Lung ultrasound in the COVID-19 era: a lesson to be learned for the future.

Autor: De Molo C; Interventional, Diagnostic and Therapeutic Ultrasound Unit, Department of Surgical and Medical Sciences, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy., Consolini S; Emergency Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.; Alma Mater Studiorum, University of Bologna, Bologna, Italy., Fiorini G; U.O. Medicina Interna Cardiovascolare, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy. giulia.fiorini@aosp.bo.it., Marzocchi G; Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Gentilini M; Alma Mater Studiorum, University of Bologna, Bologna, Italy.; Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Salvatore V; Emergency Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy., Giostra F; Emergency Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.; Cardiovascular Internal Medicine, Department of Surgcal and Medical Sciences, University of Bologna, Bologna, Italy., Nardi E; U.O. Medicina Interna Cardiovascolare, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy., Monteduro F; Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Borghi C; U.O. Medicina Interna Cardiovascolare, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.; Cardiovascular Internal Medicine, Department of Surgcal and Medical Sciences, University of Bologna, Bologna, Italy., Serra C; Interventional, Diagnostic and Therapeutic Ultrasound Unit, Department of Surgical and Medical Sciences, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
Jazyk: angličtina
Zdroj: Internal and emergency medicine [Intern Emerg Med] 2023 Oct; Vol. 18 (7), pp. 2083-2091. Date of Electronic Publication: 2023 Jun 14.
DOI: 10.1007/s11739-023-03325-5
Abstrakt: Lung Ultrasound (LUS) is a reliable, radiation free and bedside imaging technique to assess several pulmonary diseases. Although the diagnosis of COVID-19 is made with the nasopharyngeal swab, detection of pulmonary involvement is key for a safe patient management. LUS is a valid alternative to explore, in paucisymptomatic self-presenting patients, the presence and extension of pneumonia compared to High Resolution Computed Tomography (HRCT) that represent the gold standard. This is a single-centre prospective study with 131 patients enrolled. Twelve lung areas were explored reporting a semiquantitative assessment to obtain the LUS score. Each patient performed reverse-transcription polymerase chain reaction test (rRT-PCR), hemogasanalysis and HRCT. We observed an inverse correlation between LUSs and pO2, P/F, SpO2, AaDO 2 (p value < 0.01), a direct correlation with LUSs and AaDO 2 (p value < 0.01). Compared with HRCT, LUS showed sensitivity and specificity of 81.8% and 55.4%, respectively, and VPN 75%, VPP 65%. Therefore, LUS can represent an effective alternative tool to detect pulmonary involvement in COVID-19 compared to HRCT.
(© 2023. The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI).)
Databáze: MEDLINE
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