Lung ultrasound presentation of COVID-19 patients: phenotypes and correlations
Autor: | Francesco Mojoli, Bruno Barcella, Lorenzo Demitry, Stefano Perlini, Giulia Vezzoni, Flavia Resta, Francesco Salinaro, Caterina Zattera, Giovanni Cappa, Gianmarco Secco, Fausto Baldanti, Anna Sabena, Federica Briganti, Francesca Zugnoni, Marzia Delorenzo, Raffaele Bruno, Marco Bonzano |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Lung Coronavirus disease 2019 (COVID-19) business.industry Ultrasound 030208 emergency & critical care medicine Interstitial pattern 030204 cardiovascular system & hematology medicine.disease Gastroenterology Lung ultrasound 03 medical and health sciences Pneumonia Lung structure 0302 clinical medicine medicine.anatomical_structure Internal medicine Cohort Emergency Medicine Internal Medicine Medicine business |
Zdroj: | Internal and Emergency Medicine. 16:1317-1327 |
ISSN: | 1970-9366 1828-0447 |
DOI: | 10.1007/s11739-020-02620-9 |
Popis: | 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 13 had a 77.2% sensitivity and a 71.5% specificity (AUC 0.814; p R2 0.68; p 2 = 21% (R2 0.59; p |
Databáze: | OpenAIRE |
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