SPECTRUM OF HRCT SCAN CHEST FINDINGS IN COVID-19 PATIENTS AS CATEGORIZED BY MODIFIED CO-RADS CLASSIFICATION

Authors

  • Yassir Musa Department of Radiology, College of Medicine, Al Maarefa University, Kingdom of Saudi Arabia Author
  • Rawabi Mohammed Aljohani Medical student, College of Medicine , University of Ha’il ,KSA Author
  • Amirah Fahad Alshammeri Department of Radiology, College of Medicine, University of Hail , Saudia Author
  • Madiha Mahmood Liaquat College of Medicine & Dentistry | Dar ul Sehat campus, Jinnah Sindh Medical University Author
  • Marwa Ismail Khalid Mohamed Family medicine specialist _FRCGP ,Al Zaim Al azhari university , Kingdom of Saudi Arabia Author
  • Harmain Maqsood Alpha College, Karachi Author
  • Fatima Hamadain Alnourain Hamed Community Medicine, Najran University –Faculty of Medicine. Author
  • Manal Satti Awad Elsied Lecturer Department of Applied Medical Sciences ,Northern Border University Author
  • Omnia Abdalla Mahmoud Higazy Department of Nursing, College of Nursing and Health Sciences, Jazan University, Saudi Arabia Author
  • Mohammed Khalid Hussein Khalid Department of Nursing ,College of Nursing and health science, Jazan University. Saudi Arabia Author
  • Dr. Aida El Alginawi Department of Biochemistry, Faculty of Medicine Najran University, Narjan Author
  • Dr.Maha Abdullatif Department of Surgry, Northern Border University, KSA Author
  • Yousif S. Adam Biological Department , College of Science and Arts ,Najran University, Saudia Author

DOI:

https://doi.org/10.48047/t1awz345

Keywords:

COVID-19, HRCT chest, CO-RADS, CT severity score, ground-glass opacities, radiological severity, clinical outcome

Abstract

High-resolution computed tomography (HRCT) has emerged as a valuable tool in diagnosing and stratifying COVID-19 patients, especially where RT-PCR results are delayed. The modified CO-RADS classification system helps standardize reporting and assess the likelihood of COVID-19 infection based on imaging findings. Objective: To evaluate the spectrum of HRCT chest findings in confirmed COVID-19 patients using the modified CO-RADS classification and assess the association of radiological severity with clinical outcomes. Methods: This cross-sectional study included 110 COVID-19 patients categorized using the modified CO-RADS system. HRCT findings such as ground-glass opacities, consolidation, and crazy-paving were documented. Clinical variables including oxygen requirement, ICU admission, and hospital stay were compared across CO-RADS categories. Data were analyzed using SPSS version 26. Results: Most patients were categorized as CO-RADS 5 (42.7%) and CO-RADS 6 (21.8%). Ground-glass opacities (82.7%) and consolidation (61.8%) were the most common findings. Patients in CO-RADS 5–6 had significantly higher oxygen needs (69%), ICU admissions (19.7%), and hospital stays >7 days (52.1%). Logistic regression showed CO-RADS 5–6 (OR 6.8, p<0.001), age >50 years (OR 2.9, p=0.004), and comorbidities (OR 3.2, p=0.002) as strong predictors of severe disease. Conclusion: Modified CO-RADS classification effectively reflects both the radiological and clinical severity of COVID-19. Its integration into routine clinical workflow can improve early identification of high-risk patients and guide timely intervention.

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Published

2024-08-12

Issue

Vol. 53 No. 03 (2024): Year 2024, Volume 53, Issue 3

Section

Articles

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How to Cite

SPECTRUM OF HRCT SCAN CHEST FINDINGS IN COVID-19 PATIENTS AS CATEGORIZED BY MODIFIED CO-RADS CLASSIFICATION (Y. Musa, R. Mohammed Aljohani, A. Fahad Alshammeri, M. Mahmood, M. I. Khalid Mohamed, H. Maqsood, F. H. Alnourain Hamed, M. S. Awad Elsied, O. A. Mahmoud Higazy, M. K. Hussein Khalid, A. El Alginawi, M. Abdullatif, & Y. S. Adam , Trans.). (2024). Cuestiones De Fisioterapia, 53(03), 5516-5524. https://doi.org/10.48047/t1awz345