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One Year of Lung Ultrasound in Children with SARS-CoV-2 Admitted to a Tertiary Referral Children's Hospital: A Retrospective Study during 2020-2021.
Musolino, Anna Maria; Ferro, Valentina; Supino, Maria Chiara; Boccuzzi, Elena; Scateni, Simona; Sinibaldi, Serena; Cursi, Laura; Schingo, Paolo Maria Salvatore; Reale, Antonino; Campana, Andrea; Raponi, Massimiliano; Villani, Alberto; Tomà, Paolo.
  • Musolino AM; Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Ferro V; Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Supino MC; Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Boccuzzi E; Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Scateni S; Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Sinibaldi S; Pediatric Unit, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00050 Palidoro, Italy.
  • Cursi L; Immunology and Infectious Disease Unit, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Schingo PMS; Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Reale A; Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Campana A; Pediatric Unit, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00050 Palidoro, Italy.
  • Raponi M; Medical Direction, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Villani A; General Pediatrics Unit, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
  • Tomà P; Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Children (Basel) ; 9(5)2022 May 23.
Article in English | MEDLINE | ID: covidwho-1953083
ABSTRACT
During the COVID-19 pandemic, the lung ultrasound (LU) turned out to be a pivotal tool to study the lung involvement in the adult population, but the same was not well evaluated in children. We detected the LU patterns through an integrated approach with clinical-laboratory features in children hospitalized for COVID-19 in relation to the temporal trend of the Italian epidemic. We conducted a retrospective study which took place at a pediatric tertiary hospital from 15 March 2020 to 15 March 2021. We compared the characteristics of the initial phase of the first COVID-19 year-in the spring and summer (15 March-30 September 2020)-and those of the second phase-in the autumn and winter (1 October 2020-15 March 2021). Twenty-eight patients were studied both in the first and in the second phase of the first COVID-19 year. The disease severity score (DSS) was significantly greater in the second phase (p = 0.015). In the second phase of the first COVID-19 year, we detected a more significant occurrence of the following LU features than in the first phase the irregular pleural line (85.71% vs. 60.71%; p = 0.035), the B-lines (89.29% vs. 60%; p = 0.003) and the several but non-coalescent B-lines (89.29% vs. 60%; p = 0.003). The LU score correlated significantly with the DSS, with a moderate relationship (r = 0.51, p < 0.001). The combined clinical, laboratory and ultrasound approaches might be essential in the evaluation of pulmonary involvement in children affected by COVID-19 during different periods of the pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Children9050761

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Children9050761