Evaluation of abdominal computed tomography findings in patients with COVID-19: A multicenter study

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dc.authorid0000-0003-1732-7862en_US
dc.authorid0000-0002-1913-2404en_US
dc.authorid0000-0003-0027-9593en_US
dc.authorid0000-0002-3653-7892en_US
dc.authorid0000-0001-5428-0368en_US
dc.contributor.authorOnur, Mehmet Ruhi
dc.contributor.authorÖzbay, Yakup
dc.contributor.authorİdilman, İlkay Sedakat
dc.contributor.authorKaraosmanoğlu, Ali Devrim
dc.contributor.authorRamadan, Selma Uysal
dc.contributor.authorGürel, Safiye
dc.date.accessioned2024-05-08T11:30:55Z
dc.date.available2024-05-08T11:30:55Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractPURPOSETo evaluate the frequency of abdominal computed tomography (CT) findings in patients with coronavirus disease-2019 (COVID-19) and interrogate the relationship between abdominal CT findings and patient demographic features, clinical findings, and laboratory test results as well as the CT atheroscle-rosis score in the abdominal aorta.METHODSThis study was designed as a multicenter retrospective study. The abdominal CT findings of 1.181 patients with positive abdominal symptoms from 26 tertiary medical centers with a positive polymerase chain-reaction test for severe acute respiratory syndrome coronavirus 2 were reviewed. The frequency of ischemic and non-ischemic CT findings as well as the association between CT findings, clinical features, and abdominal aortic calcific atherosclerosis score (AA-CAS) were recorded.RESULTSIschemic and non-ischemic abdominal CT findings were detected in 240 (20.3%) and 328 (27.7%) patients, respectively. In 147 patients (12.4%), intra-ab-dominal malignancy was present. The most frequent ischemic abdominal CT findings were bowel wall thickening (n = 120; 10.2%) and perivascular infil-tration (n = 40; 3.4%). As for non-ischemic findings, colitis (n = 91; 7.7%) and small bowel inflammation (n = 73; 6.2%) constituted the most frequent disease processes. The duration of hospital stay was found to be higher in patients with abdominal CT findings than in patients without any positive findings (13.8 & PLUSMN; 13 vs. 10.4 & PLUSMN; 12.8 days, P < 0.001). The frequency of abdominal CT findings was significantly higher in patients who did not survive the infection than in patients who were discharged after recovery (41.7% vs. 27.4%, P < 0.001). Increased AA-CAS was found to be associated with a higher risk of ischemic conditions in abdominal CT examinations.CONCLUSIONAbdominal symptoms in patients with COVID-19 are usually associated with positive CT findings. The presence of ischemic findings on CT correlates with poor COVID-19 outcomes. A high AA-CAS is associated with abdominal ischemic findings in patients with COVID-19.en_US
dc.identifier.citationOnur, M. R., Özbay, Y., Idilman, I., Karaosmanoğlu, A. D., Ramadan, S. U., Barlık, F., ... & Karçaaltıncaba, M. (2023). Evaluation of abdominal computed tomography findings in patients with COVID-19: a multicenter study. Diagnostic and Interventional Radiology, 29(3), 414.en_US
dc.identifier.doi10.4274/dir.2022.221575
dc.identifier.endpage427en_US
dc.identifier.issn1305-3612
dc.identifier.issue3en_US
dc.identifier.pmid36960669en_US
dc.identifier.scopus2-s2.0-85160874654en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage414en_US
dc.identifier.trdizinid1179444en_US
dc.identifier.urihttp://dx.doi.org/10.4274/dir.2022.221575
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12135
dc.identifier.volume29en_US
dc.identifier.wosWOS:001038941900001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGürel, Safiye
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofDiagnostic and Interventional Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOVID-19en_US
dc.subjectAbdomenen_US
dc.subjectComputed Tomographyen_US
dc.subjectAbdominal Aortaen_US
dc.subjectArteriosclerosisen_US
dc.subjectInfectionen_US
dc.titleEvaluation of abdominal computed tomography findings in patients with COVID-19: A multicenter studyen_US
dc.typeArticleen_US

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