tetano
Editor, Senior Moderator
Ultrasound Med Biol
. 2020 Sep 21;S0301-5629(20)30428-2.
doi: 10.1016/j.ultrasmedbio.2020.09.010. Online ahead of print.
Utility of Point-of-Care Lung Ultrasound for Clinical Classification of COVID-19
Shu-Ting Zhu[SUP] 1 [/SUP], Fang-Yi Tao[SUP] 1 [/SUP], Jing-Hong Xu[SUP] 1 [/SUP], Shu-Sheng Liao[SUP] 1 [/SUP], Chuan-Li Shen[SUP] 1 [/SUP], Zeng-Hui Liang[SUP] 1 [/SUP], Bin-Bin Shi[SUP] 1 [/SUP], Qiao Li[SUP] 2 [/SUP]
Affiliations
Abstract
In this study, the utility of point-of-care lung ultrasound for clinical classification of coronavirus disease (COVID-19) was prospectively assessed. Twenty-seven adult patients with COVID-19 underwent bedside lung ultrasonography (LUS) examinations three times each within the first 2 wk of admission to the isolation ward. We divided the 81 exams into three groups (moderate, severe and critically ill). Lung scores were calculated as the sum of points. A rank sum test and bivariate correlation analysis were carried out to determine the correlation between LUS on admission and clinical classification of COVID-19. There were dramatic differences in LUS (p < 0.001) among the three groups, and LUS scores (r = 0.754) correlated positively with clinical severity (p < 0.01). In addition, moderate, severe and critically ill patients were more likely to have low (≤9), medium (9-15) and high scores (≥15), respectively. This study provides stratification criteria of LUS scores to assist in quantitatively evaluating COVID-19 patients.
Keywords: COVID-19; Pneumonia severity; Point-of-care ultrasound.
. 2020 Sep 21;S0301-5629(20)30428-2.
doi: 10.1016/j.ultrasmedbio.2020.09.010. Online ahead of print.
Utility of Point-of-Care Lung Ultrasound for Clinical Classification of COVID-19
Shu-Ting Zhu[SUP] 1 [/SUP], Fang-Yi Tao[SUP] 1 [/SUP], Jing-Hong Xu[SUP] 1 [/SUP], Shu-Sheng Liao[SUP] 1 [/SUP], Chuan-Li Shen[SUP] 1 [/SUP], Zeng-Hui Liang[SUP] 1 [/SUP], Bin-Bin Shi[SUP] 1 [/SUP], Qiao Li[SUP] 2 [/SUP]
Affiliations
- PMID: 33168275
- DOI: 10.1016/j.ultrasmedbio.2020.09.010
Abstract
In this study, the utility of point-of-care lung ultrasound for clinical classification of coronavirus disease (COVID-19) was prospectively assessed. Twenty-seven adult patients with COVID-19 underwent bedside lung ultrasonography (LUS) examinations three times each within the first 2 wk of admission to the isolation ward. We divided the 81 exams into three groups (moderate, severe and critically ill). Lung scores were calculated as the sum of points. A rank sum test and bivariate correlation analysis were carried out to determine the correlation between LUS on admission and clinical classification of COVID-19. There were dramatic differences in LUS (p < 0.001) among the three groups, and LUS scores (r = 0.754) correlated positively with clinical severity (p < 0.01). In addition, moderate, severe and critically ill patients were more likely to have low (≤9), medium (9-15) and high scores (≥15), respectively. This study provides stratification criteria of LUS scores to assist in quantitatively evaluating COVID-19 patients.
Keywords: COVID-19; Pneumonia severity; Point-of-care ultrasound.