Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 Pneumonia

Objective: In this study, we compared the differences between high-resolution computed tomography (CT) features of two types of viral pneumonia associated with H1N1 virus and coronavirus disease-2019 (COVID-19). Methods: A total of 25 patients with H1N1 pneumonia were compared with 150 patients wit...

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Main Authors: Sadullah Şimşek, Cihan Akgül Özmen
Format: Article
Language:English
Published: Galenos Publishing House 2024-07-01
Series:Gazi Medical Journal
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Online Access:https://gazimedj.com/articles/comparison-of-chest-computed-tomography-findings-in-patients-with-h1n1-andandnbsp-coronavirus-disease-2019-pneumonia/doi/gmj.2023.3813
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author Sadullah Şimşek
Cihan Akgül Özmen
author_facet Sadullah Şimşek
Cihan Akgül Özmen
author_sort Sadullah Şimşek
collection DOAJ
description Objective: In this study, we compared the differences between high-resolution computed tomography (CT) features of two types of viral pneumonia associated with H1N1 virus and coronavirus disease-2019 (COVID-19). Methods: A total of 25 patients with H1N1 pneumonia were compared with 150 patients with COVID-19 pneumonia. The findings were analyzed by IBM SPSS Statistics for Windows, version 22 (IBM Corp., Armonk, N.Y., USA). CT findings were compared between groups by chi-square test, and scale variables were compared using the t-test. Finally, significant findings for the H1N1 or COVID-19 groups were evaluated by logistic regression analysis. Results: The median age of COVID-19 pneumonia patients was 54.6±15.9 years, and the median age of H1N1 pneumonia patients was 46.2±12.4 years (p<0.01). H1N1 pneumonia patients were younger than COVID-19 pneumonia patients. Based on the distribution pattern, diffuse pattern, peripheral pattern, and bronchopulmonary infiltration were observed more frequently in COVID-19 pneumonia (46.0%, 80.7%, 49.3%, respectively, p<0.05). Mediastinal lymphadenopathy and pleural effusion were observed more frequently in patients with H1N1 pneumonia (24% and 36%, respectively, p<0.05). Logistic regression analysis demonstrated that advanced age and a diffuse-peripheral pattern indicated COVID-19 (p=0.031, p=0.029). Conclusion: Most of the lesions caused by COVID-19 pneumonia are located in the peripheral region and near the pleura, whereas those caused by influenza virus pneumonia are far from the peripheral region.
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spelling doaj-art-987e922b3cba4c21b4e874ba859e9b182025-01-16T11:51:30ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-07-0135322823510.12996/gmj.2023.3813Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 PneumoniaSadullah Şimşek0https://orcid.org/0000-0002-8322-7475Cihan Akgül Özmen1https://orcid.org/0000-0001-9670-4472Department of Radiology Nusaybin State Hospital, Mardin, TürkiyeDepartment of Radiology Dicle University Faculty of Medicine, Diyarbakır, TürkiyeObjective: In this study, we compared the differences between high-resolution computed tomography (CT) features of two types of viral pneumonia associated with H1N1 virus and coronavirus disease-2019 (COVID-19). Methods: A total of 25 patients with H1N1 pneumonia were compared with 150 patients with COVID-19 pneumonia. The findings were analyzed by IBM SPSS Statistics for Windows, version 22 (IBM Corp., Armonk, N.Y., USA). CT findings were compared between groups by chi-square test, and scale variables were compared using the t-test. Finally, significant findings for the H1N1 or COVID-19 groups were evaluated by logistic regression analysis. Results: The median age of COVID-19 pneumonia patients was 54.6±15.9 years, and the median age of H1N1 pneumonia patients was 46.2±12.4 years (p<0.01). H1N1 pneumonia patients were younger than COVID-19 pneumonia patients. Based on the distribution pattern, diffuse pattern, peripheral pattern, and bronchopulmonary infiltration were observed more frequently in COVID-19 pneumonia (46.0%, 80.7%, 49.3%, respectively, p<0.05). Mediastinal lymphadenopathy and pleural effusion were observed more frequently in patients with H1N1 pneumonia (24% and 36%, respectively, p<0.05). Logistic regression analysis demonstrated that advanced age and a diffuse-peripheral pattern indicated COVID-19 (p=0.031, p=0.029). Conclusion: Most of the lesions caused by COVID-19 pneumonia are located in the peripheral region and near the pleura, whereas those caused by influenza virus pneumonia are far from the peripheral region.https://gazimedj.com/articles/comparison-of-chest-computed-tomography-findings-in-patients-with-h1n1-andandnbsp-coronavirus-disease-2019-pneumonia/doi/gmj.2023.3813covid-19pneumoniactinfluenza viruscoronavirus
spellingShingle Sadullah Şimşek
Cihan Akgül Özmen
Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 Pneumonia
Gazi Medical Journal
covid-19
pneumonia
ct
influenza virus
coronavirus
title Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 Pneumonia
title_full Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 Pneumonia
title_fullStr Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 Pneumonia
title_full_unstemmed Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 Pneumonia
title_short Comparison of Chest Computed Tomography Findings in Patients with H1N1 and Coronavirus Disease-2019 Pneumonia
title_sort comparison of chest computed tomography findings in patients with h1n1 and coronavirus disease 2019 pneumonia
topic covid-19
pneumonia
ct
influenza virus
coronavirus
url https://gazimedj.com/articles/comparison-of-chest-computed-tomography-findings-in-patients-with-h1n1-andandnbsp-coronavirus-disease-2019-pneumonia/doi/gmj.2023.3813
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