Chest x-ray findings and its temporal evolution in adult patients with COVID-19 pneumonia in De La Salle University Medical Center from March 2020 to September 2020

Publication Date

2000

Document Type

Research

Abstract

This study aimed to identify the radiographic features and progression of radiographic findings among COVID-19 confirmed patients that would be beneficial for patient management. This study used a total enumeration of patients which was identified from the Hospital's patient database with RT-PCR test and Chest X-rays (CXR) performed from March 2020, to September 2020 in De La Salle University Medical Center. The chest radiograph findings of COVID-19 infected Filipino patients had predilection for both lower lungs, peripheral predominance and presence of ground glass opacities. The severity of pulmonary findings is at its peak during day 0-6 with average RALE score of 12. The most common radiographic findings were ground glass and pulmonary consolidation which were present in the initial course of the disease, and as the disease progresses on Days 7-9, other pulmonary findings started to appear such as pleural effusion during the time of hospitalization. Chest radiograph is the initial diagnostic tool used among patients with suspected and confirmed COVID-19 infection because it is readily available, cost effective and offers fast results. Having obtaining knowledge on the temporal evolution of the disease on chest radiographs, the author believes that this will aid the clinicians in managing their patients promptly, hence benefiting the patient without delay.

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