ĐÁNH GIÁ MỨC ĐỘ TỔN THƯƠNG PHỔI Ở NGƯỜI BỆNH MẮC COVID-19 ĐỒNG NHIỄM HIV/AIDS TẠI BỆNH VIỆN BỆNH NHIỆT ĐỚI TRUNG ƯƠNG (1/2022-6/2023)

Abstract

Objectives: To assess the level of lung damage in patients with COVID-19 co-infected HIV/AIDS treated at the National Hospital of Tropical Diseases (NHTD) between January 2022 and June 2023. Subjects and method: A cross-sectional descriptive study was conducted from 01/2022 to 06/2023. Among 97 patients diagnosed with SARS-Cov2 co-infected with HIV/AIDS who met the selection criteria, we assessed clinical dyspnea symptoms, lung damage characteristics, and extent of damage using imaging diagnosis. Results and conclusions: 32/97 (32.9%) patients had clinical symptoms of dyspnea when admitted to the hospital; accompanied by symptoms of cough, fever, rapid breathing, and decreased SPO2 respectively: 90.6%; 87.5%; 84.4%, and 71.9%. Of these, 29/32 (90.6%) cases had to be required with oxygen therapy upon admission to the hospital. Oxygen breathing goggles use a rate of 62.5%. Of these 10/20 (50%) do not meet the requirements to upgrade oxygen support, 1/20 (5%) breathing oxygen masks, and 9/20 (45%) cases must set endotracheal intubation (mechanical ventilation). Out of the total 97 dyspnea patients, 12 had to undergo intubation and mechanical ventilation during the treatment, which accounts for 12.4 percent of the total. Lung damage on CT-Scanner accounted for 54/77 (70.1%) with features of ground glass 70.4%, consolidation 46.3%, and interstitial tissue 24.1%, blurred spots 20.4%, stone paving 9.3%, other lesions 44.4%; damage to both lungs accounts for 83.3%. On chest X-ray, lung damage accounted for 23/28 (82.1%) with ground glass features accounting for 73.9%, consolidation 34.8%, blurred spots 34.8%, tissue interstitial 17.4%,  and other lesions 43.5%; damage to both lungs accounted for 87.0%. 100% of patients with severe and critical illness were more likely to have multilobe lung damage than the group of patients with mild and moderate severity, which was statistically significant with p*<0.0001.