Öz

Giriş ve Amaç: Koronavirus hastalığı-2019 (COVID-19) olan kritik hastalarda Air-Leak (AL) sendromunu önceden tahmin edebilmek ve risk faktörlerini bilmek morbidite ve mortaliteyi azaltabilir. Bu çalışmada, thoraks bilgisayarlı tomografi şiddet skorunun (CT-SS), AL gelişimini tahmin edip edemediğini araştırmayı amaçladık.

Yöntem ve Gereçler: COVID-19 hastaları, AL sendromu gelişip gelişmemesine göre iki gruba ayrıldı. Tüm hastalar için CT-SS hesaplandı. CT-SS’nin AL sendromunun gelişmesinin öngörme gücü ve AL için olası risk faktörleri araştırıldı.

Bulgular: Çalışmaya dahil edilen 272 hastanın 52’sinde (%19.1) AL sendromu gelişti. Medyan CT-SS Grup AL’da anlamlı derecede yüksekti. Grup AL’de CT-SS değeri 19(2-25), AL olmayan Grupda ise 13(1-25) idi (p değeri <0.001). CT-SS, AL oluşumunu tahmin etmede iyi tanısal performansa sahip olduğu tespit edildi (p<0.001). Grupların yoğun bakım mortalitesi karşılaştırıldığında AL olmayan grupta %42.3, AL grubunda ise %88.5 olduğu görüldü.

Tartışma ve Sonuç: CT-SS, COVID-19 ile beraber görülen AL sendromunun gelişiminde öngörme potansiyeli olabilir. Ancak bu konuda daha ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler: COVID-19, yoğun bakım ünitesi, air-leak sendromu, BT şiddet skoru, mortalite

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