Findings and Prognostic Value of Lung Ultrasonography in Coronal Virus Disease 2019(COVID-19) Pneumonia.
Lu Li,Aihua Qin,Xiao Yang,Shuliang Zhou,Yun Luo,Fangfang Zhu,Bo Hu,Jianguo Li,Shuhan Cai,Zhiyong Peng +9 more
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TLDR
Lung ultrasonography could be used to assess the severity of COVID-19 pneumonia, and it could also reveal the pathological signs of the disease.Abstract:
PURPOSE: We used lung ultrasonography to identify features of COVID-19 pneumonia and to evaluate the prognostic value. PATIENTS AND METHODS: We performed lung ultrasonography on 48 COVID-19 patients in an intensive care unit (ICU) (Wuhan, China) using a 12-zone method. The associations between lung ultrasonography score, PaO2/FiO2, APACHE II, SOFA, and PaCO2 with 28-day mortality were analyzed and the receiver operator characteristic curve was plotted. RESULTS: 25.9% areas in all scanning zones presented with B7 lines and 23.5% with B3 lines (B-pattern) on lung ultrasonography; 13% areas with confluent B lines (B-pattern), 24.9% in areas with consolidations, and 9.9% in areas with A lines. Pleural effusion was observed in 2.8% of areas. Lung ultrasonography score was negatively correlated with PaO2/FiO2 (nâ=â48, râ=â-0.498, Pâ<â0.05) and positively correlated with APACHE II (nâ=â48, râ=â0.435, Pâ<â0.05). Lung ultrasonography score was independently associated with 28-day mortality. The areas under receiver operator characteristic curves of lung ultrasonography score were 0.735 (95% CI: 0.586-0.844). The sensitivity, specificity, and cutoff values were 0.833, 0.722, and 22.5, respectively. CONCLUSIONS: Lung ultrasonography could be used to assess the severity of COVID-19 pneumonia, and it could also reveal the pathological signs of the disease. The lung ultrasonography score on ICU admission was independently related to the ICU 28-day mortality.read more
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Association of Lung Ultrasound Score with Mortality and Severity of COVID-19: A Meta-Analysis and Trial Sequential Analysis.
TL;DR: In this article, the difference in lung ultrasound (LUS) score between the death and survival groups, and the relationship between LUS score and COVID-19 severity were both assessed.
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Pulmonary Aspects of COVID-19.
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Reliability and clinical correlations of semi-quantitative lung ultrasound on BLUE points in COVID-19 mechanically ventilated patients: The ‘BLUE-LUSS’—A feasibility clinical study
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Ultrasound-guided lung lesion index as a predictor of treatment outcomes: cohort study of 388 patients with coronavirus infection
TL;DR: UIL determined by 16-zone “Russian protocol” correlated with severity of respiratory failure and volume of lung injury and was a predictor of adverse prognosis of disease outcome.
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Utility of lung ultrasound in selecting older patients with hyperinflammatory phase in COVID-19 pneumonia. A monocentric, cross-sectional pilot study
Riccardo Franchi,Chukwuma Okoye,V. Morelli,Daniela Guarino,Tessa Mazzarone,Giulia Coppini,Umberto Peta,Sara Rogani,Alessandra Fabbri,Antonio Polini,Fabio Monzani +10 more
TL;DR: In this paper , the authors evaluated the relationship between inflammatory markers and pulmonary injury assessed by Lung Ultrasound (LUS) in older patients with COVID-19 pneumonia in a tertiary care hospital.
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