Volume 19 Issue 2
Feb.  2021
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MA Gang, FENG Ke, MA Han-ning, MA Xiao-bin, YANG Xiao, MEI Bin. A study on the relationship between clinical and CT features and length of stay of general type novel coronavirus pneumonia patients in mobile cabin hospital[J]. Chinese Journal of General Practice, 2021, 19(2): 316-319. doi: 10.16766/j.cnki.issn.1674-4152.001798
Citation: MA Gang, FENG Ke, MA Han-ning, MA Xiao-bin, YANG Xiao, MEI Bin. A study on the relationship between clinical and CT features and length of stay of general type novel coronavirus pneumonia patients in mobile cabin hospital[J]. Chinese Journal of General Practice, 2021, 19(2): 316-319. doi: 10.16766/j.cnki.issn.1674-4152.001798

A study on the relationship between clinical and CT features and length of stay of general type novel coronavirus pneumonia patients in mobile cabin hospital

doi: 10.16766/j.cnki.issn.1674-4152.001798
Funds:

 XE202022

  • Received Date: 2020-07-15
    Available Online: 2022-02-19
  •   Objective  To retrospectively analyze the clinical and CT features of novel coronavirus pneumonia patients with general type and its' influence on the length of hospital stay, so as to provide reference for understanding the imaging features of novel coronavirus pneumonia and determining the outcome of patient.  Methods  The clinical and CT features of 84 patients with general type novel coronavirus pneumonia admitted to Wuhan Dongxihu mobile cabin hospital from February 7, 2020 to March 3, 2020 were summarized. Regression analysis was used to determine the impact of clinical and imaging characteristics on hospital stay.  Results  Among the 84 patients, 41 were males and 43 were females, aged from 17 to 73 years old, and 15 cases were positive for nucleic acid reexamination (17.86%). The most common manifestations of chest CT imaging were ground glass (98.81%) and enlarged vascular lumens (89.29%%). Most of the patients had signs of enlarged vascular lumens perpendicular to pleura (51.19%), some patients had Kerley B line (47.62%), strip shadow (38.10%) and consolidation shadow (16.67%), and a few patients had nodules (8.33%) and paving stone sign (4.76%). The majority of cases had bilateral distribution of lesions (82.14%), the proportion of lesions involving both the central and peripheral regions was 11.90%, and only the peripheral areas was 88.10%. The length of hospital stay was 8-25 days, and the average length of hospital stay was (16.02±4.32) days. The hospital stay of patients with positive nucleic acid reexamination was extended by 4.179 days compared with those with negative nucleic acid retest. The hospital stay of patients with lesions involving both central area and peripheral area, enlarged vascular lumens perpendicular to pleura was extended by 2.692 days and 3.123 days respectively compared with those without the above image features.  Conclusion  The length of hospital stay was longer in patients with positive nucleic acid reexamination, involvement of central area, thickening of blood vessels and signs perpendicular to pleura. It should be communicate with patients in time, and do a good job in psychological counseling.

     

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