Veysel Garani SOYLU, Öztürk TAŞKIN, Ufuk DEMİR, Yunus YAŞAR

KRİTİK COVİD 19 HASTALARINDA TORAKS TOMOGRAFİSİNİN PROGNOZDAKİ ÖNEMİ

Amaç: Toraks bilgisayarlı tomografi (BT) görüntüleri sıklıkla COVID-19 ve bulaşıcı hastalıkların teşhisini desteklemek için kullanıldı. Bu çalışma, yoğun bakım ünitesinde (YBÜ) izlenen COVID-19 hastalarının prognozunu tahmin etmede spesifik göğüs BT sonuçlarının önemini sorgulamayı amaçlamaktadır. Gereç ve Yöntem: Bu çalışmaya RT-PCR testleri COVID-19 için pozitif olan 20 kritik hasta dahil edildi. YBÜ'ye kabul edilmeden önce çekilen toraks BT taramalarında kötü prognoz sonuçları; mortalite, invazif ve non-invaziv mekanik ventilatör gereksinimi, APACHE II skorları ve YBÜ yatış günleri ile karşılaştırıldı. Bulgular : Göğüs BT görüntülerinde kaldırım taşı paterni olan COVID-19 hastalığı nedeniyle YBÜ'de izlenen kritik hastalarda, YBÜ takibinde;invazif mekanik ventilasyon desteği gereksinimi istatistiksel olarak anlamlı bulundu (P = 0.04). Plevral ve perikardiyal efüzyonu olan tüm hastaların invazif mekanik ventilasyon desteğine ihtiyacı oldu. Yoğun bakım ünitesinde kritik COVID-19 hastalarında gözlenen göğüs BT sonuçlarından olan, konsolidasyon / buzlu cam opasite paterninin> 1 olan hastalar daha yüksek (yaklaşık beş kat) ölüm oranına sahipti. Yoğun bakım yatış süresi daha fazla olan hastalarda kaldırım taşı manzarası görünümü mevcuttu. Sonuç: COVID-19 hastalığında göğüs BT taramalarından elde edilen bazı sonuçların yoğun bakım döneminde hastanın prognozunu öngörebileceğini düşünüyoruz.

Anahtar Kelimeler:

COVİD 19, TORAKS TOMOGRAFİ, PROGNOZ

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

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> 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,

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