Artikel ; Online: Correlation between Chest X-Ray Severity in COVID-19 and Age in Mexican-Mestizo Patients
BioMed Research International, Vol
An Observational Cross-Sectional Study
2021 Band 2021
Abstract: Introduction. Chest X-ray (CXR) is used for the initial triage of patients with suspected COVID-19. Studies of CXR scoring in the European population found a higher score in males than in females and significantly correlated with age. Because there have ... ...
| Abstract | Introduction. Chest X-ray (CXR) is used for the initial triage of patients with suspected COVID-19. Studies of CXR scoring in the European population found a higher score in males than in females and significantly correlated with age. Because there have not been studies in the Mexican-mestizo community, we aimed to compare the differences in CXR scores between males and females and their correlation with age after controlling comorbidities like diabetes and hypertension. Materials and Methods. A retrospective study of 1000 CXR of Mexican-mestizo patients with SARS-CoV-2 infection, confirmed by RT-PCR. Significant differences between age, age groups, symptoms, comorbidities, and CXR scores between males and females used the Mann–Whitney U, Chi-square tests (χ2), and Kruskal–Wallis tests. The relationship between the total CXR score and age was measured with the Spearman rank correlation coefficient (Rs); partial correlation analysis controlled the effect of symptoms, risk factors, and comorbidities. Results. The total CXR score did not show a difference between males and females grouped by age. There was a positive, low correlation between the total CXR score and age in males, Rs=0.260, p<0.001 (N=616), and in females, Rs=0.170, p=0.001 (N=384). Age only explained a <9% variance of CXR severity. Rs decreased its magnitude (from Rs=0.152 to Rs=0.046) and lost its significance (change in p value from p<0.001 to p=0.145) after controlling the effect of hypertension. Conclusions. There is no significant difference in CXR score between males and females in the Mexican-mestizo population grouped by age. Hypertension cancels the significance of CXR severity with age pointing to its role in the pathophysiology of COVID-19. Further research using stratified groups by age and gender in other populations needs to be published. |
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| Schlagwörter | Medicine ; R |
| Thema/Rubrik (Code) | 590 |
| Sprache | Englisch |
| Erscheinungsdatum | 2021-01-01T00:00:00Z |
| Verlag | Hindawi Limited |
| Dokumenttyp | Artikel ; Online |
| Datenquelle | BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl) |
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