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2023 | 6 | 1 | 17-28

Article title

Retrospective comparative study of clinical profile and pulmonary involvement in unvaccinated and vaccinated individuals diagnosed with COVID-19

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EN
INTRODUCTION: This study aims to assess the clinical profile, co-morbidities and pulmonary involvement by means of CT-SS and CO-RADS in unvaccinated and completely vaccinated individuals diagnosed with COVID-19 infection. MATERIAL AND METHODS: A total of 138 adult patients infected with SARS-CoV-2 Virus between January 2021 and January 2022 in Bharati Hospital and Research Centre, Pune, Maharashtra, India were recruited for this retrospective, comparative study. Data was collected from medical records. All patients presenting to the institute with clinical features suggestive of SARS-CoV-2 infection were subjected to confirmative testing and the patients who tested positive for SARS-CoV-2 infection underwent a standardized HRCT thorax imaging. Clinical features, comorbidities, vital parameters and the association of CTSS scores and CO-RAD scores between vaccinated and unvaccinated individuals were analyzed. RESULTS: Out of the 138 patients included in this study, 69 (39 male, 30 female) were unvaccinated and 69 (49 male, 20 female) were vaccinated. Mean CO-RADS and CTSS in the unvaccinated cohort was significantly higher than the vaccinated (p <0.001). Mean CO-RADS = 5.14 (unvaccinated) vs 3.72 (vaccinated) and mean CTSS = 15.23 (unvaccinated) vs 10.54 (vaccinated). Patients with no co-morbidities had significantly lower CTSS and CORADS scores, regardless of vaccination status. Vaccinated patients suffered from mild disease, as noted by lower requirement of supplemental oxygen, higher SpO2 on room air, and lower incidence of nonspecific symptoms, respiratory symptoms, and gastrointestinal symptoms. CONCLUSIONS: This study finds that complete vaccination is necessary in order to prevent severe symptoms, high oxygen requirement, and extensive pulmonary involvement in COVID-19.

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Year

Volume

6

Issue

1

Pages

17-28

Physical description

Dates

published
2023

References

  • Kumar G, Mukherjee A, Sharma R, Menon GR, Sahu D, Wig N, et al. Clinical profile of hospitalized COVID-19 patients in first & second wave of the pandemic: Insights from an Indian registry based observational study. Indian J Med Res. 2021; 153: 619-628. doi: https://doi.org/10.4103/ijmr.ijmr_1628_21
  • Choudhary OP, Choudhary P, Singh I. India’s COVID-19 vaccination drive: key challenges and resolutions. Lancet Infect Dis. 2021; 21(11): 1483-1484. doi: https://doi.org/10.1016/S1473-3099(21)00567-3
  • Bogam P, Joshi A, Nagarkar S, Jain D, Gupte N, Shashidhara LS, et al. Burden of COVID-19 and case fatality rate in Pune, India: an analysis of the first and second wave of the pandemic. Int J Infect Dis. 2022; 2: 74-81. doi: https://doi.org/10.1016/j.ijregi.2021.12.006
  • Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020; 296(2): 32-40. doi: https://doi.org/10.1148/radiol.2020200642
  • Prokop M, Van Everdingen W, Van Rees Vellinga T, van Ufford HQ, Stöger L, Beenen L, et al. CO-RADS: A categorical CT assessment scheme for patients suspected of having COVID-19 definition and evaluation. Radiology 2020; 296(2): E97-E104. doi: https://doi.org/10.1148/radiol.2020201473
  • Yang R, Li X, Liu H, Zhen Y, Zhang X, XiongQ, et al. Chest CT Severity Score: An imaging tool for assessing severe COVID-19. Radiol Cardiothorac Imaging. 2020; 2(2): e200047. doi: https://doi.org/10.1148/ryct.2020200047
  • Modi SD, Shah DH, Mundhra K, Gandhi B, Shah R, Kagathara V, et al. Comparative study of CT severity index and outcome in hospitalised vaccinated and non-vaccinated patients of Covid 19 pneumonia. J Radiol Clin Imag. 2021; 4: 93-101.
  • Atre AL, Atre A, Panchawagh S, Khamkar R, Chandorkar A, Patil S. Association between Chest CT Severity Scores and SARS-CoV-2 Vaccination among COVID-19 Patients: A Cross-sectional Study from Pune, India. J Clin Diagnostic Res. 2022; 16(6): TC11-TC17. doi: https://doi.org/10.7860/JCDR/2022/53056.16482
  • Madhu P, Santhosh D, Madhala K. Comparison study of lung involvement in vaccinated and unvaccinated covid patients. Int J Heal Clin Res. 2021; 4(10): 229-233.
  • Lakhia RT, Trivedi JR. The CT scan lung severity score and vaccination status in COVID-19 patients in India: Perspective of an independent radiology practice. MedRxiv preprint. 2021. doi: https://doi.org/10.1101/2021.07.15.21260597
  • Wang Y, Lu X, Li Y, Chen H, Chen T, Su N, et al. Clinical course and outcomes of 344 intensive care patients with COVID-19. Am J Respir Crit Care Med. 2020; 201(11): 1430-1434. doi: https://doi.org/10.1164/rccm.202003-0736LE
  • Potdar M, Potdar S, Potdar M. A study of gender disparities towards COVID-19 vaccination drive in Maharashtra state, India. Diabetes Metab Syndr. 2021; 15(6): 102297. doi: https://doi.org/10.1016/j.dsx.2021.102297
  • Khan N, Salahuddin MB, Rathore E, Anjum O, Tossy WJ, Zahra R. Comparison of severity of COVID-19 symptoms between vaccinated and unvaccinated dental faculty in Lahore. Medical Forum Monthly. 2021; 32(10): 108-111.
  • Antonelli M, Penfold R, Merino J, Sudre CH, Molteni E, Berry S, et al. Risk factors and disease profile of postvaccination SARS-CoV-2 infection in UK users of the COVID Symptom Study app: a prospective, communitybased, nested, cast-control study. Lancet Infect Dis. 2022; 22(1): 43-55. doi: https://doi.org/10.1016/S1473-3099(21)00460-6
  • Verma A, Kumar I, Singh P, Ansari MS, Singh HA, Sonkar S, et al. Initial comparative analysis of pulmonary involvement on HRCT between vaccinated and non-vaccinated subjects of COVID-19. Eur Radiol. 2022; 32(6): 4275-4283. doi: https://doi.org/10.1007/s00330-021-08475-8
  • Dubey R, Sen KK, Mitra A, Sethi HS, Arora R, Goyal M. Correlation of radiological findings on high resolution computed tomography chest in vaccinated and unvaccinated COVID-19 patients from eastern India. Indian J Respir Care. 2022, 11(2): 124-127. doi: https://doi.org/10.4103/ijrc.ijrc_148_21

Document Type

Publication order reference

Identifiers

Biblioteka Nauki
29432051

YADDA identifier

bwmeta1.element.ojs-doi-10_32114_CCI_2023_6_1_17_28
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