Is pleural effusion in COVID-19 interstitial pneumonia related to in-hospital mortality?
Is pleural effusion in COVID-19 interstitial pneumonia related to in-hospital mortality?
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DOI：
10.4081/itjm.2021.1440
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发表时间：
2021-01-01
影响因子：
0.4
通讯作者：
Esposito, Antonio
中科院分区：
文献类型：
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作者：
Cereda, Alberto;Toselli, Marco;Esposito, Antonio
最近的严重急性呼吸综合征相关冠状病毒2（SARS-CoV-2）大流行突出了肺部计算机断层扫描（CT）对这种新型病毒性肺炎的诊断和预后分层的重要性。放射学CoreLab分析了北方意大利第一波流行期间因SARS-CoV-2住院的连续患者的1370次肺部CT扫描（在入院时进行）。188例患者（占人群的13.3%）肺部CT扫描显示胸腔积液，确定了合并症较多的人群。胸腔积液患者心肺并发症多，死亡率高。多变量分析显示胸腔积液是死亡的独立预测因素，HR为1.4（95%置信区间1-1.9）。肺部CT胸腔积液是死亡率的独立预测因素。
The recent severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) pandemic has highlighted the importance of pulmonary computed tomography (CT) for diagnosis and prognostic stratification of this new viral pneumonia. 1370 lung CT scans (performed at the time of admission) of consecutive patients hospitalized for SARS-CoV-2 in Northern Italy during the first epidemic wave were analyzed by a radiological CoreLab. The presence of pleural effusion on pulmonary CT scan was present in 188 patients (13.3% of the population) and identified a population with more comorbidities. Patients with pleural effusion had more cardio-respiratory complications with higher mortality. Pleural effusion was an independent predictor of death on multivariate analysis with an HR of 1.4 (95% confidence interval 1-1.9). Pulmonary CT pleural effusion was an independent predictor of mortality.