Ground-glass opacity on emergency department chest X-ray: a risk factor for in-hospital mortality and organ failure in elderly admitted for COVID-19
Por:
Roig-Marin, N and Roig-Rico, P
Publicada:
3 abr 2023
Ahead of Print:
1 ene 2022
Resumen:
Introduction Ground-glass opacity is commonly seen on radiographic imaging tests of patients admitted for COVID-19. The main objective of this study is to determine if the presence of ground-glass opacity on chest X-rays carried out at the Emergency Department correlates with significantly higher mortality. A secondary objective is to clarify which characteristics are associated with those patients who presented ground-glass opacity. Methods Data were obtained from our 2020 hospital admission records. Consequently, this is a retrospective cohort study. Our cohort consists of 300 admissions from a group of elderly with a mean age of 81.6. There were 49.3% women (148/300) and 50.7% men (152/300). Results The presence of ground-glass opacity on chest X-rays is a risk factor for in-hospital mortality (RR = 1.6), heart failure (RR = 4.3), respiratory failure (RR = 1.5), acute kidney injury (RR = 1.3) and ICU admission (RR = 2.7). Conclusion Based on these results, the variable 'finding ground-glass opacity on chest X-rays carried out at the Emergency Department' should be assessed for inclusion in the different calculators that estimate the prognosis/mortality rate of patients admitted for COVID-19.
Filiaciones:
Roig-Marin, N:
Univ Miguel Hernandez, Campus San Juan Alicante, Alicante, Spain
:
Hosp San Juan Alicante, Unidad Enfermedades Infecciosas, Med Interna, Alicante, Spain
Univ Miguel Hernandez, Campus San Juan Alicante, Alicante, Spain
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