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. 2022 Jan 20;29(2):243–262. doi: 10.1007/s10140-021-02008-y

Table 3.

Semi-quantitative analysis of lung for prognostic features

Reference Author Year CT findings Results
[44] Baysal 2021

Higher incidence in ICU patients (39/405):

- GGO (87.2%)

- consolidations (79.5%)

- air bronchogram (53%)

- reticular pattern (48.7%)

- pleural effusions (31%)

- number of involved lobes (median IQR 5)

Higher median CT score in ICU patients:

- median IQR 13 vs. 4

- AUC – ICU: 0.71–0.75

Higher frequency in ICU patients:

- older age (median age 65)

- comorbidities: hypertension (57%), chronic kidney disease (17%)

[45] Ruch 2020

Significantly higher incidence in severe patients (95/572):

- GGO (98.9%)

- consolidations (74.7%)

- pulmonary embolism (16.8%)

- bilateral involvement (100%)

Association between lung involvement > 50% and early severe disease (ICU or death) OR: 2.35

Higher frequency in severe patients:

- male sex (80%)

- dyspnea (86.3%)

- lower SpO2 (median 90%)

- abnormal laboratory tests: higher CRP (median 154 mg/L), higher neutrophil count (median 6375 cells/mm3), lower lymphocyte count (median 740 cells/mm3), higher lactate (median 1.2 mmol/L)

[46] Luo 2021 Significantly higher incidence in ICU patients (64/496): pulmonary opacity score ≥ 41% (59%) Association between pulmonary opacity score ≥ 41% and ICU admission: OR 2.35
[47] Lieveld 2020 CO-RADS scoring system: ≥ 4 as the optimal cut-off for discriminating between a positive and a negative PCR AUC of 0.912

Higher median CT score in ICU patients: 14.8 vs. 5.5 – discharge home and 9.4 – hospital admission

Association between CTSS and ICU admission

- OR: 1.23

- AUC – ICU: 0.81

Higher frequency in severe patients:

- comorbidities: CVD (29.1%), COPD (20%), diabetes (23.7%), current malignancy (18.2), hypertension (36.3)

[48] Buttner 2020

Higher incidence in ICU patients (18/28):

- consolidation (94.4%)

- pleural effusions (16.7%)

Higher percentage of affected lung area in ICU patients:

- 26% vs. 7.8%

- 10% increase in the affected lung parenchyma area

- increased the instantaneous risk of intubation (HR 2.00) and ICU need (HR 1.73)

- AUC – ICU: 0.856

Higher frequency in ICU patients:

- younger age (median age 58.2)

- female sex (57%)

- obesity (22.2%)

[49] Hosse 2021

Higher incidence in ICU patients (137/265):

- extensive consolidation (13.1%)

- extensive GGOs (27.0%)

- posterolateral involvement (37.2%)

Higher percentage of affected lung area in ICU patients:

- 25.5% vs. 5.4%

- 10% increase in the affected lung parenchyma area

- increased the instantaneous risk of intubation (HR 1.35) and ICU need (HR 1.68)

- AUC – ICU: 0.735

Higher frequency in ICU patients:

- older age (median age 75.0) OR – ICU: 1.27

- male sex, OR – ICU: 1.20

- chronic lung disease, OR – ICU: 1.68

[50] Li 2021

Higher incidence in severe/critical patients (35/53):

- peak of CT scores in the third week (vs. the second week of moderate patients)

- higher overall lung involvement score (from the second to the fourth week)

AUC – severe/critical disease: overall lung involvement score (2nd week) 0.747, ground glass opacity score (2nd week) – 0.744

AUC combined models – severe/critical disease: overall lung involvement score (2nd week) + CURB65 0.808, overall lung involvement score (2nd week) + qSOFA 0.810

Higher frequency in ICU patients:

- cough

- higher qSOFA and CURB65 at admission

[51] Shayganfar 2021 Significantly higher incidence in ICU/death (38/176): bilateral lung involvement (97.4%)

Higher median CT score in ICU /death:

- 14.39 vs. 9.53

- AUC – ICU: 0.732

- OR – CT score ≥ 11: 4.38

OR – ICU/death: 4.38 – age ≥ 60, 2.78 – O2 saturation of ≤ 90.5%

[52] Mozafari 2021

Significantly higher incidence in ICU patients (32/213):

- consolidation (100%)

- crazy paving (71.87%)

- linear opacities (78.1%)

- air bronchogram (78.1%)

- bilateral distribution (100%)

- peripheral and central involvement (96.75%)

- pleural effusion (15.6%)

- higher number of involved lobes (87.5% – ≥ 5), mainly RUL (96.9%), RML (90.6%), LUL (96.9%)

Higher median CT score in ICU patients:

- median 17.34 vs. 6.78

- home discharge and 10.66

- hospitalized

- deceased patients after ICU admission (23/32): higher age – median 62.4 vs. 47.77, higher score – median 20.78 vs. 16.00

Higher frequency in ICU patients:

- male sex (71.9%)

- non pulmonary pre-existing conditions (43.75%)

- lower SpO2 (median 86.78%)

- dyspnea (100%)

- higher temperature (median 37.02)

- abnormal laboratory tests: higher ESR (median 68.50 mm/h), higher WBC (median 10.02 103/μL), lower lymphocyte count (median 11.22%)

[53] Davarpanah 2020

Significantly higher incidence in ICU patients (45/228):

- consolidation (31%)

- pleural effusion (26%)

- bronchial wall thickening (42%)

- peripheral and central distribution (24%)

Higher median CT score in ICU patients:

- 11.9 vs. 8.2

- OR – total CT score (per 1 score increase): 1.13

Higher frequency in ICU patients:

- older age (median age 65), OR – ICU (per 1-year increase): 1.05

- lower O2 saturation, OR – ICU (O2 saturation ≤ 88%): 3.97

[54] Salahshour 2021

Significantly higher incidence in ICU patients (72/739):

- total pulmonary involvement score (median 15.1) and density index (median 3.3)

- peripheral, pleural-based distribution of lesions (41.2%)

- bilateral lesions (92.6%)

- crazy paving

- pleural effusion (bilateral – 16.2%, unilateral 10.3%)

- crazy paving (36.8%)

- parenchymal band (39.7%)

AUC PI (cut-off 8) – ICU: 0.77

Predictive model (age ≥ 53, SpO2 ≤ 91, PI score ≥ 8) – ICU: sensitivity 40.98%, specificity 89.11%, NPV 89.63%, accuracy 81.95%

Significantly higher frequency in ICU patients:

- older age (median age 60.6)

- higher respiratory rate (> 24)

- lower O2 saturation (< 93%)

- higher PCR

- higher mortality (27.8%)