ArticleEuropean radiology2021
Chest radiograph at admission predicts early intubation among inpatient COVID-19 patients.
Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Lung Ultrasound Score in COVID-19 Patients Correlates with POThe western journal of emergency medicine · 2024Pooled it
- Comparison of chest X-ray radiography AI model to comorbidities for predicting intensive care unit admission for COVID-19.Journal of medical imaging (Bellingham, Wash.) · 2026Article
- Early chest x-ray severity assessed by the MBrixia score is associated with mortality in hospitalized patients with COVID-19 pneumonia.Scientific reports · 2026Article
- Utility of chest radiograph severity scoring in emergency department for predicting outcomes in COVID-19: A study of 1275 patients.Clinical imaging · 2023Article
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- A comparison of Covid-19 early detection between convolutional neural networks and radiologists.Insights into imaging · 2022Article
- Learning from imbalanced COVID-19 chest X-ray (CXR) medical imaging data.Methods (San Diego, Calif.) · 2022Article
- COVID-19 in Kidney Transplant Recipient and Waitlist Patients: Implications of Chest Radiographic Severity Score.Journal of thoracic imaging · 2022Article
- Early radiological worsening of SARS-CoV-2 pneumonia predicts the need for ventilatory support.European radiology · 2022Observational
- Chest X-ray Does Not Predict the Risk of Endotracheal Intubation and Escalation of Treatment in COVID-19 Patients Requiring Noninvasive Respiratory Support.Journal of clinical medicine · 2022Article
- [Correlation between ultrasonography and thorax portable radiography in patients with COVID-19].Revista medica del Instituto Mexicano del Seguro Social · 2022Article
- Chest Radiograph Scoring Alone or Combined with Other Risk Scores for Predicting Outcomes in COVID-19.Radiology · 2022Observational
- Role of chest radiograph in predicting the need for ventilator support in COVID-19 patients.African journal of thoracic and critical care medicine · 2022Article
- Brief communication: Chest radiography score in young COVID-19 patients: Does one size fit all?PloS one · 2022Article
- Still a role for the chest radiograph - humble but helpful!African journal of thoracic and critical care medicine · 2022Article
- Noninvasive respiratory support and patient self-inflicted lung injury in COVID-19: a narrative review.British journal of anaesthesia · 2021Review
- Risk factors associated with mortality in ıntensive care COVID-19 patients: the importance of chest CT score and intubation timing as risk factorsTurkish journal of medical sciences · 2021Observational
- Article
- COVID-19 pneumonia: relationship between initial chest X-rays and laboratory findings.Radiologia · 2021Article
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10 authors.
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Abstract
objectiveThe 2019 Coronavirus (COVID-19) results in a wide range of clinical severity and there remains a need for prognostic tools which identify patients at risk of rapid deterioration and who require critical care. Chest radiography (CXR) is routinely obtained at admission of COVID-19 patients. However, little is known regarding correlates between CXR severity and time to intubation. We hypothesize that the degree of opacification on CXR at time of admission independently predicts need and time to intubation.
methodsIn this retrospective cohort study, we reviewed COVID-19 patients who were admitted to an urban medical center during March 2020 that had a CXR performed on the day of admission. CXRs were divided into 12 lung zones and were assessed by two blinded thoracic radiologists. A COVID-19 opacification rating score (CORS) was generated by assigning one point for each lung zone in which an opacity was observed. Underlying comorbidities were abstracted and assessed for association.
resultsOne hundred forty patients were included in this study and 47 (34%) patients required intubation during the admission. Patients with CORS ≥ 6 demonstrated significantly higher rates of early intubation within 48 h of admission and during the hospital stay (ORs 24 h, 19.8, p < 0.001; 48 h, 28.1, p < 0.001; intubation during hospital stay, 6.1, p < 0.0001). There was no significant correlation between CORS ≥ 6 and age, sex, BMI, or any underlying cardiac or pulmonary comorbidities.
conclusionsCORS ≥ 6 at the time of admission predicts need for intubation, with significant increases in intubation at 24 and 48 h, independent of comorbidities. KEY POINTS: • Chest radiography at the time of admission independently predicts time to intubation within 48 h and during the hospital stay in COVID-19 patients. • More opacities on chest radiography are associated with several fold increases in early mechanical ventilation among COVID-19 patients. • Chest radiography is useful in identifying COVID-19 patients whom may rapidly deteriorate and help inform clinical management as well as hospital bed and ventilation allocation.
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