Is pleural effusion in COVID-19 interstitial pneumonia related to in-hospital mortality?

Abstract

The recent severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) pandemic has highlighted the importance of pulmonary computed tomography (CT) for diagnosis and prognostic stratification of this new viral pneumonia. 1370 lung CT scans (performed at the time of admission) of consecutive patients hospitalized for SARS-CoV-2 in Northern Italy during the first epidemic wave were analyzed by a radiological CoreLab. The presence of pleural effusion on pulmonary CT scan was present in 188 patients (13.3% of the population) and identified a population with more comorbidities. Patients with pleural effusion had more cardio-respiratory complications with higher mortality. Pleural effusion was an independent predictor of death on multivariate analysis with an HR of 1.4 (95% confidence interval 1-1.9). Pulmonary CT pleural effusion was an independent predictor of mortality.

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References

Bao C, Liu X, Zhang H, et al. Coronavirus disease 2019 (COVID19) CT findings: a systematic review and meta-analysis. J Am Coll Radiol 2020;17:701-9. DOI: https://doi.org/10.1016/j.jacr.2020.03.006

Li K, Wu J, Wu F, et al. The clinical and chest CT features associated with severe and critical COVID-19 pneumonia. Investig Radiol 2020;55:327-31. DOI: https://doi.org/10.1097/RLI.0000000000000672

Adams HJA, Kwee TC, Yakar D, et al. Chest CT imaging signature of COVID-19 infection. Chest 2020;S0012369220317335 [Epub ahead of print].

Published
2021-03-18
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Brief Reports
Keywords:
COVID-19, chest, computed tomography, pneumonia, pleuric effusion.
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How to Cite
Cereda, A., Toselli, M., Palmisano, A., Leone, R., Vignale, D., Nicoletti, V., Campo, G., Monello, A., Ippolito, D., Giannini, F., & Esposito, A. (2021). Is pleural effusion in COVID-19 interstitial pneumonia related to in-hospital mortality?. Italian Journal of Medicine, 15(1). https://doi.org/10.4081/itjm.2021.1440