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

dc.authoridKula, Sezar/0000-0001-8163-8345
dc.authoridKaravaş, Erdal/0000-0001-6649-3256
dc.authoridCivan Kuş, Ceyda/0000-0003-2093-2078
dc.authoridAslan, Serdar/0000-0003-2950-8767
dc.authoridOdaman, Hüseyin/0000-0003-1196-1512
dc.authoridSolmaz, Onur/0000-0002-4625-5506
dc.authoridUysal Ramadan, Selma/0000-0002-3653-7892
dc.contributor.authorOnur, Mehmet Ruhi
dc.contributor.authorÖzbay, Yakup
dc.contributor.authorIdilman, Ilkay
dc.contributor.authorKaraosmanoglu, Ali Devrim
dc.contributor.authorRamadan, Selma Uysal
dc.contributor.authorBarlik, Funda
dc.contributor.authorAydin, Sonay
dc.date.accessioned2025-01-21T16:33:39Z
dc.date.available2025-01-21T16:33:39Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
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.
dc.identifier.doi10.4274/dir.2022.221575
dc.identifier.endpage427
dc.identifier.issn1305-3612
dc.identifier.issue3
dc.identifier.pmid36960669
dc.identifier.scopus2-s2.0-85160874654
dc.identifier.scopusqualityQ2
dc.identifier.startpage414
dc.identifier.trdizinid1179444
dc.identifier.urihttps://doi.org/10.4274/dir.2022.221575
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay1179444
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23825
dc.identifier.volume29
dc.identifier.wosWOS:001038941900001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Soc Radiology
dc.relation.ispartofDiagnostic and Interventional Radiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectCOVID-19; abdomen; computed tomography; abdominal aorta; arteriosclerosis
dc.titleEvaluation of abdominal computed tomography findings in patients with COVID-19: a multicenter study
dc.typeArticle

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