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
Rok vydání: 2021
Předmět:
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