Point-of-care ultrasound (PoCUS) in the early diagnosis of novel coronavirus 2019 disease (COVID-19) in a first-level emergency department during a SARS-CoV-2 outbreak in Italy: a real-life analysis
| Autor: | Elisa Paolucci, Michele Buggea, Erica Sibona, Lorenzo Pelagatti, Camilla Tozzi, Germana Allescia, Natalia Fersini, Michele Lanigra, Simone Bianchi, Caterina Savinelli, Diana Paolini |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty ARDS Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Point-of-Care Systems Point-of-care ultrasound Disease 030204 cardiovascular system & hematology EM - Original medicine.disease_cause Disease Outbreaks 03 medical and health sciences 0302 clinical medicine COVID-19 Testing Internal Medicine Medicine Humans 030212 general & internal medicine Lung Coronavirus Ultrasonography Lung ultrasound business.industry SARS-CoV-2 Emergency department Outbreak COVID-19 medicine.disease Early Diagnosis Emergency medicine Emergency Medicine Etiology business Emergency Service Hospital |
| Zdroj: | Internal and Emergency Medicine |
| ISSN: | 1970-9366 |
| Popis: | In December 2019, the severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) spread worldwide, challenging emergency departments (EDs) with the need of rapid diagnosis for appropriate allocation in dedicated setting. Many authors highlighted the role of lung ultrasound (LUS) in management of the novel coronavirus disease 2019 (COVID-19). The study aims to analyze the performance of LUS in the early identification of COVID-19 patients in ED during a SARS-CoV-2 outbreak. We prospectively collected consecutive adult patients admitted to a first-level ED in Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation Florence with history or symptoms suggestive for COVID-19 that underwent LUS during the ED management. LUS findings were categorized in 6 discrete main etiological patterns. “A”, “Cardiogenic B” and “Typical C” patterns were referred as non-COVID-19-suggestive, while “Atypical” B or C patterns, “Multiple Consolidations” pattern and “ARDS” pattern were referred as COVID-19-suggestive. The primary outcome was the diagnosis of SARS-CoV-2 infection. From 12 March to 12 May 2020, 360 patients were enrolled. COVID-19 suggestive LUS findings were significantly associated with final COVID-19 diagnosis (86% in COVID-19 vs 29% in non-COVID-19, p |
| Databáze: | OpenAIRE |
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