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Findings and Prognostic Value of Lung Ultrasonography in Coronal Virus Disease 2019 (COVID-19) Pneumonia.
Li, Lu; Qin, Aihua; Yang, Xiao; Zhou, Shuliang; Luo, Yun; Zhu, Fangfang; Hu, Bo; Li, Jianguo; Cai, Shuhan; Peng, Zhiyong.
  • Li L; Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Shock ; 56(2): 200-205, 2021 08 01.
Article in English | MEDLINE | ID: covidwho-1316852
Semantic information from SemMedBD (by NLM)
1. Lung LOCATION_OF Ultrasonography
Subject
Lung
Predicate
LOCATION_OF
Object
Ultrasonography
2. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
3. intensive care unit LOCATION_OF Ultrasonography
Subject
intensive care unit
Predicate
LOCATION_OF
Object
Ultrasonography
4. Lung LOCATION_OF Ultrasonography
Subject
Lung
Predicate
LOCATION_OF
Object
Ultrasonography
5. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
6. intensive care unit LOCATION_OF Ultrasonography
Subject
intensive care unit
Predicate
LOCATION_OF
Object
Ultrasonography
ABSTRACT

PURPOSE:

We used lung ultrasonography to identify features of COVID-19 pneumonia and to evaluate the prognostic value. PATIENTS AND

METHODS:

We performed lung ultrasonography on 48 COVID-19 patients in an intensive care unit (ICU) (Wuhan, China) using a 12-zone method. The associations between lung ultrasonography score, PaO2/FiO2, APACHE II, SOFA, and PaCO2 with 28-day mortality were analyzed and the receiver operator characteristic curve was plotted.

RESULTS:

25.9% areas in all scanning zones presented with B7 lines and 23.5% with B3 lines (B-pattern) on lung ultrasonography; 13% areas with confluent B lines (B-pattern), 24.9% in areas with consolidations, and 9.9% in areas with A lines. Pleural effusion was observed in 2.8% of areas. Lung ultrasonography score was negatively correlated with PaO2/FiO2 (n = 48, r = -0.498, P < 0.05) and positively correlated with APACHE II (n = 48, r = 0.435, P < 0.05). Lung ultrasonography score was independently associated with 28-day mortality. The areas under receiver operator characteristic curves of lung ultrasonography score were 0.735 (95% CI 0.586-0.844). The sensitivity, specificity, and cutoff values were 0.833, 0.722, and 22.5, respectively.

CONCLUSIONS:

Lung ultrasonography could be used to assess the severity of COVID-19 pneumonia, and it could also reveal the pathological signs of the disease. The lung ultrasonography score on ICU admission was independently related to the ICU 28-day mortality.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Ultrasonography / COVID-19 / Lung Type of study: Diagnostic study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Shock Journal subject: Vascular Diseases / Cardiology Year: 2021 Document Type: Article Affiliation country: SHK.0000000000001700

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ultrasonography / COVID-19 / Lung Type of study: Diagnostic study / Observational study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Shock Journal subject: Vascular Diseases / Cardiology Year: 2021 Document Type: Article Affiliation country: SHK.0000000000001700