Yıl: 2020 Cilt: 22 Sayı: S1 Sayfa Aralığı: 23 - 28 Metin Dili: İngilizce DOI: 10.18678/dtfd.778854 İndeks Tarihi: 18-12-2020

Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients

Öz:
Aim: Coronavirus disease 2019 (COVID-19) is an unprecedented cause of pandemicsaffecting all segments of society. It is not known whether hemodialysis patients form adifferent patient group in terms of susceptibility to COVID-19 infection or severe disease. Inthis study, thorax computed tomography (CT) findings were evaluated in hemodialysis patientsdiagnosed with COVID-19 infection during the pandemic period.Material and Methods: CT findings of 32 hemodialysis patients diagnosed with COVID-19with real-time polymerase chain reaction or thorax CT examination were evaluatedretrospectively. Radiological findings were classified as ground glass, consolidation, mixedtype involvement (ground glass and consolidation), crazy paving appearance, interlobularseptal thickening, nodule, halo-reverse halo finding, air bronchogram finding, subpleuralcurvilinear opacities and tree-in-bud views.Results: A total of 32 patients were included in the study. Twenty-one (65.6%) of the patientswere male and 11 (34.4%) were female. The mean age was 67.5±8.5 years. All patients hadchronic kidney failure. Thorax CT examination revealed ground-glass opacities in 14 (43.8%)patients, consolidation in 3 (9.4%) patients, and mixed type involvement (ground-glassopacities and consolidation) in 15 (46.9%) patients. The accompanying CT findings werepleural effusion in 23 (71.9%) patients, subpleural curvilinear opacities in 13 (40.6%) patients,bronchial wall thickening in 11 (34.4%) patients, lymphadenopathy in 7 (21.9%) patients,bronchiectasis in 4 (12.5%) patients and pleural thickening in 4 (12.5%) patients.Conclusion: When hemodialysis patients are infected with COVID-19 infection, they differsignificantly from other COVID-19 patients in terms of symptoms, clinical course, andprognosis, as well as imaging findings.
Anahtar Kelime:

Hemodiyaliz Hastalarında COVID-19 Toraks Bilgisayarlı Tomografi Bulgularının Değerlendirilmesi

Öz:
Amaç: Koronavirüs hastalığı 2019 (coronavirus disease 2019, COVID-19) toplumun her kesimini etkileyen benzeri görülmemiş bir pandemi sebebidir. Hemodiyaliz hastalarının, COVID-19 enfeksiyonuna ya da şiddetli hastalığa yatkınlık açısından farklı bir hasta grubunu oluşturup oluşturmadıkları bilinmemektedir. Bu çalışmada pandemi döneminde COVID-19 enfeksiyonu tanısı alan hemodiyaliz hastalarında toraks bilgisayarlı tomografi (BT) bulguları değerlendirilmiştir. Gereç ve Yöntemler: Gerçek zamanlı polimeraz zincir reaksiyonu veya toraks BT incelemesi ile COVID-19 tanısı konulan 32 hemodiyaliz hastasının BT bulguları geriye dönük olarak değerlendirildi. Radyolojik bulgular; buzlu cam, konsolidasyon, karışık tip tutulum (buzlu cam ve konsolidasyon), kaldırım taşı görünümü, interlobüler septal kalınlaşma, nodül, halo-ters halo bulgusu, hava bronkogram bulgusu, subplevral kürvilineer opasiteler ve tomurcuklanmış ağaç görünümleri olarak sınıflandırıldı. Bulgular: Çalışmaya toplam 32 hasta dahil edildi. Hastaların 21’i (%65,6) erkek, 11’i (%34,4) kadındı. Yaş ortalaması 67,5±8,5 yıl idi. Tüm hastalarda kronik böbrek yetmezliği mevcuttu. Toraks BT incelemesinde hastaların 14'ünde (%43,8) buzlu cam görünümü, 3'ünde (%9,4) konsolidasyon ve 15'inde (%46,9) karışık tip tutulum (buzlu cam görünümü ve konsolidasyon) görüldü. Eşlik eden BT bulguları 23 (%71,9) hastada plevral effüzyon, 13 (%40,6) hastada subplevral kürvilineer opasiteler, 11 (%34,4) hastada bronşiol duvar kalınlaşması, 7 (%21,9) hastada lenfadenopati, 4 (%12,5) hastada bronşektazi ve 4 (%12,5) hastada plevral kalınlaşma idi. Sonuç: Hemodiyaliz hastaları COVID-19 enfeksiyonuna yakalandıklarında semptom, klinik seyir ve prognostik açıdan olduğu gibi görüntüleme bulguları açısından da diğer COVID-19 hastalarından önemli farklılıklar göstermektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ateş Ö, Arık E, Taydaş O, dheir h, Güneysu F (2020). Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. , 23 - 28. 10.18678/dtfd.778854
Chicago Ateş Ömer Faruk,Arık Erbil,Taydaş Ogün,dheir hamad,Güneysu Fatih Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. (2020): 23 - 28. 10.18678/dtfd.778854
MLA Ateş Ömer Faruk,Arık Erbil,Taydaş Ogün,dheir hamad,Güneysu Fatih Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. , 2020, ss.23 - 28. 10.18678/dtfd.778854
AMA Ateş Ö,Arık E,Taydaş O,dheir h,Güneysu F Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. . 2020; 23 - 28. 10.18678/dtfd.778854
Vancouver Ateş Ö,Arık E,Taydaş O,dheir h,Güneysu F Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. . 2020; 23 - 28. 10.18678/dtfd.778854
IEEE Ateş Ö,Arık E,Taydaş O,dheir h,Güneysu F "Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients." , ss.23 - 28, 2020. 10.18678/dtfd.778854
ISNAD Ateş, Ömer Faruk vd. "Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients". (2020), 23-28. https://doi.org/10.18678/dtfd.778854
APA Ateş Ö, Arık E, Taydaş O, dheir h, Güneysu F (2020). Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. Düzce Tıp Fakültesi Dergisi, 22(S1), 23 - 28. 10.18678/dtfd.778854
Chicago Ateş Ömer Faruk,Arık Erbil,Taydaş Ogün,dheir hamad,Güneysu Fatih Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. Düzce Tıp Fakültesi Dergisi 22, no.S1 (2020): 23 - 28. 10.18678/dtfd.778854
MLA Ateş Ömer Faruk,Arık Erbil,Taydaş Ogün,dheir hamad,Güneysu Fatih Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. Düzce Tıp Fakültesi Dergisi, vol.22, no.S1, 2020, ss.23 - 28. 10.18678/dtfd.778854
AMA Ateş Ö,Arık E,Taydaş O,dheir h,Güneysu F Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. Düzce Tıp Fakültesi Dergisi. 2020; 22(S1): 23 - 28. 10.18678/dtfd.778854
Vancouver Ateş Ö,Arık E,Taydaş O,dheir h,Güneysu F Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients. Düzce Tıp Fakültesi Dergisi. 2020; 22(S1): 23 - 28. 10.18678/dtfd.778854
IEEE Ateş Ö,Arık E,Taydaş O,dheir h,Güneysu F "Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients." Düzce Tıp Fakültesi Dergisi, 22, ss.23 - 28, 2020. 10.18678/dtfd.778854
ISNAD Ateş, Ömer Faruk vd. "Evaluation of COVID-19 Thorax Computed Tomography Findings in Hemodialysis Patients". Düzce Tıp Fakültesi Dergisi 22/S1 (2020), 23-28. https://doi.org/10.18678/dtfd.778854