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收治的有症状 COVID-19 患者中异常胸部计算机断层扫描结果:一项描述性横断面研究。

Abnormal Chest Computed Tomography Findings among Admitted Symptomatic COVID-19 Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Radiology, Nepalese Army Institute of Health Sciences, Syanobharyang, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Jul 1;60(251):608-611. doi: 10.31729/jnma.7529.

Abstract

INTRODUCTION

COVID-19 has emerged as a pandemic and has varied clinical presentation. Computed Tomography scans of the chest play an important role in evaluating the lung parenchymal changes and aids in better planning the management of COVID-19 patients. The purpose of this study was to find the prevalence of abnormal chest computed tomography findings among admitted symptomatic COVID-19 patients in a tertiary care centre.

METHODS

This descriptive cross-sectional study was conducted from 25 October 2020 to January 2021 in a tertiary care hospital. Ethical approval was taken from the Institutional Review Committee (Registration number: 348). Convenience sampling method was used. Chest computed tomography findings of the admitted symptomatic COVID-19 patients were evaluated for abnormal findings. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 153 patients, abnormal chest computed tomography findings were seen in 147 (96.07%) (92.99-99.15, 95% Confidence Interval). The findings of ground-glass opacities with consolidations were seen in 78 (53.06%) patients.

CONCLUSIONS

The prevalence of abnormal chest findings among symptomatic COVID-19 patients in our study was similar to the studies done in other countries in similar settings. Majority of the symptomatic COVID-19 patients showed abnormal chest computed tomography scan findings in the form of ground glass opacities and consolidations.

KEYWORDS

COVID-19; Nepal; pneumonia; prevalence.

摘要

简介

COVID-19 已成为一种大流行疾病,其临床表现各异。胸部计算机断层扫描在评估肺实质变化方面发挥着重要作用,并有助于更好地规划 COVID-19 患者的管理。本研究的目的是在一家三级保健中心发现住院有症状的 COVID-19 患者中异常胸部计算机断层扫描结果的流行情况。

方法

这是一项 2020 年 10 月 25 日至 2021 年 1 月在一家三级保健医院进行的描述性横断面研究。机构审查委员会(注册号:348)已批准该研究。使用方便抽样法。对住院有症状的 COVID-19 患者的胸部计算机断层扫描结果进行异常发现评估。计算点估计值和 95%置信区间。

结果

在 153 例患者中,有 147 例(96.07%)(92.99-99.15,95%置信区间)出现异常胸部计算机断层扫描结果。78 例(53.06%)患者出现磨玻璃影伴实变。

结论

在我们的研究中,有症状的 COVID-19 患者中异常胸部发现的流行率与在类似环境中进行的其他国家的研究相似。大多数有症状的 COVID-19 患者的胸部计算机断层扫描异常表现为磨玻璃影和实变。

关键词

COVID-19;尼泊尔;肺炎;流行率。

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