Abstract

Coronavirus (COVID 19) disease predominantly affects the Respiratory system and cause by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV2). It enters into the host cells via angiotensin-converting enzyme-2 (ACE-2), a part of the renin-angiotensin system (RAS) found in the epithelium of the nasal, lungs.
 Aim: Chest Radiographic findings in COVID-19 patients detected for COVID care. Applying the novel chest radiographic scoring in disease-spread patients is admitted to the COVID care center and its correlation with blood oxygen saturation (SpO2) and clinical severity.
 Objective: 1) To apply the novel chest radiographic scoring in patients of COVID 19 infection are admitted to our Covid Care Centre and
 2) To apply its correlation with blood oxygen saturation (SpO2) and clinical severity.
 Results: 1) We found a moderate negative correlation between the chest radiographic score and SpO2. 2) Weak positive correlation between Clinical grading and CxR score.
 Conclusion: Chest radiographic score taking into account the nature of opacities and extent is useful in classifying the patients into mild-moderate, severe, and critical grades. Take-home Message: A chest radiograph can be used as a baseline radiological investigation in COVID 19 patients as it can help to triage them according to the severity and treat them accordingly.

Highlights

  • Coronavirus Disease (COVID19) is a primarily significant disease in the respiratory system, caused by the Corona virus 2 (SARS-COV2) Severe Acute Respiratory Syndrome [1]

  • Take-home Message: A chest radiograph can be used as a baseline radiological investigation in COVID 19 patients as it can help to triage them according to the severity and treat them

  • Total 26 patients (12 moderate, 13 severe, and one critical patient) admitted in the High Dependency Unit (HDU), as well as the Intensive Care Unit (IC ), underwent AP radiographs with a 400 mA portable Shimadzu Mobile Dart Evolution

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Summary

Introduction

Coronavirus Disease (COVID19) is a primarily significant disease in the respiratory system, caused by the Corona virus 2 (SARS-COV2) Severe Acute Respiratory Syndrome [1]. With a 79.6% sequence similarity to SARS COV and Corona Virus, the virus is penetrating the cells through Angiotensin-Converting Enzyme (ACE 2) receptors [2]. The virus has a resemblance to SARS and COV. As the input site for SARS COV2 in the cell, ACE2 and Trans membrane Serine Protease (TMPRSS2) plays a major role in the disease of the corona virus (COVID 19) [3]. The infected patients have varied presentations as cough, fever, sore throat, nasal congestion, headache in mild cases, malaise, and breathlessness with reduced SpO2 in moderate cases, features of pneumonia, and respiratory distress in severe and features of acute respiratory distress in critical cases in addition to the above

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