布里夏评分与 Covid-19 肺炎患者的临床严重程度和侵入性通气需求的关系--一项前瞻性横断面研究

Q4 Medicine
Ashok Narayan, Debraj Sen, J. Reshma, Praveen Kumar, Rahul Goel, Anurag Garg, Brig P. K. Dhagat
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引用次数: 0

摘要

摘要 影像检查对于处理 COVID-19 肺炎至关重要。在资源有限的环境中,胸部放射成像是唯一可行的成像方式。布里夏影像学评分系统是评估肺部受累情况的一种客观方法,但在印度尚待研究。(a) 研究 COVID-19 患者的临床严重程度与 Brixia 评分之间的关联;(b) 评估该评分作为有创通气预测指标的实用性。印度武装部队的周边农村医院;横断面研究。根据记录的最低血氧饱和度(SpO2>94:轻度,90-94:中度,<90:重度),将一千名确诊为 COVID-19 并住院治疗的患者分为轻度、中度和重度。计算每位患者的最高布里夏评分。比较三组患者的平均布里夏评分。计算每位插管患者的布里夏评分和所有插管患者的平均评分。统计分析通过 SPSS 软件进行。756 名患者被分为轻度,104 名患者被分为中度,140 名患者被分为重度,Brixia 评分的平均值分别为 0.12、2.35 和 10.9,标准差分别为 0.66、2.98 和 2.66。这些组别的平均值差异具有统计学意义(P < 0.0001)。插管患者的 Brixia 评分中位数为 13 分,明显高于未插管患者。患者的临床严重程度和有创通气需求与 Brixia 评分密切相关。将 Brixia 系统纳入我们的医疗保险系统可能会有所帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Association of Brixia Scoring with the Clinical Severity and Need for Invasive Ventilation in Covid-19 Pneumonia Patients - A Prospective Cross-sectional Study
ABSTRACT Imaging is essential for managing COVID-19 pneumonia. In resource-limited settings, chest radiography is the only practicable imaging modality. The Brixia radiographic scoring system, an objective method of assessing pulmonary involvement, is yet to be studied in India. (a) To study the association between the clinical severity of COVID-19 patients with their Brixia scores and, (b) to evaluate the utility of the score as a predictor for invasive ventilation. Peripheral rural hospital by Indian Armed Forces; Cross-sectional study. A thousand patients diagnosed with COVID-19 and hospitalized were classified as having a mild, moderate, and severe disease based on their least oxygen saturation (SpO2 >94: mild, between 90-94: moderate, and <90: severe) recorded. The highest Brixia score was calculated for each patient. The mean Brixia scores of the three groups were compared. The Brixia score of each intubated patient was calculated as was the mean score of all intubated patients. Statistical analysis was performed on SPSS software. Seven hundred fifty-six (756) patients were classified as mild, 104 as moderate, and 140 as severe with a mean Brixia score of 0.12, 2.35, and 10.9, with a standard deviation of 0.66, 2.98, and 2.66, respectively. The difference in means between these groups was statistically significant (p < 0.0001). The median Brixia score of 13 for the intubated patients was significantly higher than for the non-intubated. The clinical severity of the patients and their requirement for invasive ventilation correlated well with their Brixia scores. The Brixia system may be usefully incorporated into our Medicare systems.
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CiteScore
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221
审稿时长
43 weeks
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