Korelasi Tingkat Derajat Keparahan dengan CT Severity Score pada Pasien COVID19 yang Dirawat di RS Santa Elisabeth Medan

Abstract

Objective: To determine the correlation between severity and CT Severity in COVID19 patients Methods: This study used a prospective analytical research design with a cross sectional approach. The research subjects were 45 patients with COVID19 who were hospitalized at Santa Elisabeth Hospital, Medan from January to March 2021. Patients who had confirmed moderate and severe COVID19 based on RT-PCR, then underwent a CT Scan of the thorax to assess the CT Scan and CT Severity. The data were analyzed using the dependent t-test statistic. A p value of less than 0.05 was considered significant. Results: From 45 research subjects. Characteristics of CT scan of the lungs obtained that the most distribution is peripheral and central (57.8%) with a typical character (93.3%). GGO, consolidation, paving crazy, fibrosis, subpleural line, hallo sign, pleural effusion and lymphadenopathy were present in 95.6% and 57.8%, 26.7%, 13.3%, 44.4%, respectively. 2.2%, 8.9%, and 11.1%. The characteristics of the location of the involved lung were right upper lobe (88.9%), right lower lobe (82.2%), middle lobe (64.4%), left upper lobe (74.4%), and left lower lobe ( 80.0%). The most involved lung area was anterior-posterior with a percentage of 71.1%. Patients with moderate-severe CT-SS had severe COVID-19 in 21 people (100%), while those with mild-moderate CT-SS had moderate-grade COVID-19 (45.4%). The relationship between CT-SS and the degree of COVID-19 was significant with p-value = 0.000. Conclusion: There is a relationship between CT Severity and the severity of COVID19