Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19)
Introduction Infections due to COVID-19 can lead to life threatening pneumonia. Accompanying severe disease are more prominent pulmonary changes on Computed Tomography (CT) scan of the chest. The goal of this study was to describe pulmonary CT changes during acute COVID-19 and at follow up and wheth...
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ftopinvisindi:oai:opinvisindi.is:20.500.11815/2911 2023-05-15T16:52:40+02:00 Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) Parenchymal lung changes on CT in patients with coronavirus disease 2019 (COVID-19) Halldórsson, Arnljótur Björn Axelsson, Gísli Þór Jónsson, Helgi Ísaksson, Jóhann Davíð Harðardóttir, Hrönn Guðmundsson, Gunnar Hansdóttir, Sif Læknadeild Lyflækninga- og bráðaþjónusta Þverfræðilegt framhaldsnám Landspítali 2021-10 9 460-468 https://hdl.handle.net/20.500.11815/2911 https://doi.org/10.17992/lbl.2021.10.655 is ice Læknablaðið; 107(10) http://www.scopus.com/inward/record.url?scp=85117295725&partnerID=8YFLogxK Halldórsson , A B , Axelsson , G Þ , Jónsson , H , Ísaksson , J D , Harðardóttir , H , Guðmundsson , G & Hansdóttir , S 2021 , ' Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) ' , Læknablaðið , bind. 107 , nr. 10 , bls. 460-468 . https://doi.org/10.17992/lbl.2021.10.655 0023-7213 PURE: 41589521 PURE UUID: a308b756-e27e-4fca-9a7a-87dce6cd202a Scopus: 85117295725 https://hdl.handle.net/20.500.11815/2911 34585672 https://doi.org/10.17992/lbl.2021.10.655 info:eu-repo/semantics/openAccess COVID-19 Sneiðmyndatökur Lungnabólga (CT) scan Computed Tomography pneumonia Adult Age Factors Aged COVID-19/diagnostic imaging Databases Factual Female Hospitalization Host-Pathogen Interactions Humans Iceland Lung/diagnostic imaging Male Middle Aged Predictive Value of Tests Prognosis Retrospective Studies Risk Factors SARS-CoV-2/pathogenicity Severity of Illness Index Sex Factors Tomography X-Ray Computed Læknisfræði (allt) /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article 2021 ftopinvisindi https://doi.org/20.500.11815/2911 https://doi.org/10.17992/lbl.2021.10.655 2022-11-18T06:52:16Z Introduction Infections due to COVID-19 can lead to life threatening pneumonia. Accompanying severe disease are more prominent pulmonary changes on Computed Tomography (CT) scan of the chest. The goal of this study was to describe pulmonary CT changes during acute COVID-19 and at follow up and whether the extent of changes correlate with severity of illness, demographics or other risk factors. Materials and methods Included in this study are all individuals that had confirmed COVID-19 and came for a follow up CT of the chest at Landspitali from May to September 2020. Information regarding medical history was obtained retrospectively from medical charts. All CT scans were reviewed using an international staging system to evaluate the extent of lung changes. Results Eighty-five patients with a mean age of 59 years were included in the study. Sixty patients (71%) were hospitalized during the acute phase and 18 (21%) were admitted to the ICU. During the acute phase more pronounced lung involvement was seen in males and patients admitted to the ICU. At follow-up females had less lung involvement but there was a significant relationship between a higher CT score and age, ICU admissions and days in the ICU. Full recovery was seen at follow-up CT in 31% of patients (median 68,5 days between acute and follow-up imaging). Conclusion Patients with severe COVID-19 have more pronounced lung involvement on CT than patients with milder disease during the acute phase and follow-up. Older patients and males are at greater risk of acute and persistent COVID-19 related lung changes. Peer reviewed Article in Journal/Newspaper Iceland Opin vísindi (Iceland) Læknablaðið 107 10 460 468 |
institution |
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collection |
Opin vísindi (Iceland) |
op_collection_id |
ftopinvisindi |
language |
Icelandic |
topic |
COVID-19 Sneiðmyndatökur Lungnabólga (CT) scan Computed Tomography pneumonia Adult Age Factors Aged COVID-19/diagnostic imaging Databases Factual Female Hospitalization Host-Pathogen Interactions Humans Iceland Lung/diagnostic imaging Male Middle Aged Predictive Value of Tests Prognosis Retrospective Studies Risk Factors SARS-CoV-2/pathogenicity Severity of Illness Index Sex Factors Tomography X-Ray Computed Læknisfræði (allt) |
spellingShingle |
