Open Access Peer-reviewed Research Article

Prediction of mortality in adult COVID-19 patients using chest CT severity scoring systems: A comparative analysis of different scores

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Submitted   Dec 12, 2023
Published   Feb 22, 2024
Issue    Vol 5 No 1 (2023)
DOI   10.25082/AGPM.2023.01.002

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Didier Ndyanabo Ndabahweje
Department of Medical Imaging, Faculty of Medicine, University of Goma, Goma, Democratic Republic of the Congo
Olivier Mukuku corresponding author
Institut Supérieur des Techniques Médicales de Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Charles Kangitsi Kahindo
1. Department of Internal Medicine, Faculty of Medicine, University of Goma, Goma, Democratic Republic of the Congo; 2. Clinique Internationale de Médecine Avancé au Kivu, Goma, Democratic Republic of the Congo
Michel Lelo Tshikwela
Department of Medical Imagery, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
Gertrude Luyeye Mvila
Department of Medical Imagery, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
Antoine Molua Aundu
Department of Medical Imagery, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
Jean Tshibola Mukaya
Department of Medical Imagery, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo
Stanis Okitotsho Wembonyama
Department of Pediatrics, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo
Zacharie Kibendelwa Tsongo
Department of Internal Medicine, Faculty of Medicine, University of Kisangani, Kisangani, Democratic Republic of the Congo

Abstract

Purpose: To compare the accuracy of mortality prediction of four CT severity scoring systems for COVID-19: CT severity score three levels, CT severity score, Total severity score, and Chest CT score.
Methods: This was a retrospective study of 278 patients hospitalized with COVID-19 confirmed by a positive polymerase chain reaction (PCR) and in whom a CT scan was performed to assess the severity of lung involvement. This assessment was performed using four different scoring systems, including the CT severity score three levels, the CT severity score, the Total severity score, and the Chest CT score.
Results: A total of 278 COVID-19 patients had chest CT scans, of whom 59 (21.22%) died and 219 (78.78%) survived. The ROC curves showed outstanding performance for the four chest CT severity scoring systems: 0.9580 for the CT severity score; 0.9532 for the CT severity score three levels; 0.9474 for the Total severity score; and 0.9327 for the Chest CT score. The comparison of these four ROC curves revealed no statistically significant difference between the four scoring systems (X2 = 3.89; p = 0.2740).
Conclusion: The four chest CT severity scoring systems used predicted mortality in COVID-19 patients with excellent agreement and outstanding performance.

Keywords
COVID-19, prognosis, mortality, ROC curve, computed tomography, CT severity score

Article Details

How to Cite
Ndabahweje, D. N., Mukuku, O., Kahindo, C. K., Tshikwela, M. L., Mvila, G. L., Aundu, A. M., Mukaya, J. T., Wembonyama, S. O., & Tsongo, Z. K. (2024). Prediction of mortality in adult COVID-19 patients using chest CT severity scoring systems: A comparative analysis of different scores. Advances in General Practice of Medicine, 5(1), 81-89. https://doi.org/10.25082/AGPM.2023.01.002
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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