The prognostic relevance of pleural effusion in patients with COVID-19: a German multicenter study : cardiothoracic imaging
Purpose - This study evaluates the prognostic significance of pleural effusion (PE) in COVID-19 patients across thirteen centers in Germany, aiming to clarify its role in predicting clinical outcomes. - Methods - In this retrospective analysis within the RACOON project (Radiological Cooperative Netw...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
January 2025
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| In: |
Clinical imaging
Year: 2025, Volume: 117, Pages: 1-6 |
| ISSN: | 1873-4499 |
| DOI: | 10.1016/j.clinimag.2024.110303 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.clinimag.2024.110303 Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S089970712400233X 
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| Author Notes: | Andreas Michael Bucher, Julia Dietz, Constantin Ehrengut, Lukas Müller, Dominik Schramm, Alena Akinina, Michelle Drechsel, Roman Kloeckner, Malte Sieren, Peter Isfort, Marwin-Jonathan Sähn, Matthias A. Fink, Dorottya Móré, Bohdan Melekh, Felix G. Meinel, Hanna Schön, Matthias Stefan May, Lisa Siegler, Hanna Münzfeld, Richard Ruppel, Tobias Penzkofer, Moon-Sung Kim, Miriam Balzer, Jan Borggrefe, Hans Jonas Meyer, Alexey Surov |
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| 245 | 1 | 4 | |a The prognostic relevance of pleural effusion in patients with COVID-19 |b a German multicenter study : cardiothoracic imaging |c Andreas Michael Bucher, Julia Dietz, Constantin Ehrengut, Lukas Müller, Dominik Schramm, Alena Akinina, Michelle Drechsel, Roman Kloeckner, Malte Sieren, Peter Isfort, Marwin-Jonathan Sähn, Matthias A. Fink, Dorottya Móré, Bohdan Melekh, Felix G. Meinel, Hanna Schön, Matthias Stefan May, Lisa Siegler, Hanna Münzfeld, Richard Ruppel, Tobias Penzkofer, Moon-Sung Kim, Miriam Balzer, Jan Borggrefe, Hans Jonas Meyer, Alexey Surov |
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| 520 | |a Purpose - This study evaluates the prognostic significance of pleural effusion (PE) in COVID-19 patients across thirteen centers in Germany, aiming to clarify its role in predicting clinical outcomes. - Methods - In this retrospective analysis within the RACOON project (Radiological Cooperative Network of the COVID-19 pandemic), 1183 patients (29.3 % women, 70.7 % men) underwent chest CT to assess PE. We investigated PE's association with 30-day mortality, ICU admission, and the need for mechanical ventilation. - Results - PE was detected in 31.5 % of patients, showing a significant correlation with 30-day mortality (47.5 % in non-survivors vs. 27.3 % in survivors, p < 0.001), with a hazard ratio of 2.22 (95 % CI 1.65-2.99, p < 0.001). No significant association was found between PE volume or density and mortality. ICU admissions were noted in 46.8 % of patients, while mechanical ventilation was required for 26.7 %. - Conclusion - Pleural effusion is present in a significant portion of COVID-19 patients and independently predicts increased 30-day mortality, underscoring its value as a prognostic marker. Its identification, irrespective of volume or density, should be a priority in radiological reports to guide clinical decision-making. | ||
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| 650 | 4 | |a COVID-19 | |
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| 650 | 4 | |a Pleural effusion | |
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