Chest imaging in patients with acute respiratory failure because of coronavirus disease 2019

Meglio, Letizia Di; Carriero, Serena; Biondetti, Pierpaolo; Wood, Bradford J.; Carrafiello, Gianpaolo

doi:10.1097/mcc.0000000000000906

Cited by 9 publications

(9 citation statements)

References 57 publications

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“…Of the changes following chest CT scans, the most common imaging manifestation was ground-glass opacity (64.2%). Various studies have similarly reported that GGO is the most common change on CT images, followed by consolidation [ 14 , 15 , 16 , 17 , 18 , 19 ]. Pleural effusion, along with pericardial effusion, lymphadenopathy, cavitation, and pneumothorax are among the less common but potential features found as the disease progresses [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Correlation of Lung Damage on CT Scan with Laboratory Inflammatory Markers in COVID-19 Patients: A Single-Center Study from Romania

Cîtu

Gorun²,

Motoc

et al. 2022

JCM

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(1) Background: This study aims to evaluate the association of CRP, NLR, IL-6, and Procalcitonin with lung damage observed on CT scans; (2) Methods: A cross-sectional study was performed among 106 COVID-19 patients hospitalized in Timisoara Municipal Emergency Hospital. Chest CT and laboratory analysis were performed in all patients. The rank Spearmen correlation was used to assess the association between inflammatory markers and lung involvement. In addition, ROC curve analysis was used to determine the accuracy of inflammatory markers in the diagnosis of severe lung damage; (3) Results: CRP, NLR, and IL-6 were significantly positively correlated with lung damage. All inflammatory markers had good accuracy for diagnosis of severe lung involvement. Moreover, IL-6 has the highest AUC- ROC curve; (4) Conclusions: The inflammatory markers are associated with lung damage and can be used to evaluate COVID-19 severity.

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Section: Discussionmentioning

confidence: 99%

Correlation of Lung Damage on CT Scan with Laboratory Inflammatory Markers in COVID-19 Patients: A Single-Center Study from Romania

Cîtu

Gorun²,

Motoc

et al. 2022

JCM

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“…LUS score has been used as a value to monitor ARDS evolution and the effects of mechanical ventilation on lung aeration. Data regarding diagnostic performance of LUS score demonstrated high accuracy (93.3%), sensitivity (100.0%), and specificity (92.9%) for severe lung lesions, confirming its usefulness in the diagnosis and monitoring of critical COVID-19 patients [72].…”

Section: Scores and Protocols Proposed On Lus And Pocusmentioning

confidence: 67%

The Role of POCUS to Face COVID-19: A Narrative Review

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

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COVID-19 has been a challenging outbreak to face, with millions of deaths among the globe. Acute respiratory failure due to interstitial pneumonia was the leading cause of death other than prothrombotic activation and complications. Lung ultrasound (LUS) and point-of-care ultrasound (POCUS) are widely used not only to triage, to identify, and to monitor lungs involvement but also to assess hemodynamic status and thrombotic and hemorrhagic complications, mainly in critically ill patients. POCUS has gained growing consideration due to its bedside utilization, reliability, and reproducibility even in emergency settings especially in unstable patients. In this narrative review, we aim to describe LUS and POCUS utilization in COVID-19 infection based on the literature found on this topic. We reported the LUS patterns of COVID-19 pulmonary infection, the diagnostic accuracy with respect to CT lung scan, its prognostic value, the variety of scores and protocols proposed, and the utilization of POCUS to investigate the extra-lung complications.

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“…Similarly, authors have reported role of inflammatory markers in association with CT findings. [42][43][44][45] Very few cases (2.10%) cases in Evolving phenotype were shown less than four-fold raised inflammatory markers. Rationale for this would be lesser ongoing inflammation in presence of early GGOs in COVID-19 pneumonia which is indicator of controlled inflammation.…”

Section: Evolved and Evolving Patterns In Study Cases And Its Correla...mentioning

confidence: 96%

Radiological Patterns Integration with Duration of Illness in COVID-19 Pneumonia as ‘Evolved’ and ‘Evolving’ Radiological Phenotypes: A Single Center Experience

et al. 2023

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Background: Radiological phenotypes are radiological patterns or observable characteristics of COVID- 19 pneumonia. Methods: Prospective observational study, included 3000 COVID-19 RT-PCR confirmed cases with lung involvement documented and categorized on HRCT thorax at entry point as mild, moderate and severe as per lung segment involvement bilaterally and follow up CT thorax imaging at six months post discharge from hospital. Radiological phenotypes were categorized as ‘Evolved’ and ‘Evolving’ as per radiological features and analysed with inflammatory markers and interventions required in indoor setting including ventilatory support. Age, gender, Comorbidity, laboratory parameters and use of BIPAP/NIV in COVID-19 cases and outcome as with or without lung fibrosis were key observations. Statistical analysis is done by using Chi square test. Results: In study of 3000 COVID-19 RT PCR confirmed pneumonia, ‘Evolved’ and ‘Evolving’ radiological phenotype patterns were observed in 36.66% and 63.33% respectively. Duration of illness, laboratory parameters at entry point (CRP, IL-6, ferritin, LDH, D-dimer) & interventions required in indoor unit has significant association with Radiological phenotypes [p<0.00001] HRCT severity score at entry point & Post COVID-19 lung fibrosis or sequelae has significant association with radiological phenotypes. [p<0.00001] Conclusions: Radiological phenotypes have documented very crucial role in initial assessment of COVID- 19 pneumonia. Evolved and Evolving differentiation have documented important step in management of these cases in indoor and outdoor setting. J MEDICINE 2023; 24(2): 71-81

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Chest imaging in patients with acute respiratory failure because of coronavirus disease 2019

Cited by 9 publications

References 57 publications

Correlation of Lung Damage on CT Scan with Laboratory Inflammatory Markers in COVID-19 Patients: A Single-Center Study from Romania

Correlation of Lung Damage on CT Scan with Laboratory Inflammatory Markers in COVID-19 Patients: A Single-Center Study from Romania

The Role of POCUS to Face COVID-19: A Narrative Review

Radiological Patterns Integration with Duration of Illness in COVID-19 Pneumonia as ‘Evolved’ and ‘Evolving’ Radiological Phenotypes: A Single Center Experience

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