Lung ultrasound presentation of COVID-19 patients: phenotypes and correlations.
COVID-19
Echographic phenotypes
Interstitial pneumonia
LUS score
Lung ultrasound
Journal
Internal and emergency medicine
ISSN: 1970-9366
Titre abrégé: Intern Emerg Med
Pays: Italy
ID NLM: 101263418
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
03
08
2020
accepted:
24
12
2020
pubmed:
2
3
2021
medline:
30
7
2021
entrez:
1
3
2021
Statut:
ppublish
Résumé
Bedside lung ultrasound (LUS) can play a role in the setting of the SarsCoV2 pneumonia pandemic. To evaluate the clinical and LUS features of COVID-19 in the ED and their potential prognostic role, a cohort of laboratory-confirmed COVID-19 patients underwent LUS upon admission in the ED. LUS score was derived from 12 fields. A prevalent LUS pattern was assigned depending on the presence of interstitial syndrome only (Interstitial Pattern), or evidence of subpleural consolidations in at least two fields (Consolidation Pattern). The endpoint was 30-day mortality. The relationship between hemogasanalysis parameters and LUS score was also evaluated. Out of 312 patients, only 36 (11.5%) did not present lung involvment, as defined by LUS score < 1. The majority of patients were admitted either in a general ward (53.8%) or in intensive care unit (9.6%), whereas 106 patients (33.9%) were discharged from the ED. In-hospital mortality was 25.3%, and 30-day survival was 67.6%. A LUS score > 13 had a 77.2% sensitivity and a 71.5% specificity (AUC 0.814; p < 0.001) in predicting mortality. LUS alterations were more frequent (64%) in the posterior lower fields. LUS score was related with P/F (R
Identifiants
pubmed: 33646508
doi: 10.1007/s11739-020-02620-9
pii: 10.1007/s11739-020-02620-9
pmc: PMC7917171
doi:
Substances chimiques
RNA, Viral
0
Types de publication
Journal Article
Comment
Langues
eng
Sous-ensembles de citation
IM
Pagination
1317-1327Investigateurs
Ilaria Martino
(I)
Barbarah Guglielmana
(B)
Ilaria Zunino
(I)
Federica Quaglia
(F)
Pietro Pettenazza
(P)
Serena Pioli di Marco
(SP)
Domenica Federica Briganti
(DF)
Anna Giulia Falchi
(AG)
Claudia Alfano
(C)
Elisa Mossolani
(E)
Massimiliano Sciarrini
(M)
Caterina Zattera
(C)
Igor Maisak
(I)
Michele Tassi
(M)
Stefano Galati
(S)
None Capozza
Ilaria Melara
(I)
Benedetta Chiodi
(B)
Damiano Vignaroli
(D)
Lorenzo Scattaglia
(L)
Giulia Bissichini
(G)
Marco Bazzini
(M)
Commentaires et corrections
Type : CommentOn
Type : CommentOn
Type : CommentIn
Informations de copyright
© 2021. The Author(s).
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