Modified Chest X-Ray Scoring System in Evaluating Severity of COVID-19 Patient in Dr. Soetomo General Hospital  Surabaya, Indonesia

The management of COVID-19 patients requires efficiency and accuracy in methods of detection, identification, monitoring, and treatment feasible in every hospital. Aside from clinical presentations and laboratory markers, chest x-ray imaging could also detect pneumonia caused by COVID-19. It is also...

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Bibliographic Details
Published in:International journal of general medicine 2021-01, Vol.14, p.2407-2412
Main Authors: Setiawati, Rosy, Widyoningroem, Anita, Handarini, Triwulan, Hayati, Fierly, Basja, Agnes Triana, Putri, Atrikha Rahma Dyana Surya, Jaya, Merlin Guntur, Andriani, Jessica, Tanadi, Melina Rosita, Kamal, Imran Harsam
Format: Article
Language:English
Subjects:
Asymptomatic
Bacterial pneumonia
brixia score
Care and treatment
chest radiographs
Coronaviruses
COVID-19
Development and progression
Diagnosis
Fatalities
Hospitals
Lungs
modified score
Mortality
Original Research
Patients
Pleural effusion
Pneumonia
Radiography
rale score
Veins & arteries
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Summary:The management of COVID-19 patients requires efficiency and accuracy in methods of detection, identification, monitoring, and treatment feasible in every hospital. Aside from clinical presentations and laboratory markers, chest x-ray imaging could also detect pneumonia caused by COVID-19. It is also a fast, simple, cheap, and safe modality used for the management of COVID-19 patients. Established scoring systems of COVID-19 chest x-ray imaging include Radiographic Assessment of Lung Edema (RALE) and Brixia classification. A modified scoring system has been adopted from BRIXIA and RALE scoring systems and has been made to adjust the scoring system needs at Dr. Soetomo General Hospital, Indonesia. This study aims to determine the value of scoring systems through chest x-ray imaging in evaluating the severity of COVID-19. Data were collected from May to June of 2020 who underwent chest x-ray evaluation. Each image is then scored using three types of classifications: modified score, RALE score, and Brixia score. The scores are then analyzed and compared with the clinical conditions and laboratory markers to determine their value in evaluating the severity of COVID-19 infection in patients. A total of 115 patients were males (51.1%) and 110 were females (48.9%). All three scoring systems are significantly correlated with the clinical severity of the disease, with the strengths of correlation in order from the strongest to weakest as Brixia score (p
ISSN:1178-7074
1178-7074
DOI:10.2147/IJGM.S310577