Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 Patients
Objective: To analyze the characteristics of bedside chest radiography in critically ill COVID-19 patients.Methods: Bedside chest x-ray data of 8 severe cases with COVID-19 during hospitalization were collected consecutively. The disease was divided into three stages, including early stage (1-4 days...
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Editorial Office of Advanced Ultrasound in Diagnosis and Therapy
2020-06-01
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doaj-20901fd882384a5cbd84a564eec9a61d2021-06-25T07:51:49ZengEditorial Office of Advanced Ultrasound in Diagnosis and TherapyAdvanced Ultrasound in Diagnosis and Therapy2576-25162020-06-014210711110.37015/AUDT.2020.200026Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 PatientsYijun Zhang, MD, Jianjian Liu, MD, Qinqin Yan, MD, Nannan Shi, MD, Fei Shan, MD, Yuxin Shi, MD0a Department of Radiology, Shanghai Public Health Clinical Center, Fudan University, Shanghai, ChinaObjective: To analyze the characteristics of bedside chest radiography in critically ill COVID-19 patients.Methods: Bedside chest x-ray data of 8 severe cases with COVID-19 during hospitalization were collected consecutively. The disease was divided into three stages, including early stage (1-4 days), progression stage (5-10 days), and recovery stage(≥11 days). Two radiologists individually analyzed the chest radiographs by a double-blind method and compared the changes of the distribution, morphology, and boundary of the pulmonary lesions, as well as mediastinum and heart shadow of different disease stages.Results: Among these cases, 1 case was in the early stage, 6 cases were in the progressive stage, and 1 case was in the recovery stage. A total of 68 bedside chest radiographs were obtained. In early stage, lesions were mainly in the external zone of both lungs with increased lamellar density. In progression stage, the lesions involved multiple pulmonary segments and lobes with extensive infiltrating changes. The heart shadow was mildly to moderately enlarged. In recovery stage, the broad distribution of striated density increased in both lungs, and the heart shadow remained enlarged.Conclusions: The pulmonary lesions in critically ill COVID-19 patients were characterized by rapid progression, extensive distribution, varied manifestations, and possible concomitant cardiac dilatation. Bedside chest radiograph examination could provide certain significance in the follow-up of critically ill patients.http://www.journaladvancedultrasound.com:81/fileup/2576-2516/PDF/2020-2-12.pdf|covid-19|pneumonia|critical cases|bedside chest radiography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yijun Zhang, MD, Jianjian Liu, MD, Qinqin Yan, MD, Nannan Shi, MD, Fei Shan, MD, Yuxin Shi, MD |
spellingShingle |
Yijun Zhang, MD, Jianjian Liu, MD, Qinqin Yan, MD, Nannan Shi, MD, Fei Shan, MD, Yuxin Shi, MD Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 Patients Advanced Ultrasound in Diagnosis and Therapy |covid-19|pneumonia|critical cases|bedside chest radiography |
author_facet |
Yijun Zhang, MD, Jianjian Liu, MD, Qinqin Yan, MD, Nannan Shi, MD, Fei Shan, MD, Yuxin Shi, MD |
author_sort |
Yijun Zhang, MD, Jianjian Liu, MD, Qinqin Yan, MD, Nannan Shi, MD, Fei Shan, MD, Yuxin Shi, MD |
title |
Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 Patients |
title_short |
Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 Patients |
title_full |
Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 Patients |
title_fullStr |
Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 Patients |
title_full_unstemmed |
Analysis of Characteristics of Bedside Chest Radiography in Critically Ill COVID-19 Patients |
title_sort |
analysis of characteristics of bedside chest radiography in critically ill covid-19 patients |
publisher |
Editorial Office of Advanced Ultrasound in Diagnosis and Therapy |
series |
Advanced Ultrasound in Diagnosis and Therapy |
issn |
2576-2516 |
publishDate |
2020-06-01 |
description |
Objective: To analyze the characteristics of bedside chest radiography in critically ill COVID-19 patients.Methods: Bedside chest x-ray data of 8 severe cases with COVID-19 during hospitalization were collected consecutively. The disease was divided into three stages, including early stage (1-4 days), progression stage (5-10 days), and recovery stage(≥11 days). Two radiologists individually analyzed the chest radiographs by a double-blind method and compared the changes of the distribution, morphology, and boundary of the pulmonary lesions, as well as mediastinum and heart shadow of different disease stages.Results: Among these cases, 1 case was in the early stage, 6 cases were in the progressive stage, and 1 case was in the recovery stage. A total of 68 bedside chest radiographs were obtained. In early stage, lesions were mainly in the external zone of both lungs with increased lamellar density. In progression stage, the lesions involved multiple pulmonary segments and lobes with extensive infiltrating changes. The heart shadow was mildly to moderately enlarged. In recovery stage, the broad distribution of striated density increased in both lungs, and the heart shadow remained enlarged.Conclusions: The pulmonary lesions in critically ill COVID-19 patients were characterized by rapid progression, extensive distribution, varied manifestations, and possible concomitant cardiac dilatation. Bedside chest radiograph examination could provide certain significance in the follow-up of critically ill patients. |
topic |
|covid-19|pneumonia|critical cases|bedside chest radiography |
url |
http://www.journaladvancedultrasound.com:81/fileup/2576-2516/PDF/2020-2-12.pdf |
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