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Extrapulmonary CT Findings Predict In-Hospital Mortality in COVID-19

By MedImaging International staff writers
Posted on 28 Oct 2021

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A new study has found that extrapulmonary computed tomography (CT) findings have a relevant association with in-hospital mortality in COVID-19 patients and should be included as prognostic biomarker into clinical routine.

Researchers at the University of Leipzig (Leipzig, Germany) and University of Magdeburg (Magdeburg, Germany) conducted the study to understand the influence of non-pulmonary findings of thoracic CT on unfavorable outcomes and in-hospital mortality in COVID-19 patients based on a large patient sample. They found that pleural effusion, mediastinal lymphadenopathy and coronary calcification have a relevant association with in-hospital mortality in COVID-19 patients and should be included as prognostic biomarker into clinical routine.

The clinical course of COVID-19 is highly variable and most patients have a mild disease course with little or even no symptoms, but a minority of patients rapidly deteriorates to a severe or critical illness with need of admission to an intensive care unit and even a fatal outcome. Several prognostic factors have been identified for the COVID-19 disease, including age and sex, a shorter time period between symptom onset and emergency room presentation, and comorbidities such as dementia, heart failure and peripheral vascular diseases which are also predictors of an unfavorable course of the disease. CT is the diagnostic imaging modality of choice in COVID-19, especially for the detection of pulmonary consolidation which were described as bilateral, peripheral dominant ground-glass opacities with lower lobe and posterior predilection.

Extrapulmonary findings, comprising pleural effusion, pericardial effusion, mediastinal lymphadenopathy, were described as atypical and should raise the concerns for possible differential diagnoses. However, there were published data, that even these rare findings in COVID-19 patients exist and can predict a more severe or lethal course of the disease. Since the early days of the pandemic, the introduction of vaccination has changed the course of the pandemic, but lethal COVID-19 cases still exist, and correct diagnosis and treatment are still highly relevant throughout different countries. Early prediction of an unfavorable course of COVID-19 cases is important to improve clinical treatment, such as appropriate triaging, if needed, early admission to ICU, and expanding more aggressive treatment, e.g. with extracorporal membrane oxygenation.

The researchers conducted a systematic review and the first-ever meta-analysis to calculate the impact of CT-derived extrapulmonary features with in-hospital mortality in COVID-19 patients. MEDLINE library, Cochrane and SCOPUS databases were screened for the associations between CT-defined features and mortality in COVID-19 patients up to June 2021. In total, 22 studies were suitable for the analysis and included into the present analysis. Overall, data regarding four extrapulmonary findings could be pooled: pleural effusion, pericardial effusion, mediastinal lymphadenopathy, and coronary calcification. The study found a statistically significant association of pleural effusion, coronary calcifications and mediastinal lymphadenopathy with in-hospital mortality, whereas no significant association was identified with pericardial effusion. Pleural effusion was the strongest predictor for mortality in the presented results. These findings highlight the importance of extrapulmonary findings in COVID-19 infection and the importance of CT for prognostic purposes beyond the quantification of pulmonary consolidations. The researchers concluded that these extrapulmonary findings should be sufficiently reported by the radiologist and should be considered as highly clinically relevant.

Related Links:
University of Leipzig
University of Magdeburg

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59 (!!!!! 2101.8981933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

60 (420.09353637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

61 (!!!!! 2159.8339080811): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

62 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

63 (208.85467529297): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

64 (685.9302520752): SELECT fid FROM jos_deeppockets WHERE id=294790326 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294790326 AND published='1' LIMIT 1

65 (!!!!! 1281.0230255127): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

66 (!!!!! 7369.0414428711): select jos_twitters.link from jos_twitters where cat=10

67 (92.029571533203): select jos_facebook.link from jos_facebook where cat=10

68 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

69 (37.193298339844): select jos_linkedin.link from jos_linkedin where cat=10

70 (61.988830566406): SELECT fid FROM jos_deeppockets WHERE id=294790326 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294790326 AND published='1' LIMIT 1

71 (848.05488586426): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

72 (450.13427734375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (333.78601074219): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (66.041946411133): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

75 (621.08039855957): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (754.11796569824): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1038.0744934082): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (760.07843017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (52.213668823242): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (884.05609130859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (40.769577026367): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

92 (234.12704467773): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 1245.0218200684): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 9814.0239715576): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (842.09442138672): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (118.01719665527): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

107 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

108 (111.81831359863): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294790326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (428.91502380371): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294790326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 3021.0018157959): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

111 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

112 (436.06758117676): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294790326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (639.20021057129): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294790326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (133.99124145508): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294790319 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (422.95455932617): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294790319 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (!!!!! 1170.8736419678): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (!!!!! 4271.0304260254): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (599.86114501953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

119 (!!!!! 1972.1984863281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

120 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

121 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

122 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

123 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

124 (286.10229492188): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 60497.999191284): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (!!!!! 1198.0533599854): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

127 (330.92498779297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

128 (!!!!! 1070.0225830078): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790326 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790326 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 829663.9919281): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (112.05673217773): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (382.90023803711): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (99.897384643555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (291.10908508301): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (166.89300537109): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (!!!!! 1012.0868682861): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (580.0724029541): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (701.904296875): SELECT name FROM jos_deeppockets WHERE id=215

140 (56.982040405273): SELECT name FROM jos_deeppockets WHERE id=215

141 (689.98336791992): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (803.94744873047): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (432.01446533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

144 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

145 (!!!!! 19036.054611206): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 1485.8245849609): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294790326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (120.87821960449): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294790326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 1185.8940124512): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (99.18212890625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (480.89027404785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

151 (202.17895507812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

152 (!!!!! 2490.9973144531): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (497.10273742676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

154 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

155 (462.05520629883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790326 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790326 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (65.088272094727): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

157 (42.915344238281): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

158 (744.10438537598): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 1003.0269622803): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

160 (107.76519775391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790326 AND published='1' LIMIT 1

161 (131.13021850586): select jos_twitters.link from jos_twitters where cat=10

162 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

163 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

164 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

165 (348.09112548828): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 10380.983352661): insert into jos_banners_delta values (14615,'2025-06-18 07:00:35','216.73.216.120','view'),(14202,'2025-06-18 07:00:35','216.73.216.120','view'),(14203,'2025-06-18 07:00:35','216.73.216.120','view')

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