Acta clinica Croatica, Vol. 63. No. 2, 2024.
Izvorni znanstveni članak
https://doi.org/10.20471/acc.2024.63.02.2
Are COVID-19 pneumonia findings different between comorbid and non-comorbid patients? The high resolution computed tomography features of the 108 follow-up patients
Ayşe Özlem Balık
orcid.org/0000-0002-5703-6720
; Department of Radiology, Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey
*
Buket Yagci
; Department of Radiology, Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey
Recep Balik
; Department of Radiology, Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey
Ulaş Yalim Uncu
; Department of Infectious Diseases and Clinical Microbiology, Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey
* Dopisni autor.
Sažetak
The aim was to compare the computed tomography (CT) semi-quantitative
severity scoring (CT-SS) system assessments of COVID-19 pneumonia on initial and follow-up
examinations according to the presence of comorbidities. Of the 278 real-time reverse
transcription-polymerase chain reaction positive patients, 108 with a follow-up CT scan were
evaluated. Then, all CT images were independently reviewed for CT-SS analysis by two reviewers.
Reviewers were unaware of the patient laboratory and clinical findings. A quarter of patients had
negative findings on their initial CTs. Sixty-one (56.4%) patients showed progression. Disease
progression was more frequently observed in patients with type 2 diabetes mellitus (DM) and
malignancies (p=0.044 and p=0.019, respectively). Follow-up CTs of patients with comorbidities,
especially those with cardiovascular disease (56.4%) and type 2 DM (70.0%), demonstrated
an increased frequency of diff use involvement. Th e white lung sign was more frequently observed
in patients with malignancies (60.0%). In this study, COVID-19 patients with comorbidity
showed a higher rate of disease progression than those without comorbidity. Patients with
comorbidities more frequently had severe CT findings with high CT-SS. These findings may
serve as a guide in the COVID-19 pneumonia follow-up and treatment.
Ključne riječi
COVID-19 pneumonia; Semi-quantitative CT severity scoring system; Disease progression; Comorbidity; Radiological findings
Hrčak ID:
327942
URI
Datum izdavanja:
31.10.2025.
Posjeta: 1.017 *