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Int. J. Clin. Pract. · Dec 2021
Correlation between chest CT severity score and laboratory indicators in patients with Coronavirus disease 2019 (COVID-19).
- Qunying Lin, Liangning Wu, Weihua Lin, Linjian Zhu, Yuxiong Hu, Guosheng Lin, Juan Lin, and Haijian Tu.
- Pulmonary and Critical Care Medicine, Affiliated Hospital of Putian University, Putian, China.
- Int. J. Clin. Pract. 2021 Dec 1; 75 (12): e14907.
ObjectiveThe association between computed tomography (CT) and clinical severity of COVID-19 has been demonstrated. However, there are few studies on CT and laboratory indicators in patients in COVID-19. Our aim was to explore the correlation between chest CT images and laboratory indicators of patients with COVID-19 pneumonia.MethodsThis was a retrospective study of patients with COVID-19 diagnosed and treated at the Affiliated Hospital of Putian University from 24 January 2020 to 6 March 2020. The correlation test between first chest CT score and blood cell analysis, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), blood biochemistry and T lymphocyte subsets (T-Ls) was investigated.ResultsAmong the 56 patients, there were 36 (64.3%) males and 20 (35.7%) females. The mean age of the patients was 46.54 ± 15.82 (range, 15-86) years. The CT score in the moderate group was higher than in the mild group (5.06 ± 0.77 vs 1.87 ± 0.88, P < .05), and higher in the severe group than in the moderate and mild groups (10.71 ± 4.21, P < .05). In addition, the ESR was significantly higher in the severe group than mild group (32.00 (26.04, 58.24) vs 11.00 (7.84, 24.70) mm/h, P < .05). The CD3, CD4, CD8 and CD4/CD8 cells were not different (all P > .05). The CT scores of all patients correlated positively with CRP, LDH and ESR (all P < .01).ConclusionThe chest CT characteristics of patients with COVID-19 correlated positively with CRP, ESR and LDH, which may use one of the indicators for the assessment of disease severity.© 2021 John Wiley & Sons Ltd.
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