Evidence map›Paper›PMID 38007479›Full record

ArticleBMC pulmonary medicine2023

Doubts and concerns about COVID-19 uncertainties on imaging data, clinical score, and outcomes.

Cosimo Nardi, Andrea Magnini, Linda Calistri, Edoardo Cavigli, Anna Julie Peired, Vieri Rastrelli, Edoardo Carlesi, Giulia Zantonelli, Olga Smorchkova, Lorenzo Cinci and 20 more

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Respiratory pathogenic microbial infections: a narrative review.International journal of medical sciences · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Cosimo NardiDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-5489-7824
Andrea MagniniDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0009-0005-5132-5053
Linda CalistriDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-3589-4820
Edoardo CavigliDepartment of Radiology, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-2078-0222
Anna Julie PeiredDepartment of Experimental and Clinical Biomedical Sciences "Mario Serio", University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0001-9732-1369
Vieri RastrelliDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-8902-5305
Edoardo CarlesiNeuroradiology Unit, Department of Radiology, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0003-3452-741X
Giulia ZantonelliDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Olga SmorchkovaDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0009-0004-6055-7932
Lorenzo CinciDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-1799-4828
Martina OrlandiDepartment of Experimental and Clinical Medicine, Division of Rheumatology, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0001-6784-2235
Nicholas LandiniDepartment of Radiological, Oncological and Pathological Sciences, Policlinico Umberto I Hospital, "Sapienza" Rome University, Rome, Italy.ORCID https://orcid.org/0000-0002-2928-3003
Edoardo BerilloDepartment of Clinical and Experimental Medicine, Interventional Pulmonology Unit, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Chiara LoriniDepartment of Health Sciences, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0003-3170-1857
Jessica MencariniDepartment of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0003-4059-7094
Maria Grazia ColaoDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.
Leonardo GoriDepartment of Clinical and Experimental Medicine, Interventional Pulmonology Unit, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-4211-7667
Valentina LuzziDepartment of Clinical and Experimental Medicine, Interventional Pulmonology Unit, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Chiara LazzeriIntensive Care Unit and Regional ECMO Referral Centre, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0003-0131-4450
Elisa CiprianiIntensive Care Unit and Regional ECMO Referral Centre, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0009-0006-5512-2525
Manuela BonizzoliIntensive Care Unit and Regional ECMO Referral Centre, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0003-1868-4239
Filippo PieralliIntermediate Care Unit, University Hospital Careggi, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-1016-7432
Carlo NozzoliInternal Medicine Unit 1, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-1794-7853
Alessandro MorettiniInternal Medicine Unit 2, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-7101-9599
Federico LavoriniDepartment of Experimental and Clinical Medicine, Division of Pulmonology, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-3293-2123
Alessandro BartoloniDepartment of Experimental and Clinical Medicine, Infectious and Tropical Diseases Unit, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0001-9758-1523
Gian Maria RossoliniDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-9386-0434
Marco Matucci-CerinicDepartment of Experimental and Clinical Medicine, Division of Rheumatology, Careggi University Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-9324-3161
Sara TomassettiDepartment of Clinical and Experimental Medicine, Interventional Pulmonology Unit, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.ORCID https://orcid.org/0000-0002-4781-6539
Stefano ColagrandeDepartment of Experimental and Clinical Biomedical Sciences, Radiodiagnostic Unit n. 2, University of Florence-Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy. stefano.colagrande@unifi.it.ORCID https://orcid.org/0000-0003-0137-8606

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 is a pandemic disease affecting predominantly the respiratory apparatus with clinical manifestations ranging from asymptomatic to respiratory failure. Chest CT is a crucial tool in diagnosing and evaluating the severity of pulmonary involvement through dedicated scoring systems. Nonetheless, many questions regarding the relationship of radiologic and clinical features of the disease have emerged in multidisciplinary meetings. The aim of this retrospective study was to explore such relationship throughout an innovative and alternative approach. MATERIALS AND

methodsThis study included 550 patients (range 25-98 years; 354 males, mean age 66.1; 196 females, mean age 70.9) hospitalized for COVID-19 with available radiological and clinical data between 1 March 2021 and 30 April 2022. Radiological data included CO-RADS, chest CT score, dominant pattern, and typical/atypical findings detected on CT examinations. Clinical data included clinical score and outcome. The relationship between such features was investigated through the development of the main four frequently asked questions summarizing the many issues arisen in multidisciplinary meetings, as follows 1) CO-RADS, chest CT score, clinical score, and outcomes; 2) the involvement of a specific lung lobe and outcomes; 3) dominant pattern/distribution and severity score for the same chest CT score; 4) additional factors and outcomes.

results1) If CT was suggestive for COVID, a strong correlation between CT/clinical score and prognosis was found; 2) Middle lobe CT involvement was an unfavorable prognostic criterion; 3) If CT score < 50%, the pattern was not influential, whereas if CT score > 50%, crazy paving as dominant pattern leaded to a 15% increased death rate, stacked up against other patterns, thus almost doubling it; 4) Additional factors usually did not matter, but lymph-nodes and pleural effusion worsened prognosis.

conclusionsThis study outlined those radiological features of COVID-19 most relevant towards disease severity and outcome with an innovative approach.

Indexed as

COVID-19AgedFemaleHumansLungMaleRetrospective StudiesSARS-CoV-2Tomography, X-Ray ComputedAcute respiratory diseaseComputed tomographyCOVID-19PneumoniaSARS-CoV-2

Identifiers

PMID38007479
PMCPMC10675953

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