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Chest Radiography Findings of COVID-19 Patients: Differences between the Intubated and Non-intubated Groups

Objectives We sought to identify the chest radiography differences at presentation between two groups of hospitalized confirmed COVID-19 patients; intubated group compared to non-intubated group. Methods We retrospectively collected the data of confirmed hospitalized COVID-19 patients at the Royal Hospital, Muscat, Oman, from March to April 2020. Radiographic and clinical data were collected from the hospital and radiology information systems and compared between two groups based on intubation status. Results Twenty-six patients confirmed to have COVID-19 by reverse-transcriptase polymerase chain reaction test were included in the study; 15/26 were non-intubated, and 11/26 were intubated. Overall, 88.5% were males in the intubated group. Respiratory symptoms were the most common presentation (84.6%) followed by fever (76.9%), with no statistical difference between the two groups. There was a statistically significant difference in having diabetes mellitus (p = 0.020) in which 8/11 and 4/15 were recorded to have diabetes mellitus in the intubated and non-intubated groups, respectively. Other comorbidities showed no statistically significant difference. The radiographic analysis redemonstrates the peripheral lower zone distribution but no statistically significant difference among the two groups. There were no differences between the intubated and non-intubated chest radiography in laterality involvement, central and peripheral distribution, and lesions type. However, upper zones involvement was more noted in the intubated group with 10/11 (90.9%) compared to 7/15 (46.7%) in non-intubated cases (p = 0.036). There were higher numbers of zone involvement in intubated cases than non-intubated cases: 9/11 (81.8%) of intubated patients had 10–12 areas of involvement on chest radiographs compared to 3/15 (20.0%) in the non-intubated group. Half of the cases were discharged home; 3/11 from the intubated group and 10/15 from the non-intubated group. Five patients died from the intubated group (5/11) versus 3/15 from the non-intubated group. Five patients are still hospitalized (three from the intubated group and two from the non-intubated group). Conclusions The radiographic findings among intubated and non-intubated hospitalized COVID-19 patients demonstrate differences in the number of zones involved. More upper zone involvement was noted in the intubated group. Male sex and diabetes mellitus carried a poorer prognosis and were more associated with the intubated group.

Objectives: We sought to identify the chest radiography differences at presentation between two groups of hospitalized confirmed COVID-19 patients; intubated group compared to non-intubated group. Methods: We retrospectively collected the data of confirmed hospitalized COVID-19 patients at the Royal Hospital, Muscat, Oman, from March to April 2020. Radiographic and clinical data were collected from the hospital and radiology information systems and compared between two groups based on intubation status. Results: Twenty-six patients confirmed to have COVID-19 by reverse-transcriptase polymerase chain reaction test were included in the study; 15/26 were non-intubated, and 11/26 were intubated. Overall, 88.5% were males in the intubated group. Respiratory symptoms were the most common presentation (84.6%) followed by fever (76.9%), with no statistical difference between the two groups. There was a statistically significant difference in having diabetes mellitus (p = 0.020) in which 8/11 and 4/15 were recorded to have diabetes mellitus in the intubated and non-intubated groups, respectively. Other comorbidities showed no statistically significant difference. The radiographic analysis redemonstrates the peripheral lower zone distribution but no statistically significant difference among the two groups. There were no differences between the intubated and non-intubated chest radiography in laterality involvement, central and peripheral distribution, and lesions type. However, upper zones involvement was more noted in the intubated group with 10/11 (90.9%) compared to 7/15 (46.7%) in non-intubated cases (p = 0.036). There were higher numbers of zone involvement in intubated cases than non-intubated cases: 9/11 (81.8%) of intubated patients had 10-12 areas of involvement on chest radiographs compared to 3/15 (20.0%) in the non-intubated group. Half of the cases were discharged home; 3/11 from the intubated group and 10/15 from the non-intubated group. Five patients died from the intubated group (5/11) versus 3/15 from the non-intubated group. Five patients are still hospitalized (three from the intubated group and two from the non-intubated group). Conclusions: The radiographic findings among intubated and non-intubated hospitalized COVID-19 patients demonstrate differences in the number of zones involved. More upper zone involvement was noted in the intubated group. Male sex and diabetes mellitus carried a poorer prognosis and were more associated with the intubated group.
presentations of the disease. [4][5][6][7][8] Multiple comorbidities were associated with increased risk of hospitalization and poor prognosis. The commonest were diabetes mellitus, hypertension, and a history of smoking. 6,8-10 laboratory findings of high neutrophil count and lymphopenia have been associated with the infection. [10][11][12] The role of imaging in the diagnostic workup of cases suspected to have COVID-19 has been rising, particularly in regions where reverse-transcriptase polymerase chain reaction (RT-pCR) testing was limited. The wide accessibility to chest X-rays made it the first imaging modality adopted by many centers at the triage level of COVID-19 patients and in monitoring the admitted group. It was reported that radiological findings in COVID-19 patients were observed at one to three weeks from disease onset. 13 The main findings on chest radiographs were bilateral peripheral opacities. [13][14][15][16] Imaging using chest radiograph and computed tomography are recommended modalities at the triage room, based on availability. The mobile chest X-ray is the simplest most available modality. Imaging for highly suspicious cases of COVID-19 is recommended to identify the baseline pulmonary status and assess for any cardiopulmonary abnormalities that may help risk stratification for clinical worsening.
In the presence of clinical worsening, imaging including computed tomography is again advised to assess the progression of COVID-19 or the presence of secondary cardiopulmonary abnormalities such as pulmonary embolism, other superimposed bacterial pneumonia, or heart failure that can be related to COVID-19 myocardial injury. 17 In our institution, chest radiography is done at baseline admission and to follow admitted patients and assess for worsening symptoms.
In this study, we looked at the initial chest radiograph differences between two groups of admitted COVID-19 patients; the group requiring intubation and admission to the intensive care unit (ICU) and the group admitted in the normal admission wards. We were looking for any radiographic differences that were associated with worsening of the cases and the requirement of intubation.
We also studied the relationship between the clinical and radiographic findings among the intubated and non-intubated patients.

