THE RELATIONSHIP BETWEEN INCREASED WEIGHT AND THE RADIOLOGICAL DEGREE OF LUNG DAMAGE IN COVID-19 PNEUMONIA
Introduction. The SARS-CoV-2 virus has caused a pandemic that has swept the whole world, since the end of 2019. Obese people around the world are at high risk of severe complications from Covid-19 due to the increased risk of chronic diseases caused by obesity.
The aim: to study the relationship between body weight (BMI) and outcomes of Covid-19 pneumonia depending on the radiological stage of lung damage.
Methods. 303 case histories of patients were retrospectively studied who received inpatient treatment in the infectious diseases department of the Semey Emergency Medical Service Hospital for Covid-19 at the peak of incidence from June 15, 2020 to July 15, 2020. A statistical analysis was carried out in the relationship between clinical and radiological indicators.
Results. There were 68 people with an increased BMI from the 290 patients with positive PCR test and who received inpatient treatment, women are 21.6%, men are 25.2%. The average age in the general group was 59.5±15.2. The end point as an unfavorable complication was a fatal outcome (FO). A positive correlation was determined between the degree of pulmonary lesion on CT-3 and CT-4 and FO (φ =0.009). The severity of Covid-19 pneumonia was based on an assessment of the degree of lung damage according to Chest X-ray and Chest CT. Patients with FO had a percentage of pulmonary lesion greater than 50%. It was found that the prevalence of the pathological process in the lungs is influenced by several unfavorable factors, including BMI.
Conclusions. Increased body weight did not affect mortality from pneumonia, and one of the predictors of the severity of pneumonia and death was the degree of pathological changes in the lungs, which is diagnosed by X-ray methods.
Madina R. Madiyeva1, https://orcid.org/0000-0001-6431-9713
Jamilya A. Мansurova2, https://orcid.org/0000-0003-2439-2056
Alida Sh. Kaskabayeva3, http://orcid.org/0000-0002-5184-214X
Arailym N. Kurmangalieva1, https://orcid.org/0000-0002-0620-9476
Anargul G. Kuanysheva1, https://orcid.org/0000-0002-6194-1029
Edige Duisenbekuly1, https://orcid.org/0000-0003-1134-3714
Daniyar T. Raissov1, http://orcid.org/0000-0002-3872-1263
1NCJSC «Semey Medical University», Department of Radiology, Semey city, Republic of Kazakhstan;
2NCJSC «Semey Medical University», Department of Therapy, Semey city, Republic of Kazakhstan;
3NCJSC «Semey Medical University», Department of Internal Diseases and Rheumatology, Semey city, Republic of Kazakhstan.
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Актуальная тема COVID-19
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Madiyeva M.R., Мansurova J.A., Kaskabayeva A.Sh., Kurmangalieva A.N., Kuanysheva A.G., Duisenbekuly E., Raissov D.T. The relationship between increased weight and the radiological degree of lung damage in Covid-19 pneumonia // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 5, pp. 6-11. doi 10.34689/SH.2022.24.5.001Похожие публикации:
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