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Is lung ultrasound score a useful tool to monitoring and handling moderate and severe COVID-19 patients in the general ward? An observational pilot study.
Baciarello, Marco; Bonetti, Andrea; Vetrugno, Luigi; Saturno, Francesco; Nouvenne, Antonio; Bellini, Valentina; Meschi, Tiziana; Bignami, Elena.
Afiliação
  • Baciarello M; Anesthesiology, Department of Medicine and Surgery, Critical Care and Pain Medicine Division, University of Parma, Viale Gramsci 14, 43126, Parma, Italy.
  • Bonetti A; Anesthesiology and Critical Care Division, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy.
  • Vetrugno L; Anesthesiology and Critical Care Division, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy.
  • Saturno F; Department of Medicine, Anesthesia and Intensive Care Clinic, University of Udine, Udine, Italy.
  • Nouvenne A; Anesthesiology and Critical Care Division, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy.
  • Bellini V; Geriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy.
  • Meschi T; Anesthesiology and Critical Care Division, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy.
  • Bignami E; Geriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria Di Parma, Parma, Italy.
J Clin Monit Comput ; 36(3): 785-793, 2022 06.
Article em En | MEDLINE | ID: mdl-33948780
Lung ultrasound is a well-established diagnostic tool in acute respiratory failure, and it has been shown to be particularly suited for the management of COVID-19-associated respiratory failure. We present exploratory analyses on the diagnostic and prognostic performance of lung ultrasound score (LUS) in general ward patients with moderate-to-severe COVID-19 pneumonia receiving O2 supplementation and/or noninvasive ventilation. From March 10 through May 1, 2020, 103 lung ultrasound exams were performed by our Forward Intensive Care Team (FICT) on 26 patients (18 males and 8 females), aged 62 (54 - 76) and with a Body Mass Index (BMI) of 30.9 (28.7 - 31.5), a median 6 (5 - 9) days after admission to the COVID-19 medical unit of the University Hospital of Parma, Italy. All patients underwent chest computed tomography (CT) the day of admission. The initial LUS was 16 (11 - 21), which did not significantly correlate with initial CT scans, probably due to rapid progression of the disease and time between CT scan on admission and first FICT evaluation; conversely, LUS was significantly correlated with PaO2/FiO2 ratio throughout patient follow-up [R = - 4.82 (- 6.84 to - 2.80; p < 0.001)]. The area under the receiving operating characteristics curve of LUS for the diagnosis of moderate-severe disease (PaO2/FiO2 ratio ≤ 200 mmHg) was 0.73, with an optimal cutoff value of 11 (positive predictive value: 0.98; negative predictive value: 0.29). Patients who eventually needed invasive ventilation and/or died during admission had significantly higher LUS throughout their stay.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: COVID-19 Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: COVID-19 Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Female / Humans / Male Idioma: En Ano de publicação: 2022 Tipo de documento: Article