The Role of Chest X-Ray in Monitoring Lung Changes among COVID-19 Patients in Gaza Strip

Objective: To investigate the time course and findings severity of COVID-19 infection at chest radiography based on a 6-point radiological score, correlates these with patients’ age gender. Methods: This is retrospective study patients who were admitted European Gaza Hospital evaluated between October 6, 2020, November 30, 2020. Baseline serial radiographs, up to 4 images per patient, reviewed assessed for predominant pattern, side, location lung opacity. Utilized scoring system, which divides X-ray into 6 zones, assess changes correlate them infection, age, gender patients. Results: The included 136 patients: (51/136, 37%) males (85/136, 62.5%) females, while ranged from 7 months 90 years mean 41.7 ± (19.5) years. Negative Chest x-rays more observed than positive images. Ground-glass opacity was most frequent pattern decreasing trend 1st 4th (from 33.8% 3.7%), followed by consolidation 16.2% 2.9%). Also, commonest seen in peripheral areas (27/136, 19.9%), lower zone (23/136, 16.9%), bilateral involvement (43/136; 31.6%). No significant correlation noticed patient’s gender, score (P > 0.05). Conclusions: as predictive tool assessing due provide an assessment progression or regression pathway.