COVID-19 Sneiðmyndatökur Lungnabólga (CT) scan Computed Tomography pneumonia Adult Age Factors Aged COVID-19/diagnostic imaging Databases Factual Female Hospitalization Host-Pathogen Interactions Humans Iceland Lung/diagnostic imaging Male Middle Aged Predictive Value of Tests Prognosis Retrospective Studies Risk Factors SARS-CoV-2/pathogenicity Severity of Illness Index Sex Factors Tomography X-Ray Computed Læknisfræði (allt) Halldórsson, Arnljótur Björn Axelsson, Gísli Þór Jónsson, Helgi Ísaksson, Jóhann Davíð Harðardóttir, Hrönn Guðmundsson, Gunnar Hansdóttir, Sif Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) |
topic_facet |
COVID-19 Sneiðmyndatökur Lungnabólga (CT) scan Computed Tomography pneumonia Adult Age Factors Aged COVID-19/diagnostic imaging Databases Factual Female Hospitalization Host-Pathogen Interactions Humans Iceland Lung/diagnostic imaging Male Middle Aged Predictive Value of Tests Prognosis Retrospective Studies Risk Factors SARS-CoV-2/pathogenicity Severity of Illness Index Sex Factors Tomography X-Ray Computed Læknisfræði (allt) |
description |
Introduction Infections due to COVID-19 can lead to life threatening pneumonia. Accompanying severe disease are more prominent pulmonary changes on Computed Tomography (CT) scan of the chest. The goal of this study was to describe pulmonary CT changes during acute COVID-19 and at follow up and whether the extent of changes correlate with severity of illness, demographics or other risk factors. Materials and methods Included in this study are all individuals that had confirmed COVID-19 and came for a follow up CT of the chest at Landspitali from May to September 2020. Information regarding medical history was obtained retrospectively from medical charts. All CT scans were reviewed using an international staging system to evaluate the extent of lung changes. Results Eighty-five patients with a mean age of 59 years were included in the study. Sixty patients (71%) were hospitalized during the acute phase and 18 (21%) were admitted to the ICU. During the acute phase more pronounced lung involvement was seen in males and patients admitted to the ICU. At follow-up females had less lung involvement but there was a significant relationship between a higher CT score and age, ICU admissions and days in the ICU. Full recovery was seen at follow-up CT in 31% of patients (median 68,5 days between acute and follow-up imaging). Conclusion Patients with severe COVID-19 have more pronounced lung involvement on CT than patients with milder disease during the acute phase and follow-up. Older patients and males are at greater risk of acute and persistent COVID-19 related lung changes. Peer reviewed |
author2 |
Læknadeild Lyflækninga- og bráðaþjónusta Þverfræðilegt framhaldsnám Landspítali |
format |
Article in Journal/Newspaper |
author |
Halldórsson, Arnljótur Björn Axelsson, Gísli Þór Jónsson, Helgi Ísaksson, Jóhann Davíð Harðardóttir, Hrönn Guðmundsson, Gunnar Hansdóttir, Sif |
author_facet |
Halldórsson, Arnljótur Björn Axelsson, Gísli Þór Jónsson, Helgi Ísaksson, Jóhann Davíð Harðardóttir, Hrönn Guðmundsson, Gunnar Hansdóttir, Sif |
author_sort |
Halldórsson, Arnljótur Björn |
title |
Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) |
title_short |
Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) |
title_full |
Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) |
title_fullStr |
Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) |
title_full_unstemmed |
Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) |
title_sort |
breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (covid-19) |
publishDate |
2021 |
url |
https://hdl.handle.net/20.500.11815/2911 https://doi.org/10.17992/lbl.2021.10.655 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
Læknablaðið; 107(10) http://www.scopus.com/inward/record.url?scp=85117295725&partnerID=8YFLogxK Halldórsson , A B , Axelsson , G Þ , Jónsson , H , Ísaksson , J D , Harðardóttir , H , Guðmundsson , G & Hansdóttir , S 2021 , ' Breytingar í lungnavef á tölvusneiðmyndum sjúklinga með kórónuveirusjúkdóm 2019 (COVID-19) ' , Læknablaðið , bind. 107 , nr. 10 , bls. 460-468 . https://doi.org/10.17992/lbl.2021.10.655 0023-7213 PURE: 41589521 PURE UUID: a308b756-e27e-4fca-9a7a-87dce6cd202a Scopus: 85117295725 https://hdl.handle.net/20.500.11815/2911 34585672 https://doi.org/10.17992/lbl.2021.10.655 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/20.500.11815/2911 https://doi.org/10.17992/lbl.2021.10.655 |
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