Bertoche Laís Rodrigues, Rodrigues Waldinei Mercês, de Sousa Caroline von Abel, Damasio Vitor Maltoni, Gomes Hélder Jorge Andrade, Ponte Eduardo Vieira
Department of Internal Medicine, Faculdade de Medicina de Jundiaí (FMJ), Jundiaí, SP, Brazil.
Radiol Bras. 2025 Jul 17;58:e20250004. doi: 10.1590/0100-3984.2025.0004. eCollection 2025 Jan-Dec.
To evaluate the frequency of the typical computed tomography (CT) pattern in individuals with coronavirus 2019 (COVID-19), comparing those who were vaccinated with those who were unvaccinated.
This was a retrospective study of the medical records of patients with clinical suspicion of COVID-19 between August 2021 and February 2022. The vaccination status was classified as absent/incomplete (0 or 1 dose) or complete (2 or more doses). The pattern seen on the first chest CT was defined as typical, atypical, indeterminate, or normal, the last three patterns being combined to form what was designated the non-typical group.
Binary logistic regression analysis showed that individuals with a complete vaccination status were less likely to present with the typical CT pattern than were those with an absent/incomplete vaccination status (adjusted OR = 0.19, 95% CI: 0.06-0.60).
This information is important because it demonstrates that the frequency of the CT pattern considered typical of COVID-19 is currently lower than it was before the vaccines became available. Therefore, the typical CT pattern is no longer expected.
评估2019冠状病毒病(COVID-19)患者中典型计算机断层扫描(CT)表现的出现频率,比较接种疫苗者与未接种疫苗者的情况。
这是一项对2021年8月至2022年2月期间临床怀疑为COVID-19患者的病历进行的回顾性研究。疫苗接种状态分为未接种/未完成(0剂或1剂)或完成(2剂或更多剂)。首次胸部CT上看到的表现被定义为典型、非典型、不确定或正常,后三种表现合并形成所谓的非典型组。
二元逻辑回归分析显示,与未接种/未完成疫苗接种状态的个体相比,完成疫苗接种状态的个体出现典型CT表现的可能性较小(调整后的比值比=0.19,95%置信区间:0.06-0.60)。
该信息很重要,因为它表明目前被认为是COVID-19典型的CT表现的出现频率低于疫苗可用之前。因此,不再预期会出现典型的CT表现。