학술논문

Chest Radiograph Severity Scores, Comorbidity Prevalence, and Outcomes of Patients with Coronavirus Disease Treated at the King Abdullah University Hospital in Jordan: A Retrospective Study
Document Type
Academic Journal
Source
International Journal of General Medicine. May 31, 2022, Vol. 15, p5103, 8 p.
Subject
Mortality -- Research
Comorbidity -- Care and treatment -- Prognosis -- Patient outcomes -- Research
Severe acute respiratory syndrome -- Care and treatment -- Prognosis -- Research -- Patient outcomes
Hospital patients -- Patient outcomes -- Prognosis -- Care and treatment
Coronaviruses -- Research
Language
English
ISSN
1178-7074
Abstract
Introduction: Hospitalized patients with coronavirus disease (COVID-19) often undergo chest x-ray (CXR). Utilizing CXR findings could reduce the cost of COVID-19 treatment and the resultant pressure on the Jordanian healthcare system. Methods: We evaluated the association between the CXR severity score, based on the Radiographic Assessment of Lung Edema (RALE) scoring system, and outcomes of patients with COVID-19. The main objective of this work is to assess the role of the RALE scoring system in predicting in-hospital mortality and clinical outcomes of patients with COVID-19. Adults with a positive severe acute respiratory syndrome COVID-19 two reverse-transcription polymerase chain reaction test results and a baseline CXR image, obtained in November 2020, were included. The RALE severity scores were calculated by expert radiologists and categorized as normal, mild, moderate, and severe. Chi-square tests and multivariable logistic regression were used to assess the association between the severity category and admission location and clinical characteristics. Results: Based on the multivariable regression analysis, it has been found that male sex, hypertension, and the RALE severity score were significantly associated with in-hospital mortality. The baseline RALE severity score was associated with the need for critical care (P Discussion: The utilization of RALE severity scores helps to predict clinical outcomes and promote prudent use of resources during the COVID-19 pandemic. Keywords: COVID-19, chest radiograph, RALE score, prognosis, statistical analysis
Introduction Since the outbreak of COVID-19 in December 2019, the world has been under strain. (1,2) As of March 1, 2022, the virus has infected over 433 million individuals, accounting [...]