Evaluation of abdominal computed tomography findings in patients with COVID-19: a multicenter study

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dc.contributor.authorOnur, MR
dc.contributor.authorÖzbay, Y
dc.contributor.authorIdilman, I
dc.contributor.authorKaraosmanoglu, AD
dc.contributor.authorRamadan, SU
dc.contributor.authorBarlik, F
dc.contributor.authorAydin, S
dc.contributor.authorOdaman, H
dc.contributor.authorAltay, C
dc.contributor.authorAkin, IB
dc.contributor.authorDicle, O
dc.contributor.authorAppak, O
dc.contributor.authorGülpinar, B
dc.contributor.authorErden, A
dc.contributor.authorKula, S
dc.contributor.authorÇoruh, AG
dc.contributor.authorÖz, DK
dc.contributor.authorKul, M
dc.contributor.authorUzun, C
dc.contributor.authorKaravas, E
dc.contributor.authorLevent, A
dc.contributor.authorArtas, H
dc.contributor.authorEryesil, H
dc.contributor.authorSolmaz, O
dc.contributor.authorKaygusuz, TO
dc.contributor.authorFarasat, M
dc.contributor.authorKale, AB
dc.contributor.authorDüzgün, F
dc.contributor.authorPekindil, G
dc.contributor.authorApaydin, FD
dc.contributor.authorDuce, MN
dc.contributor.authorBalci, Y
dc.contributor.authorEsen, K
dc.contributor.authorKahraman, AS
dc.contributor.authorKaraca, L
dc.contributor.authorÖzdemir, ZM
dc.contributor.authorKahraman, B
dc.contributor.authorTosun, M
dc.contributor.authorNural, MS
dc.contributor.authorCamlidag, I
dc.contributor.authorOnar, MA
dc.contributor.authorBalli, K
dc.contributor.authorGüler, E
dc.contributor.authorHarman, M
dc.contributor.authorElmas, NZ
dc.contributor.authorÖztürk, C
dc.contributor.authorGüngör, O
dc.contributor.authorHerek, D
dc.contributor.authorYagci, AB
dc.contributor.authorErol, C
dc.contributor.authorSeker, M
dc.contributor.authorIslek, I
dc.contributor.authorCan, Y
dc.contributor.authorAslan, S
dc.contributor.authorBilgili, MYK
dc.contributor.authorGöncüoglu, A
dc.contributor.authorKeles, H
dc.contributor.authorSarikaya, PZB
dc.contributor.authorBakir, B
dc.contributor.authorKartal, MGD
dc.contributor.authorDurak, G
dc.contributor.authorOguzdogan, GY
dc.contributor.authorAlper, F
dc.contributor.authorYalçin, A
dc.contributor.authorGürel, S
dc.contributor.authorAlan, B
dc.contributor.authorGündogdu, E
dc.contributor.authorAydin, N
dc.contributor.authorCansu, A
dc.contributor.authorKus, CC
dc.contributor.authorTuncer, EO
dc.contributor.authorPiskin, FC
dc.contributor.authorEr, HC
dc.contributor.authorDegirmenci, B
dc.contributor.authorÖzmen, MN
dc.contributor.authorKantarci, M
dc.contributor.authorKarçaaltincaba, M
dc.date.accessioned2025-04-10T10:37:47Z
dc.date.available2025-04-10T10:37:47Z
dc.description.abstractPURPOSETo 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.
dc.identifier.issn1305-3612
dc.identifier.urihttp://hdl.handle.net/20.500.14701/43211
dc.language.isoEnglish
dc.titleEvaluation of abdominal computed tomography findings in patients with COVID-19: a multicenter study
dc.typeArticle

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