Lung Ultrasound Findings in Healthy Children and in Those Who Had Recent, Not Severe COVID-19 Infection.
J Clin Med
; 11(20)2022 Oct 11.
Article
in En
| MEDLINE
| ID: mdl-36294320
ABSTRACT
Background:
Lung ultrasound (LUS) is gaining consensus as a non-invasive diagnostic imaging method for the evaluation of pulmonary disease in children.Aim:
To clarify what type of artifacts (e.g., B-lines, pleural irregularity) can be defined normal LUS findings in children and to evaluate the differences in children who did not experience COVID-19 and in those with recent, not severe, previous COVID-19.Methods:
LUS was performed according to standardized protocols. Different patterns of normality were defined pattern 1 no plural irregularity and no B-lines; pattern 2 only mild basal posterior plural irregularity and no B-lines; pattern 3 mild posterior basal/para-spine/apical pleural irregularity and no B-lines; pattern 4 like pattern 3 plus rare B-lines; pattern 5 mild, diffuse short subpleural vertical artifacts and rare B-lines; pattern 6 mild, diffuse short subpleural vertical artifacts and limited B-lines; pattern 7 like pattern 6 plus minimal subpleural atelectasis. Coalescent B-lines, consolidations, or effusion were considered pathological.Results:
Overall, 459 healthy children were prospectively recruited (mean age 10.564 ± 3.839 years). Children were divided into two groups group 1 (n = 336), those who had not had COVID-19 infection, and group 2 (n = 123), those who experienced COVID-19 infection. Children with previous COVID-19 had higher values of LUS score than those who had not (p = 0.0002). Children with asymptomatic COVID-19 had similar LUS score as those who did not have infections (p > 0.05), while those who had symptoms showed higher LUS score than those who had not shown symptoms (p = 0.0228).Conclusions:
We report the pattern of normality for LUS examination in children. We also showed that otherwise healthy children who recovered from COVID-19 and even those who were mildly symptomatic had more "physiological" artifacts at LUS examinations.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Diagnostic_studies
/
Guideline
Language:
En
Journal:
J Clin Med
Year:
2022
Document type:
Article
Affiliation country:
Italia