Your browser doesn't support javascript.
Frequency of Abnormalities Detected by Point-of-Care Lung Ultrasound in Symptomatic COVID-19 Patients: Systematic Review and Meta-Analysis.
Mohamed, Mouhand F H; Al-Shokri, Shaikha; Yousaf, Zohaib; Danjuma, Mohammed; Parambil, Jessiya; Mohamed, Samreen; Mubasher, Mahmood; Dauleh, Mujahed M; Hasanain, Bara; AlKahlout, Mohamed Awni; Abubeker, Ibrahim Y.
  • Mohamed MFH; 1Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Al-Shokri S; 1Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Yousaf Z; 1Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Danjuma M; 1Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Parambil J; 1Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Mohamed S; 1Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Mubasher M; 2Unity Hospital of Rochester, Rochester, New York.
  • Dauleh MM; 3Nephrology Department, PennState Hershey Medical Center, Hershey, Pennsylvania.
  • Hasanain B; 4Saint Agnes Hospital, Baltimore, Maryland.
  • AlKahlout MA; 1Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Abubeker IY; 2Unity Hospital of Rochester, Rochester, New York.
Am J Trop Med Hyg ; 103(2): 815-821, 2020 08.
Artículo en Inglés | MEDLINE | ID: covidwho-539658
ABSTRACT
The COVID-19 pandemic has resulted in significant morbidity, mortality, and strained healthcare systems worldwide. Thus, a search for modalities that can expedite and improve the diagnosis and management of this entity is underway. Recent data suggested the utility of lung ultrasound (LUS) in the diagnosis of COVID-19 by detecting an interstitial pattern (B-pattern). Hence, we aimed to pool the proportion of various reported lung abnormalities detected by LUS in symptomatic COVID-19 patients. We conducted a systematic review (PubMed, MEDLINE, and EMBASE until April 25, 2020) and a proportion meta-analysis. We included seven studies examining the role of LUS in 122 COVID-19 patients. The pooled proportion (PP) of B-pattern detected by lung ultrasound (US) was 0.97 (95% CI 0.94-1.00 I 2 0%, Q 4.6). The PP of finding pleural line abnormalities was 0.70 (95% CI 0.13-1.00 I 2 96%, Q 103.9), of pleural thickening was 0.54 (95% 0.11-0.95 I 2 93%, Q 61.1), of subpleural or pulmonary consolidation was 0.39 (95% CI 0.21-0.58 I 2 72%, Q 17.8), and of pleural effusion was 0.14 (95% CI 0.00-0.37 I 2 93%, Q 27.3). Our meta-analysis revealed that almost all SARS-CoV-2-infected patients have abnormal lung US. The most common abnormality is interstitial involvement depicted as B-pattern. The finding from our review highlights the potential role of this modality in the triage, diagnosis, and follow-up of COVID-19 patients. A sizable diagnostic accuracy study comparing LUS, computed tomography scan, and COVID-19-specific tests is warranted to further test this finding and to delineate the diagnostic and prognostic yield of each of these modalities.
Asunto(s)

Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Ultrasonografía / Infecciones por Coronavirus / Sistemas de Atención de Punto Tipo de estudio: Estudio de cohorte / Estudios diagnósticos / Estudio pronóstico / Revisiones / Revisión sistemática/Meta análisis Límite: Humanos Idioma: Inglés Revista: Am J Trop Med Hyg Año: 2020 Tipo del documento: Artículo País de afiliación: Ajtmh.20-0371

Similares

MEDLINE

...
LILACS

LIS


Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Ultrasonografía / Infecciones por Coronavirus / Sistemas de Atención de Punto Tipo de estudio: Estudio de cohorte / Estudios diagnósticos / Estudio pronóstico / Revisiones / Revisión sistemática/Meta análisis Límite: Humanos Idioma: Inglés Revista: Am J Trop Med Hyg Año: 2020 Tipo del documento: Artículo País de afiliación: Ajtmh.20-0371