Lung sonographic findings in COVID-19 patients.
COVID-19
Characteristics
Lung sonography
Ultrasound
Journal
The American journal of emergency medicine
ISSN: 1532-8171
Titre abrégé: Am J Emerg Med
Pays: United States
ID NLM: 8309942
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
16
06
2020
revised:
24
08
2020
accepted:
24
08
2020
pubmed:
13
10
2020
medline:
27
7
2021
entrez:
12
10
2020
Statut:
ppublish
Résumé
The objective of this study was to describe the lung sonographic findings of COVID-19 patients prospectively and investigate its association with disease severity. This study was conducted in an emergency department and included consecutively enrolled laboratory confirmed COVID-19 patients. Lung sonography findings were described in all the included patients and analysed with respect to the clinical severity of the patients. 106 patients were included in the study. Common sonographic findings in COVID-19 patients were pleural line irregularity or shredding (70% of patients), followed by B - profile (59%), pleural line thickening (33%), occasional B - lines (26%), sub-pleural consolidations (35%), deep consolidations (6%), spared areas (13%), confluent B - lines or waterfall sign (14%) and pleural effusion (9%). These findings tended to be present more bilaterally and in lower lung zones. Sonographic characteristics like bilateral lung involvement, B - profile, spared areas and confluent B - lines or waterfall sign were significantly associated (p < 0.01) with clinical severity (more frequent with increasing disease severity). The lung sonographic findings of COVID-19 were found more bilaterally and in lower lung zones, and specific findings like B - profile, pleural thickening, spared areas and confluent B - lines or waterfall sign were associated with severe COVID-19.
Identifiants
pubmed: 33041126
pii: S0735-6757(20)30774-9
doi: 10.1016/j.ajem.2020.08.080
pmc: PMC7472070
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
324-328Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors did not have any conflicts of interest.
Références
JAMA. 2020 Apr 7;323(13):1239-1242
pubmed: 32091533
Anaesthesia. 2020 Aug;75(8):1096-1104
pubmed: 32275766
Emerg Med Australas. 2020 Aug;32(4):694-696
pubmed: 32386264
Radiology. 2020 Jun;295(3):E6
pubmed: 32167853
Crit Care Med. 2007 May;35(5 Suppl):S262-7
pubmed: 17446786
Postgrad Med J. 2021 Jan;97(1143):62-63
pubmed: 32404492
Acad Emerg Med. 2020 Oct;27(10):963-973
pubmed: 32762106
J Thorac Dis. 2016 Dec;8(12):E1763-E1766
pubmed: 28149636
Am J Emerg Med. 2020 Oct;38(10):2194-2202
pubmed: 33071092
BMJ. 2020 May 22;369:m1966
pubmed: 32444366
J Family Med Prim Care. 2020 Apr 30;9(4):1820-1824
pubmed: 32670925
Am J Respir Crit Care Med. 2018 Aug 1;198(3):398-401
pubmed: 29557671
Lancet Respir Med. 2014 Aug;2(8):638-46
pubmed: 24998674
Lancet Respir Med. 2020 May;8(5):e27
pubmed: 32203708
J Emerg Trauma Shock. 2020 Apr-Jun;13(2):169-171
pubmed: 33013100
Intensive Care Med. 2020 May;46(5):849-850
pubmed: 32166346
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Eur Rev Med Pharmacol Sci. 2020 Mar;24(5):2776-2780
pubmed: 32196627
Ultrasound J. 2020 Apr 21;12(1):22
pubmed: 32318891
Ann Intensive Care. 2014 Jan 09;4(1):1
pubmed: 24401163