Al Kindi Faiza A, Al Sharji Mohamed, Al Harthy Hasena, Al Umairi Rashid, Al Raisi Umaima, Al Kindi Nawal, Al Khalili Huda
Radiology Department, Royal Hospital, Muscat, Oman.
Training and Education Department, Research Section, Royal Hospital, Muscat, Oman.
Oman Med J. 2021 Sep 1;36(5):e294. doi: 10.5001/omj.2021.85. eCollection 2021 Sep.
We sought to identify the chest radiography differences at presentation between two groups of hospitalized confirmed COVID-19 patients; intubated group compared to non-intubated group.
We retrospectively collected the data of confirmed hospitalized COVID-19 patients at the Royal Hospital, Muscat, Oman, from March to April 2020. Radiographic and clinical data were collected from the hospital and radiology information systems and compared between two groups based on intubation status.
Twenty-six patients confirmed to have COVID-19 by reverse-transcriptase polymerase chain reaction test were included in the study; 15/26 were non-intubated, and 11/26 were intubated. Overall, 88.5% were males in the intubated group. Respiratory symptoms were the most common presentation (84.6%) followed by fever (76.9%), with no statistical difference between the two groups. There was a statistically significant difference in having diabetes mellitus ( 0.020) in which 8/11 and 4/15 were recorded to have diabetes mellitus in the intubated and non-intubated groups, respectively. Other comorbidities showed no statistically significant difference. The radiographic analysis redemonstrates the peripheral lower zone distribution but no statistically significant difference among the two groups. There were no differences between the intubated and non-intubated chest radiography in laterality involvement, central and peripheral distribution, and lesions type. However, upper zones involvement was more noted in the intubated group with 10/11 (90.9%) compared to 7/15 (46.7%) in non-intubated cases ( 0.036). There were higher numbers of zone involvement in intubated cases than non-intubated cases: 9/11 (81.8%) of intubated patients had 10-12 areas of involvement on chest radiographs compared to 3/15 (20.0%) in the non-intubated group. Half of the cases were discharged home; 3/11 from the intubated group and 10/15 from the non-intubated group. Five patients died from the intubated group (5/11) versus 3/15 from the non-intubated group. Five patients are still hospitalized (three from the intubated group and two from the non-intubated group).
The radiographic findings among intubated and non-intubated hospitalized COVID-19 patients demonstrate differences in the number of zones involved. More upper zone involvement was noted in the intubated group. Male sex and diabetes mellitus carried a poorer prognosis and were more associated with the intubated group.
我们试图确定两组住院确诊的新冠肺炎患者在就诊时胸部X线片的差异；插管组与非插管组。
我们回顾性收集了2020年3月至4月在阿曼马斯喀特皇家医院确诊住院的新冠肺炎患者的数据。从医院和放射学信息系统收集影像学和临床数据，并根据插管状态在两组之间进行比较。
26例经逆转录聚合酶链反应检测确诊为新冠肺炎的患者纳入研究；26例中有15例未插管，11例插管。总体而言，插管组中88.5%为男性。呼吸道症状是最常见的表现（84.6%），其次是发热（76.9%），两组之间无统计学差异。在患有糖尿病方面存在统计学显著差异（P = 0.020），插管组和非插管组分别有8/11和4/15被记录患有糖尿病。其他合并症无统计学显著差异。影像学分析再次显示外周下区分布，但两组之间无统计学显著差异。插管组和非插管组胸部X线片在侧别受累、中央和外周分布以及病变类型方面无差异。然而，插管组上区受累更为明显，插管组为10/11（90.9%），而非插管组为7/15（46.7%）（P = 0.036）。插管病例的受累区域数量高于非插管病例：插管患者中有9/11（81.8%）在胸部X线片上有10 - 12个受累区域，而非插管组为3/15（20.0%）。一半的病例出院回家；插管组3/11例，非插管组10/15例。插管组有5例死亡（5/11），非插管组为3/15。5例患者仍住院（插管组3例，非插管组2例）。
插管和未插管的住院新冠肺炎患者的影像学表现显示在受累区域数量上存在差异。插管组上区受累更为明显。男性和糖尿病预后较差，且与插管组更相关。
