[
    {
        "id": "osp-10270",
        "type": "article-journal",
        "title": "COVID-2019 Pneumonia",
        "author": [
            {
                "family": "Al Umairi",
                "given": "Rashid S."
            },
            {
                "family": "Al-Salmi",
                "given": "Ishaq"
            },
            {
                "family": "Al Kalbani",
                "given": "Jokha"
            },
            {
                "family": "Kamona",
                "given": "Atheel"
            },
            {
                "family": "Al Tai",
                "given": "Saqar"
            },
            {
                "family": "Al Kindi",
                "given": "Faiza"
            },
            {
                "family": "Jose",
                "given": "Sachin"
            },
            {
                "family": "Khamis",
                "given": "Faryal"
            },
            {
                "family": "Al Khalili",
                "given": "Huda"
            },
            {
                "family": "Al Busaidi",
                "given": "Mohammed"
            }
        ],
        "URL": "https://omanscience.com/ar/articles/covid-2019-pneumonia",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2025
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "22",
        "issue": "1",
        "page": "98-105",
        "DOI": "10.18295/squmj.4.2021.061",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "abstract": "Objectives: This study aimed to assess the correlation between the severity of the initial chest x-ray (CXR) abnormalities in patients with a confirmed diagnosis of COVID-19 and the final outcomes. Methods: This retrospective study was conducted at the Royal Hospital, Oman between mid-March and May 2020 and included patients who had been admitted with a confirmed diagnosis of COVID-19 and had a final outcome. Serial CXRs were identified and examined for presence, extent, distribution and progression pattern of radiological abnormalities. Each lung field was divided into three zones on each CXR and a score was allocated for each zone (0 is normal and 1–4 is mild–severe). The scores for all six zones per CXR examination were summed to provide a cumulative chest radiographic score (range: 0–24). Results: A total of 64 patients were included; the majority were male (89.1%) and the mean age was 50.22 ± 14.86 years. The initial CXR was abnormal in 60 patients (93.8%). The most common finding was ground glass opacity (n = 58, 96.7%) followed by consolidation (n = 50, 83.3%). Most patients had bilateral (n = 51, 85.0%), multifocal (n = 57, 95.0%) and mixed central and peripheral (n = 36, 60.0%) lung abnormalities. The median score of initial CXR for deceased patients was significantly higher than recovered patients (17 versus 11; P = 0.009). Five CXR evolution patterns were identified: type I (initial radiograph deteriorates then improves), type II (fluctuate), type III (static), type IV (progressive deterioration) and type V (progressive improvement). Conclusion: A higher baseline CXR score is associated with higher mortality rate and poor prognosis in those with COVID-19 pneumonia."
    }
]