Browsing by Author "Tuncer, EO"

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    Evaluation of abdominal computed tomography findings in patients with COVID-19: a multicenter study
    Onur, MR; Özbay, Y; Idilman, I; Karaosmanoglu, AD; Ramadan, SU; Barlik, F; Aydin, S; Odaman, H; Altay, C; Akin, IB; Dicle, O; Appak, O; Gülpinar, B; Erden, A; Kula, S; Çoruh, AG; Öz, DK; Kul, M; Uzun, C; Karavas, E; Levent, A; Artas, H; Eryesil, H; Solmaz, O; Kaygusuz, TO; Farasat, M; Kale, AB; Düzgün, F; Pekindil, G; Apaydin, FD; Duce, MN; Balci, Y; Esen, K; Kahraman, AS; Karaca, L; Özdemir, ZM; Kahraman, B; Tosun, M; Nural, MS; Camlidag, I; Onar, MA; Balli, K; Güler, E; Harman, M; Elmas, NZ; Öztürk, C; Güngör, O; Herek, D; Yagci, AB; Erol, C; Seker, M; Islek, I; Can, Y; Aslan, S; Bilgili, MYK; Göncüoglu, A; Keles, H; Sarikaya, PZB; Bakir, B; Kartal, MGD; Durak, G; Oguzdogan, GY; Alper, F; Yalçin, A; Gürel, S; Alan, B; Gündogdu, E; Aydin, N; Cansu, A; Kus, CC; Tuncer, EO; Piskin, FC; Er, HC; Degirmenci, B; Özmen, MN; Kantarci, M; Karçaaltincaba, M
    PURPOSETo evaluate the frequency of abdominal computed tomography (CT) findings in patients with coronavirus disease-2019 (COVID-19) and interrogate the relationship between abdominal CT findings and patient demographic features, clinical findings, and laboratory test results as well as the CT atheroscle-rosis score in the abdominal aorta.METHODSThis study was designed as a multicenter retrospective study. The abdominal CT findings of 1.181 patients with positive abdominal symptoms from 26 tertiary medical centers with a positive polymerase chain-reaction test for severe acute respiratory syndrome coronavirus 2 were reviewed. The frequency of ischemic and non-ischemic CT findings as well as the association between CT findings, clinical features, and abdominal aortic calcific atherosclerosis score (AA-CAS) were recorded.RESULTSIschemic and non-ischemic abdominal CT findings were detected in 240 (20.3%) and 328 (27.7%) patients, respectively. In 147 patients (12.4%), intra-ab-dominal malignancy was present. The most frequent ischemic abdominal CT findings were bowel wall thickening (n = 120; 10.2%) and perivascular infil-tration (n = 40; 3.4%). As for non-ischemic findings, colitis (n = 91; 7.7%) and small bowel inflammation (n = 73; 6.2%) constituted the most frequent disease processes. The duration of hospital stay was found to be higher in patients with abdominal CT findings than in patients without any positive findings (13.8 & PLUSMN; 13 vs. 10.4 & PLUSMN; 12.8 days, P < 0.001). The frequency of abdominal CT findings was significantly higher in patients who did not survive the infection than in patients who were discharged after recovery (41.7% vs. 27.4%, P < 0.001). Increased AA-CAS was found to be associated with a higher risk of ischemic conditions in abdominal CT examinations.CONCLUSIONAbdominal symptoms in patients with COVID-19 are usually associated with positive CT findings. The presence of ischemic findings on CT correlates with poor COVID-19 outcomes. A high AA-CAS is associated with abdominal ischemic findings in patients with COVID-19.