88], P=0.030) and C-reactive protein (>10 vs. [≤]10mg/L [reference]; 0.31[0.13-0.72], P=0.006) were risk-factors associated with pulmonary residuals. Conclusion CT pattern categorization allied with clinical characteristics within 2 weeks after symptom-onset would facilitate early prognostic stratification in COVID-19 pneumonia.
has issue date
2020-05-25
(
xsd:dateTime
)
bibo:doi
10.1101/2020.05.19.20107409
has license
medrxiv
sha1sum (hex)
c8f9bbfb7753a226a511eaee4063d0bbd7b4a769
schema:url
https://doi.org/10.1101/2020.05.19.20107409
resource representing a document's title
A pattern categorization of CT findings to predict outcome of COVID-19 pneumonia
resource representing a document's body
covid:c8f9bbfb7753a226a511eaee4063d0bbd7b4a769#body_text
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named entity 'software application'
named entity 'Code'
named entity 'COVID'
named entity 'preprint'
named entity 'DAD'
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named entity 'herbal medications'
named entity 'randomly selected'
named entity 'GGO'
named entity 'GGO'
named entity 'mechanical ventilation'
named entity 'peer review'
named entity 'organizing pneumonia'
named entity 'multiple comparisons'
named entity 'demographic data'
named entity 'oxygen toxicity'
named entity 'pneumonia'
named entity 'doi'
named entity 'preprint'
named entity 'preprint'
named entity 'multivariate analysis'
named entity 'preprint'
named entity '95% CI'
named entity 'risk factors'
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named entity 'peer review'
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named entity 'medRxiv'
named entity 'National Health Commission'
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named entity 'edema'
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