M ET H O D S
This was a retrospective study. All patients with confirmed COVID-19 infection, who were admitted to the Royal Hospital, Muscat, were enrolled in the study from the beginning of March to the end of April 2020. COVID-19 infection was confirmed by RT-pCR test for all patients, following our institution protocol. The patient's biographic and laboratory data were accessed from the hospital information system (HIS) and the radiology information system (RIS). ethical approval was obtained from the hospital ethical committee. The ethics committee waived the requirement for informed patient consent for this retrospective study.
Two experienced cardiothoracic radiologists reviewed initial chest radiographs of all patients. each chest radiograph was divided into 12 segments. The right (R) and left (l) lungs were divided into three horizontal zones (Z): upper (U), middle (M), and lower (l). each lung was subdivided into two vertical zones, peripheral (p) and central (C). The results are 12 areas/zones [ Figure 1]. The 12 areas were labelled: p-RUZ, C-RUZ, p-RMZ, C-RMZ, p-RlZ, C-RlZ, p-lUZ, C-lUZ, p-lMZ, C-lMZ, p-llZ, and C-llZ. The presence and absence of abnormality were recorded. The abnormalities were further qualified as nodular, linear, airspace, and mixed opacities [ Figure 2].
The two radiologists reviewed the images independently. Any disagreement was resolved by discussion and consensus. Figure 1: Chest radiographs were divided into 12 areas/zones to assess the degree of involvement. Three horizontal zones (upper, middle, and lower) divided into two vertical zones (central and peripheral).
All data collection were obtained from the HIS and RIS. patients demographics such as age, sex, and citizenship were collected. The recorded comorbidities included hypertension, diabetes mellitus, kidney disease, and cardiovascular diseases. Immune status and smoking history were also collected. The radiological interpretation of the 12 areas was done by the radiologist for each case. The following laboratory tests, done at the time of admission, were collected; white cell count (WbC), lymphocyte count, neutrophil cell count, neutrophil/lymphocyte ratio (NlR), C-reactive protein (CRp) level, and platelets count. based on our institution laboratory normal values, the following was adopted as the ranges for values; CRp (reference range: < 10 mg/l, analytical sensitivity: 4 mg/l), WbC (2.4-9.5 × 10 9 /l), neutrophils count (1-4.8 × 10 9 /l), lymphocyte count (1.2-3.8 × 10 9 /l), and platelets (150-450 × 10 9 /l).
COVID-19 confirmation test was done by RT-pCR test, which is the molecular test used for disease definite diagnosis and confirmation. The tests were done in the national virology reference laboratory using more than one kit (liferiver, Sunsure, Cobas® SARS-CoV-2; Roche). Validation and verification of used tests were done before use. All testing runs were done with controls.
The number of days from the onset of symptoms to hospitalization was obtained. Also, the length of stay in hospital was recorded. Finally, the outcome for the patients was obtained and recorded for status, discharge, death, or continued admission. At the time of writing this article, few patients were still admitted with the outcome to be determined.
Statistical analysis was done using SpSS Statistics (IbM Corp. Released 2011. IbM SpSS Statistics for Windows, Version 20.0. Armonk, NY: IbM Corp.). Frequencies with percentages were reported for categorical data, and medians with interquartile ranges (IQRs) were calculated for contentious data. Chi-square test was considered for comparison between categorical variables, and Mann-Whitney U test was used to compare two independent samples. The difference was considered significant at p < 0.050 with a two-tailed test.

