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- W4312309715 abstract "We aimed to investigate the performance of a chest X-ray (CXR) scoring scale of lung injury in prediction of death and ICU admission among patients with COVID-19 admitted at Vinmec Central Park hospital (HCM City, VN) during the peak epidemic in 2021. X-ray images and clinical data were collected from patients with SARS-CoV-2 PCR positive from July to September 2021. Three radiologists independently assessed the CXR score at admission which is the sum of severity and extent of lung injuries on four lung quadrants (maximum score = 24). Among 219 patients included, 28 died including 25 from 34 patients admitted to the ICU. There was a high consensus for CXR scoring among radiologists (κ = 0.90; CI95%: 0.89-0.92). CXR score was the strongest predictor of mortality (tdAUC 0.85; CI95%: 0.69–1) within the first 3 weeks after admission. Multivariate model with adjustment for age confirmed a significant effect of increased CXR score on mortality risk (HR = 1.33, CI95%: 1.10 to 1.62). At a threshold of 16 points, the CXR score allows predicting in-hospital mortality and ICU admission with good sensitivity (0.82 (CI95%: 0.78 to 0.87) and 0.86 (CI95%: 0.81 to 0.90)) and specificity (0.89 (CI95%: 0.88 to 0.90) and 0.87 (CI95%: 0.86 to 0.89), respectively). The day-one CXR score is a reliable predictor of the risk of death and ICU admission and could be used to identify high-risk patients in needy countries like Vietnam." @default.
- W4312309715 created "2023-01-04" @default.
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- W4312309715 date "2022-09-04" @default.
- W4312309715 modified "2023-09-30" @default.
- W4312309715 title "Usefulness of day-one chest X-ray score for predicting mortality and ICU admission in COVID-19 patients" @default.
- W4312309715 doi "https://doi.org/10.1183/13993003.congress-2022.248" @default.
- W4312309715 hasPublicationYear "2022" @default.
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