Clinical performance of lung ultrasound in predicting ARDS morphology.

ARDS ARDS morphology Bedside tests Lung ultrasound Point of care diagnostic tests Respiratory monitoring

Journal

Annals of intensive care
ISSN: 2110-5820
Titre abrégé: Ann Intensive Care
Pays: Germany
ID NLM: 101562873

Informations de publication

Date de publication:
29 Mar 2021
Historique:
received: 31 10 2020
accepted: 09 03 2021
entrez: 29 3 2021
pubmed: 30 3 2021
medline: 30 3 2021
Statut: epublish

Résumé

To assess diagnostic performance of lung ultrasound (LUS) in identifying ARDS morphology (focal vs non-focal), compared with the gold standard computed tomography. Mechanically ventilated ARDS patients undergoing lung computed tomography and ultrasound were enrolled. Twelve fields, were evaluated. LUS score was graded from 0 (normal) to 3 (consolidation) according to B-lines extent. Total and regional LUS score as the sum of the four ventral (LUS Forty-seven patients with ARDS (25 training set and 22 validation set) were enrolled. LUS LUS had a valuable performance in distinguishing ARDS morphology.

Sections du résumé

BACKGROUND BACKGROUND
To assess diagnostic performance of lung ultrasound (LUS) in identifying ARDS morphology (focal vs non-focal), compared with the gold standard computed tomography.
METHODS METHODS
Mechanically ventilated ARDS patients undergoing lung computed tomography and ultrasound were enrolled. Twelve fields, were evaluated. LUS score was graded from 0 (normal) to 3 (consolidation) according to B-lines extent. Total and regional LUS score as the sum of the four ventral (LUS
RESULTS RESULTS
Forty-seven patients with ARDS (25 training set and 22 validation set) were enrolled. LUS
CONCLUSIONS CONCLUSIONS
LUS had a valuable performance in distinguishing ARDS morphology.

Identifiants

DOI: 10.1186/s13613-021-00837-1 PMID: 33779834 PMC: PMC8006629
pubmed: 33779834
doi: 10.1186/s13613-021-00837-1
pii: 10.1186/s13613-021-00837-1
pmc: PMC8006629
doi:

Types de publication

Journal Article

Langues

eng

Pagination

51

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Auteurs

Andrea Costamagna (A)

Department of Anaesthesia and Critical Care, AOU Città della Salute e della Scienza di Torino, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy.

Emanuele Pivetta (E)

Department of General and Specialized Medicine, Division of Emergency Medicine and High Dependency Unit, Cancer Epidemiology Unit - AOU Città Della Salute e Della Scienza di Torino, Turin, Italy.

Alberto Goffi (A)

Interdepartmental Division of Critical Care Medicine and Department of Medicine, University of Toronto, Toronto, ON, Canada.
Department of Medicine, Division of Critical Care Medicine, St. Michael's Hospital, Toronto, ON, Canada.

Irene Steinberg (I)

Department of Surgical Sciences, University of Turin, Turin, Italy.

Pietro Arina (P)

Department of Surgical Sciences, University of Turin, Turin, Italy.

Anna Teresa Mazzeo (AT)

Department of Surgical Sciences, University of Turin, Turin, Italy.
Dipartimento di Patologia Umana Dell'adulto e Dell'età Evolutiva, Anestesia e Rianimazione, Univesity of Messina, Messina, Italy.

Lorenzo Del Sorbo (L)

Interdepartmental Division of Critical Care Medicine and Department of Medicine, University of Toronto, Toronto, ON, Canada.
Department of Medicine, Division of Respirology (Critical Care), University Health Network, Toronto, ON, Canada.

Simona Veglia (S)

Department of Diagnostic Imaging and Radiotherapy, AOU Città della Salute e della Scienza di Torino-University of Turin, Turin, Italy.

Ottavio Davini (O)

Department of Diagnostic Imaging and Radiotherapy, AOU Città della Salute e della Scienza di Torino-University of Turin, Turin, Italy.

Luca Brazzi (L)

Department of Anaesthesia and Critical Care, AOU Città della Salute e della Scienza di Torino, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy.
Department of Surgical Sciences, University of Turin, Turin, Italy.

V Marco Ranieri (VM)

Alma Mater Studiorum, Dipartimento di Scienze Mediche e Chirurgiche, Anesthesia and Intensive Care Medicine, Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.

Vito Fanelli (V)

Department of Anaesthesia and Critical Care, AOU Città della Salute e della Scienza di Torino, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy. vito.fanelli@unito.it.
Department of Surgical Sciences, University of Turin, Turin, Italy. vito.fanelli@unito.it.
ORCID: 0000-0002-1647-2411

Classifications MeSH