Thoracic Radiological Characteristics of COVID-19 Patients at the Time of Presentation: A Cross-sectional Study.
COVID-19
Chest X-ray
Lung ultrasound
Severe acute respiratory syndrome coronavirus 2
Shred sign
Journal
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
ISSN: 0972-5229
Titre abrégé: Indian J Crit Care Med
Pays: India
ID NLM: 101208863
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
entrez:
19
2
2021
pubmed:
20
2
2021
medline:
20
2
2021
Statut:
ppublish
Résumé
Coronavirus disease 2019 (COVID-19) is a type of pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 pneumonia has characteristic radiological features. Recent evidence indicates usefulness of chest X-ray and lung ultrasound (LUS) in detecting COVID-19 pneumonia. In this prospective observational study, chest X-ray and LUS features of 50 adults with COVID-19 pneumonia at the time of presentation were described. Chest X-ray findings were present in 96% of patients, whereas all patients have ultrasound finding. Proportion (95% CI) of patients having bilateral opacities in chest X-ray was 96% (86.5-98.9%), ground glass opacity 74% (60.5-84.1%), and consolidation 50% (36.7-63.4%). In LUS, shred sign and thickened pleura was present in all patients recruited in this study. Air bronchogram was present in at least one area in 80% of all patients and B-lines score of more than 2 was present in at least one lung area in 84% patients. Number of lung areas with "shred sign" were higher in hypoxemic ( According to our study, LUS is a useful tool not only in diagnosing, but it also correlates with requirement of respiratory support in COVID-19 patients. Behera S, Maitra S, Anand RK, Baidya DK, Subramaniam R, Kayina CA,
Sections du résumé
BACKGROUND
BACKGROUND
Coronavirus disease 2019 (COVID-19) is a type of pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 pneumonia has characteristic radiological features. Recent evidence indicates usefulness of chest X-ray and lung ultrasound (LUS) in detecting COVID-19 pneumonia.
MATERIALS AND METHODS
METHODS
In this prospective observational study, chest X-ray and LUS features of 50 adults with COVID-19 pneumonia at the time of presentation were described.
RESULTS
RESULTS
Chest X-ray findings were present in 96% of patients, whereas all patients have ultrasound finding. Proportion (95% CI) of patients having bilateral opacities in chest X-ray was 96% (86.5-98.9%), ground glass opacity 74% (60.5-84.1%), and consolidation 50% (36.7-63.4%). In LUS, shred sign and thickened pleura was present in all patients recruited in this study. Air bronchogram was present in at least one area in 80% of all patients and B-lines score of more than 2 was present in at least one lung area in 84% patients. Number of lung areas with "shred sign" were higher in hypoxemic (
CONCLUSION
CONCLUSIONS
According to our study, LUS is a useful tool not only in diagnosing, but it also correlates with requirement of respiratory support in COVID-19 patients.
HOW TO CITE THIS ARTICLE
UNASSIGNED
Behera S, Maitra S, Anand RK, Baidya DK, Subramaniam R, Kayina CA,
Identifiants
pubmed: 33603307
doi: 10.5005/jp-journals-10071-23705
pmc: PMC7874276
doi:
Types de publication
Journal Article
Langues
eng
Pagination
85-87Informations de copyright
Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.
Déclaration de conflit d'intérêts
Source of support: Nil Conflict of interest: None
Références
Crit Care. 2019 Aug 28;23(1):288
pubmed: 31455421
Radiology. 2020 Aug;296(2):E72-E78
pubmed: 32216717
Am J Respir Crit Care Med. 2019 Mar 15;199(6):701-714
pubmed: 30372119
Radiology. 2020 Aug;296(2):E115-E117
pubmed: 32073353
Crit Care. 2020 Apr 28;24(1):174
pubmed: 32345353
J Med Virol. 2020 Sep;92(9):1449-1459
pubmed: 32242947
N Engl J Med. 2020 Feb 20;382(8):727-733
pubmed: 31978945
Intensive Care Med. 2020 May;46(5):849-850
pubmed: 32166346
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264