학술논문
Evaluation of abdominal computed tomography findings in patients with COVID-19: a multicenter study
ORIGINAL ARTICLE
ORIGINAL ARTICLE
Document Type
Report
Author
Onur, Mehmet Ruhi; Ozbay, Yakup; Idilman, Ilkay; Karaosmanoglu, Ali Devrim; Ramadan, Selma Uysal; Barlik, Funda; Aydin, Sonay; Odaman, Huseyin; Altay, Canan; Akin, Isil Basara; Dicle, Oguz; Appak, Ozgur; Gulpinar, Basak; Erden, Ayse; Kula, Sezer; Coruh, Aysegul Gursoy; Oz, Digdem Kuru; Kul, Melahat; Uzun, Caglar; Karavas, Erdal; Levent, Akin; Artas, Hakan; Eryesil, Hasan; Solmaz, Onur; Kaygusuz, Turkkan Ozturk; Farasat, Mustafa; Kale, Ahmet Burak; Duzgun, Fatih; Pekindil, Gokhan; Apaydin, F. Demir; Duce, Meltem Nass; Balci, Yuksel; Esen, Kaan; Kahraman, Aysegul Sagir; Karaca, Leyla; Ozdemir, Zeynep Maras; Kahraman, Bayram; Tosun, Mesude; Nural, Mehmet Selim; Camlidag, Ilkay; Onar, Mustafa Arda; Balli, Kaan; Guler, Ezgi; Harman, Mustafa; Elmas, Nevra Zehra; Ozturk, Cansu; Gungor, Ozlem; Herek, Duygu; Yagci, Ahmet Baki; Erol, Cengiz; Seker, Mehmet; Islek, Irem; Can, Yusuf; Aslan, Serdar; Bilgili, M. Yasemin Karadeniz; Goncuoglu, Alper; Keles, Hatice; Sarikaya, Pelin Zeynep Bekin; Bakir, Baris; Kartal, Merve Gulbiz Dagoglu; Durak, Gorkem; Oguzdogan, Gulsen Yucel; Alper, Fatih; Yalcin, Ahmet; Gurel, Safiye; Alan, Bircan; Gundogdu, Elif; Aydin, Nevin; Cansu, Aysegul; Kus, Ceyda Civan; Tuncer, Elif Ofluoglu; Piskin, Ferhat Can; Er, Hale Colakoglu; Degirmenci, Bumin; Ozmen, Mustafa Nasuh; Kantarci, Mecit; Karcaaltincaba, Musturay
Source
Diagnostic and Interventional Radiology. May 2023, Vol. 29 Issue 3, p414, 14 p.
Subject
Language
English
ISSN
1305-3825
Abstract
Since the first appearance of severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) toward the end of 2019, global scientific interest in the clinical progress and course of patients with this infection [...]
PURPOSE To evaluate the frequency of abdominal computed tomography (CT) findings in patients with coronavirus disease-2019 (COVID-19) and interrogate the relationship between abdominal CT findings and patient demographic features, clinical findings, and laboratory test results as well as the CT atherosclerosis score in the abdominal aorta. METHODS This study was designed as a multicenter retrospective study. The abdominal CT findings of 1.181 patients with positive abdominal symptoms from 26 tertiary medical centers with a positive polymerase chain-reaction test for severe acute respiratory syndrome coronavirus 2 were reviewed. The frequency of ischemic and non-ischemic CT findings as well as the association between CT findings, clinical features, and abdominal aortic calcific atherosclerosis score (AA-CAS) were recorded. RESULTS Ischemic and non-ischemic abdominal CT findings were detected in 240 (20.3%) and 328 (27.7%) patients, respectively. In 147 patients (12.4%), intra-abdominal malignancy was present. The most frequent ischemic abdominal CT findings were bowel wall thickening (n = 120; 10.2%) and perivascular infiltration (n = 40; 3.4%). As for non-ischemic findings, colitis (n = 91; 7.7%) and small bowel inflammation (n = 73; 6.2%) constituted the most frequent disease processes. The duration of hospital stay was found to be higher in patients with abdominal CT findings than in patients without any positive findings (13.8 [+ or -] 13 vs. 10.4 [+ or -] 12.8 days, P < 0.001). The frequency of abdominal CT findings was significantly higher in patients who did not survive the infection than in patients who were discharged after recovery (41.7% vs. 27.4%, P < 0.001). Increased AA-CAS was found to be associated with a higher risk of ischemic conditions in abdominal CT examinations. CONCLUSION Abdominal symptoms in patients with COVID-19 are usually associated with positive CT findings. The presence of ischemic findings on CT correlates with poor COVID-19 outcomes. A high AA-CAS is associated with abdominal ischemic findings in patients with COVID-19. KEYWORDS COVID-19, abdomen, computed tomography, abdominal aorta, arteriosclerosis
PURPOSE To evaluate the frequency of abdominal computed tomography (CT) findings in patients with coronavirus disease-2019 (COVID-19) and interrogate the relationship between abdominal CT findings and patient demographic features, clinical findings, and laboratory test results as well as the CT atherosclerosis score in the abdominal aorta. METHODS This study was designed as a multicenter retrospective study. The abdominal CT findings of 1.181 patients with positive abdominal symptoms from 26 tertiary medical centers with a positive polymerase chain-reaction test for severe acute respiratory syndrome coronavirus 2 were reviewed. The frequency of ischemic and non-ischemic CT findings as well as the association between CT findings, clinical features, and abdominal aortic calcific atherosclerosis score (AA-CAS) were recorded. RESULTS Ischemic and non-ischemic abdominal CT findings were detected in 240 (20.3%) and 328 (27.7%) patients, respectively. In 147 patients (12.4%), intra-abdominal malignancy was present. The most frequent ischemic abdominal CT findings were bowel wall thickening (n = 120; 10.2%) and perivascular infiltration (n = 40; 3.4%). As for non-ischemic findings, colitis (n = 91; 7.7%) and small bowel inflammation (n = 73; 6.2%) constituted the most frequent disease processes. The duration of hospital stay was found to be higher in patients with abdominal CT findings than in patients without any positive findings (13.8 [+ or -] 13 vs. 10.4 [+ or -] 12.8 days, P < 0.001). The frequency of abdominal CT findings was significantly higher in patients who did not survive the infection than in patients who were discharged after recovery (41.7% vs. 27.4%, P < 0.001). Increased AA-CAS was found to be associated with a higher risk of ischemic conditions in abdominal CT examinations. CONCLUSION Abdominal symptoms in patients with COVID-19 are usually associated with positive CT findings. The presence of ischemic findings on CT correlates with poor COVID-19 outcomes. A high AA-CAS is associated with abdominal ischemic findings in patients with COVID-19. KEYWORDS COVID-19, abdomen, computed tomography, abdominal aorta, arteriosclerosis