R E SU LTS
A total of 26 positive COVID-19 cases were enrolled in this study in which 11/26 (42.3%) were intubated, and 15/26 (57.7%) were not intubated [ Table 1]. The median age was 47.5 years [IQR of 28 and 76 years] with no statistically significant difference between intubated and non-intubated cases (p = 0.065). All the intubated cases were male (100%), and 10/11 (90.9%) were non-citizens. The majority of intubated cases had at least one of the listed comorbidities (9/11, 81.8%) compared to 6/15 (40.0%) in the non-intubated group (p = 0.051). There was a statistically significant difference in having diabetes mellitus (p = 0.020) in which 8/11 and 4/15 were recorded in the intubated and non-intubated groups, respectively.
The median number of days from developing symptoms to admission was seven [IQR; 5 and 10], ranging between 1 and 10 days with no significant difference between intubated and non-intubated cases (p = 0.833) [ Table 1]. The majority of cases presented with respiratory symptoms 9/11 (81.8%) and 13/15 (86.7%) and fever in 8/11 (72.7%) and 12/15 (80.0%) in intubated and non-intubated cases with no statistically significant difference between the two groups. positive RT-pCR tests for  COVID-19 were seen in 24/26 of the patients from the first swab. The NlR was elevated in 10/11 (90.9%) in the intubated group compared to 8/15 (53.3%) in the non-intubated group (p = 0.044) [ Table 1]. The median value of NlR was 6.11 (IQR; 2.98 and 9.69).
There were no differences found between the intubated and non-intubated chest X-ray findings in terms of laterality involvement, the involvement of central and peripheral zones, and lesion type [ Table 2]. However, upper zones involvement was  more noted in the intubated group with 10/11 (90.9%) compared to 7/15 (46.7%) in nonintubated cases (p = 0.036). In addition, there were higher numbers of zones involvement in intubated cases compared to non-intubated cases indicative of higher severity. Nine out of eleven (81.8%) intubated patients had 10-12 zones of involvement on chest radiographs compared to 3/15 (20.0%) in the nonintubated group [ Table 3].
Up to the day of data analysis, 8/26 patients died, 5/11 from the intubated group, and 3/15 from the non-intubated group. A total of 13/26 were discharged home with 3/11 from the intubated group and 10/15 from the non-intubated group. Five patients included in the study were still admitted to the hospital when writing this study [ Table 1].

D I S C U S S I O N
The COVID-19 infection outbreak was announced as a pandemic by the WHO on 11 March 2020. 2 With the increasing number of affected cases, the number of admissions also rises. This also implies a rise in admission to ICU and the need for mechanical ventilation. Approximately 20% of affected cases require hospitalization and 5% require admission to ICU and mechanical ventilation. 18 Imaging using chest radiograph and computed tomography are recommended modalities at the triage room, based on availability.
In this research, we studied the available chest radiographs of all admitted patients with confirmed COVID-19 infection. We compared the radiographical and clinical findings between the group of patients who were admitted to the ICU and intubated to the group of patients who remained hospitalized but without the need for intubation and ICU admission.
In our study, the male gender represents the majority of all hospitalized cases at 88.5%, and 100% among the intubated cases. Approximately one-third were citizens and two-thirds were non-citizens.
The majority of patients presented with fever, cough, and shortness of breath. The results are similar to what was previously published from other parts of the world, including Oman. 4,5,13,[19][20][21] Headache was the least presenting symptom representing 7.7%.
The radiographic findings in our group redemonstrate the lower and basal preference of disease distribution. 17,[22][23][24][25][26] There were more areas of involvement representing worse radiographic severity in the intubated group. The majority (81.8%) of intubated patients had 10-12 areas of involvement in their chest radiographs compared to only 20.0% of the hospitalized non-intubated group.
The distribution showed that there is more peripheral involvement than central among the intubated cases. In the three horizontal zones, the right lung peripheral areas were 100% involved among the intubated group. The peripheral left upper zone (p-lUZ) was the least area of involvement among both groups.
Our study has several limitations. The first limitation is the small sample size that could affect the statistical significance measures. Further studies with a larger sample size are needed in the future. The second limitation is the study's retrospective nature; therefore, there could be a possible effect on the measured outcome. The third limitation is that not all information, particularly about some of the patients' outcomes, was available at the time of conduction of the study. Some of the included patients were still admitted at the time of submission for publication. The fourth limitation is that most of the information was gathered from the electronic HIS, which precluded the level and diversity of details collected.

C O N C LU S I O N
The initial radiographic findings among intubated and non-intubated hospitalized COVID-19 patients demonstrate differences in the degree of lung involvement represented in the number of areas involved. Also, more upper zone involvement was noted in the intubated group at the time of admission. The other radiological findings showed no significant differences. Male sex and diabetes mellitus carried a poorer prognosis and were more associated with the intubated group. The sample size of this study was small; therefore, further studies with larger sample sizes are needed in the future to support these initial findings.