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CLINICAL CHARACTERISTICS AND A SEVERITY SCORE OF LUNG INJURY ON CHEST RADIOGRAPHY IN HOSPITALIZED PATIENTS WITH COVID-19
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Abstract
Introduction: COVID-19 has become a global health burden. Chest radiograph is a simple imaging tool to help diagnose severity and appropriate prognosis in the management of COVID-19 disease. There are limited data on the assessment of lung injury severity on chest X-rays in COVID-19 patients in Vietnam. Objective: This study was conducted to describe the clinical characteristics, the severity of lung injury on chest X-rays in hospitalized patients with COVID-19, and to evaluate the relationship between clinical factors and the severity score of lung involvement on chest X-rays. Methods: A retrospective study on hospitalized patients with COVID-19 between August 30, 2021, and September 30, 2021. Assessing the severity score of lung injury on chest X-rays in the first 24 hours of admission using the Brixia score. Results: A total of 279 patients, with 57.7% females and median age 56.1 years, were included in this study, 72.4% of hospitalized COVID-19 patients had underlying disease. The median Brixia score was 13 (9 – 16) points. The right lung and the left lung had a Brixia score of 7 (5–9) and 6 (4–8), respectively. Patients in the group with a high Brixia score had faster heart rate, higher BMI, and higher NEW2 score than the group with a low Brixia score (p < 0.05). The high rate of oxygen mask breathing in the group with a low Brixia score was 39.6%, this rate was 62.4% in the group with a high Brixia score. Conclusion: The study revealed that hospitalized COVID-19 patients were elderly, with female predominance, and the majority of patients had underlying medical conditions. In the study, the median Brixia score was high. The higher the patient's Brixia score, the higher the odds of needing assistance with oxygen delivery devices.
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Keywords
COVID-19, lung injury, chest X-ray
References
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