Relationship of the pulmonary disease severity scoring with thromboembolic complications in COVID-19.

Elmokadem, Ali H.; Bayoumi, Dalia; El-Morsy, Ahmed; Ehab, Ahmed; Abo-Hedibah, Sherif A.

Purpose: To correlate thromboembolic (TE) complications secondary to COVID-19 with the extent of the pulmonary parenchymal disease using CT severity scores and other comorbidities.Methods: In total, 185 patients with COVID-19 and suspected thromboembolic complications were classified into two groups based on the presence or absence of thromboembolic complications. Thromboembolic complications were categorized based on location. Chest CT severity scoring system was used to assess the pulmonary parenchymal disease severity in all patients. Based into severity scores, patients were categorized into three groups (mild, moderate, and sever disease).Results: The final study cohort consisted of 171 patients (99 male and 72 female) after excluding 14 patients with non-diagnostic CT pulmonary angiography. The TE group included 53 patients with a mean age of 55.1 ± 7.1, while the non-TE group included 118 patients with a mean age of 52.9 ± 10.8. Patients with BMI > 30 kg/m2 or having a history of smoking and HTN were found more frequently in the TE group (p 30 kg/m2, smoking, and HTN had a higher and more significant odds ratio for developing TE complications.Conclusion: The present data suggest that severe pulmonary parenchymal disease secondary to COVID-19 is associated with a higher incidence of thromboembolic complications.

LUNG diseases; THROMBOEMBOLISM; COMPUTED tomography; COVID-19; ODDS ratio; PULMONARY hypertension

Emergency Radiology, 2022, Vol 29, Issue 1, p9

1070-3004

Academic Journal

10.1007/s10140-021-01998-z