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Letter to the editor: Evaluation of Pneumonia Severity and Lung Computed Tomography Findings in Covid-19 Patients

Year 2025, Volume: 16 Issue: Erken Çevrimiçi Yayınlar

Abstract

Aim: Examining clinical and imaging features can help deepen our understanding of the mechanisms of severe disease and improve clinical diagnosis and treatment. This study aimed to describe the relationship between the clinical, laboratory, and lung computed tomography (LCT) characteristics of patients with coronavirus 2019 (COVID-19) pneumonia and determine the severity of pneumonia in these patients.

Methods: The pneumonia severity index (PSI) score system, LCT images, and laboratory parameters at the time of first presentation to the emergency department were examined to assess the severity of COVID-19 pneumonia in adult patients.

Results: The sample consisted of 225 patients, 130 (57.8%) men and 95 (42.2%) women, with a mean age of 60.4 ± 16.04 years. Of these, 161 (71.6%) had moderate disease, and 62 (27.6%) had severe disease and were followed up in the intensive care unit. A significant relationship was found between COVID-19-associated mortality and male gender (p=0.045), advanced age (p<0.001), high neutrophil count (p<0.001), low eosinophil count (p<0.001), 5-49% lung involvement on LCT (p<0.001), and PSI groups IV and V (p<0.001). No statistically significant relationship was found between increased CRP levels and mortality (p=0.764).

Conclusion: The most significant factors for mortality were advanced age, low eosinophil and lymphocyte counts, increased lactate and ferritin levels, and PSI group V. This study highlights clinical evidence supporting risk factors for the severity and mortality of COVID-19.

Ethical Statement

Ethics Committee approval is not required.

Supporting Institution

This research did not receive any specific financial support from public, commercial, or non-profit funding agencies.

References

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There are 5 citations in total.

Details

Primary Language English
Subjects Respiratory Diseases
Journal Section Letters to the Editor
Authors

Ali Sarıdaş 0000-0002-2725-6001

Early Pub Date June 18, 2025
Publication Date
Submission Date March 22, 2025
Acceptance Date May 18, 2025
Published in Issue Year 2025Volume: 16 Issue: Erken Çevrimiçi Yayınlar

Cite

EndNote Sarıdaş A (June 1, 2025) Letter to the editor: Evaluation of Pneumonia Severity and Lung Computed Tomography Findings in Covid-19 Patients. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 16 Erken Çevrimiçi Yayınlar