Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity

Autor:	Ali Zouheir Bitar, Huda Alfoudri, Zouheir Ibrahim Bitar, Omar Mohammed Bamasood, OssamaSajeh Maadarani, Mohammed Shamsah
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Article Subject Coronavirus disease 2019 (COVID-19) RC86-88.9 business.industry Ultrasound Intensivist Medical emergencies. Critical care. Intensive care. First aid 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine medicine.disease 030218 nuclear medicine & medical imaging Lung ultrasound respiratory tract diseases 03 medical and health sciences Pneumonia 0302 clinical medicine Disease severity Patient age Internal medicine medicine In patient business Research Article
Zdroj:	Critical Care Research and Practice Critical Care Research and Practice, Vol 2021 (2021)
ISSN:	2090-1313 2090-1305
Popis:	Introduction. One of the ultrasonic features of COVID-19 pneumonia is the presence of subpleural consolidation (SPC), and the number of SPCs varies among patients with COVID-19 pneumonia. Aim. To examine the relationship between disease severity and the number of SPCs on admission. Methodology. This observational, prospective, single‐center study included patients with suspected COVID-19 infection who had been transferred to the ICU. A specialized intensivist in critical care ultrasound performed lung ultrasound (LUS) and echocardiography within 12 hours of a patient’s admission to the ICU. The aeration score was calculated, and the total number of SPCs was quantified in 12 zones of the LUS. Results. Of 109 patients with suspected COVID-19 pneumonia, 77 (71%) were confirmed. The median patient age was 53 (82–36) years, and 81 of the patients (73.7%) were men. The aeration score and the counts of subpleural consolidation in each zone were significantly higher in patients with COVID-19 pneumonia ( P = 0.018 and P < 0.0001 , respectively). There was an inverse relationship between PO2/FiO2, the aeration score, and the number of subpleural consolidations. The higher the number of SPCs, the worse the PO2/FiO2 will be. Conclusions. Sonographic SPC counts correlate well with the severity of COVID-19 pneumonia and PO2/FiO2. The number of SPCs should be considered when using LUS to assess disease severity.
Databáze:	OpenAIRE
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