THE IMPORTANCE OF THORACIC TOMOGRAPHY IN PROGNOSIS IN CRITICAL COVID 19 PATIENTS

Abstract

Aim: Computed tomography (CT) images of the chest were often used to support the diagnosis of COVID-19 and infectious diseases. This study aims to question the importance of specific chest CT results in predicting the prognosis of COVID-19 patients being followed up in the intensive care unit (ICU). Materials and Methods: For this study, 20 critically ill patients whose RT-PCR tests were positive for COVID-19 were included. Mortality, invasive and non-invasive mechanical ventilator requirement, APACHE II scores and ICU staying days were compared chest CT scans with have poor prognosis results before admission to ICU. Results: Critical patients who were followed up in the ICU due to COVID-19 disease with crazy laying pattern on chest CT images, it was concluded that there is a statistically significant requirement for invasive mechanical ventilation support during the ICU period (P = 0.04). We reported that all patients with pleural and pericardial effusion required invasive mechanical ventilation support. One of the chest CT results observed in critical COVID-19 patients ın ICU is that the consolidation / ground glass opacity pattern gt; 1 may have a higher (about five-fold) mortality rate. Most of our critical COVID-19 patients who stayed in intensive care for a long time had a crazy laying pattern on chest CT images. Conclusion: We believe that some results obtained from chest CT scans in COVID-19 disease may predict the prognosis of the patient during the intensive care period.

Keywords

• covid 19
• thoracic tomography
• prognosis
• covi̇d 19
• toraks tomografi̇
• prognoz