RELATIONSHIP BETWEEN COMORBIDITIES AND THORACIC CT SCAN IMAGES IN COVID-19 CONFIRMED PATIENTS
| Main Authors: | suminto, silvia, Asriyani, Sri, Latief, Nikmatia, Alfian, Andi, Djaharuddin, Irawaty, Murtala, Bachtiar |
|---|---|
| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Universitas Udayana
, 2024
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| Online Access: |
https://ojs.unud.ac.id/index.php/eum/article/view/86743 https://ojs.unud.ac.id/index.php/eum/article/view/86743/53441 |
Daftar Isi:
- Penelitian ini bertujuan untuk mengetahui hubungan komorbiditas dengan gambaran CT scan toraks pada pasien terkonfirmasi COVID-19. Penelitian ini dilaksanakan di Departemen Radiologi RSUP dr. Wahidin Sudirohusodo Makassar dengan jumlah sampel sebanyak 192 pasien terkonfirmasi COVID-19. Analisis karakteristik gambaran CT scan toraks pasien dilakukan pada lung dan mediastinal window untuk melihat gambaran Groundglass opacity (GGO),konsolidasi, crazy paving, halo sign, air bronchogram sign (ABS), fibrosis, nodul, limfadenopati mediastinum, dan efusi pleura. Perbedaan proporsi gambaran CT scan berdasarkan komorbiditas diuji dengan chi-square. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara pasien dengan riwayat komorbiditas terhadap gambaran GGO, konsolidasi, crazy paving, nodul, fibrosis, efusi (semua nilai p<0,05). Terdapat hubungan yang signifikan pada pasien dengan riwayat hipertensi dengan gambaran GGO, dan crazy paving (keduanya p<0,05), riwayat diabetes mellitus dengan gambaran konsolidasi (p<0,05), riwayat CKD dengan gambaran efusi pleura (p<0,05), riwayat keganasan dengan gambaran nodul (p<0,05), riwayat CAD dengan gambaran crazy paving (p<0,05), dan riwayat tuberkulosis dengan gambaran fibrosis, tree in bud dan nodul (p<0,05).
- This study aimed to determine the relationship between comorbidities and disease severity based on chest CT scan images in confirmed COVID-19 patients. The research was conducted in Radiological Department of dr. Wahidin Sudirohusodo Hospital, Makassar with a total of 192 confirmed COVID-19 patients. Analysis of the characteristics of the patient's chest CT scan was performed on the lung and mediastinal window to investigate the appearance of Groundglass opacity (GGO), consolidation, crazy paving, halo sign, air bronchogram sign (ABS), fibrosis, nodules, mediastinal lymphadenopathy, and pleural effusion. Differences in the proportion of CT scan images based on comorbidity were analyzed with chi-square test. There were significant correlation between patients with a history of comorbidities with appearance of GGO, consolidation, crazy paving, nodules, fibrosis, and effusion (all p<0.05). There was a significant correlation in patients with a history of hypertension with GGO,and crazy paving (bothp<0.05), history of diabetes mellitus with a consolidation (p<0.05), history of chronickidney disease with pleural effusion (p<0.05), history of malignancy with nodules (p<0.05), history of CAD with crazy paving (p<0.05), and history of tuberculosis with fibrosis, tree in bud and nodules (all p<0.05). This studyconcluded that patient with comorbidities may showed more variable lesion, which may be identified on chest CT scan.Keywords: COVID-19, Chest CT scan, comorbidities