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The Role of CO-RADS Scoring System in the Diagnosis of COVID-19 Infection and its Correlation with Clinical Signs

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info:eu-repo/semantics/closedAccess

Date

2022

Author

Comoglu, Senol
Ozturk, Sinan
Topcu, Ahmet
Kulali, Fatma
Kant, Aydin
Sobay, Resul
Arslan, Mustafa

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Abstract

Background: Computed tomography (CT) evaluation systematics has become necessary to eliminate the difference of opinion among radiologists in evaluating COVID-19 CT findings. Introduction: The objectives of this study were to evaluate the efficiency of CO-RADS scoring system in our patients with COVID-19 as well as to examine its correlation with clinical and laboratory findings. Methods: The CO-RADS category of all patients included in the study was determined by a radiologist who did not know the rtRT-PCR test result of the patients, according to the Covid-19 reporting and data system of Mathias Prokop et al. Results: A total of 1338 patients were included. CT findings were positive in 66.3%, with a mean CO-RADS score of 3,4 +/- 1,7. 444 (33.1%) of the patients were in the CO-RADS 1-2, 894 (66.9%) were in the CO-RADS 3-5 group. There were positive correlations between CO-RADS score and age, CMI, hypertension, diabetes mellitus, chronic pulmonary diseases presence of symptoms, symptom duration, presence of cough, shortness of breath, malaise, CRP, and LDH, while CO-RADS score was negatively correlated with lymphocyte count. The results of the ROC analysis suggested that those with age >= 40 years, symptom duration >2 days, CMI score >1 and/or comorbid conditions were more likely to have a CO-RADS score of 3-5. Conclusion: The CO-RADS classification system is a CT findings assessment system that can be used to diagnose COVID-19 in patients with symptoms of cough, shortness of breath, myalgia and fatigue for more than two days.

Volume

18

Issue

4

URI

https://doi.org/10.2174/1573405617666210827150937
https://hdl.handle.net/20.500.12450/2565

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  • PubMed İndeksli Yayınlar Koleksiyonu [458]
  • Scopus İndeksli Yayınlar Koleksiyonu [1574]
  • WoS İndeksli Yayınlar Koleksiyonu [2182]



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