Lung Ultrasound Findings in Patients with COVID-19

Marggrander, Daniel T; Borgans, Frauke; Jacobi, Volkmar; Neb, Holger; Wolf, Timo

doi:10.1007/s42399-020-00553-0

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…In the majority of the study population, we were able to provide comparison of LUS with chest CT results evaluated by a scoring system described in literature [ 12 ]. As already reported by others [ 17 , 18 ], we observed significant agreement between techniques, indicating that both could be informative regarding lung and systemic involvement in these patients. Indeed, in our sample, both correlated with markers of worsening respiratory insufficiency such as PaO2/FiO2 and inflammation (CRP and D-dimer).…”

Section: Discussionsupporting

confidence: 88%

Lung Ultrasound in COVID-19: Clinical Correlates and Comparison with Chest Computed Tomography

Portale¹,

Ciolina²,

Arcari³

et al. 2021

SN Compr. Clin. Med.

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Lung ultrasound (LUS) and chest computed tomography (chest CT) are largely employed to evaluate coronavirus disease 2019 (COVID-19) pneumonia. We investigated semi-quantitative LUS and CT scoring in hospitalized COVID-19 patients. LUS and chest CT were performed within 24 h upon admission. Both were analyzed according to semi-quantitative scoring systems. Subgroups were identified according to median LUS score. Patients within higher LUS score group were older (79 vs 60 years, p<0.001), had higher C-reactive protein (CRP) (7.2 mg/dl vs 1.3 mg/dl, p<0.001) and chest CT score (10 vs 4, p=0.027) as well as lower PaO2/FiO2 (286 vs 356, p=0.029) as compared to patients within lower scores. We found a significant correlation between scores (r=0.390, p=0.023). Both LUS and CT scores correlated directly with patients age (r=0.586, p<0.001 and r=0.399, p=0.021 respectively) and CRP (r=0.472, p=0.002 and r=0.518, p=0.002 respectively), inversely with PaO2/FiO2 (r=−0.485, p=0.003 and r=−0.440, p=0.017 respectively). LUS score only showed significant correlation with hs-troponin T, NT-pro-BNP, and creatinine (r=0.433, p=0.019; r=0.411, p=0.027, and r=0.497, p=0.001, respectively). Semi-quantitative bedside LUS is related to the severity of COVID-19 pneumonia similarly to chest CT. Correlation of LUS score with markers of cardiac and renal injury suggests that LUS might contribute to a more comprehensive evaluation of this heterogeneous population.

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Section: Discussionsupporting

confidence: 88%

Lung Ultrasound in COVID-19: Clinical Correlates and Comparison with Chest Computed Tomography

Portale¹,

Ciolina²,

Arcari³

et al. 2021

SN Compr. Clin. Med.

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“…Risk of bias was high in 2 articles ( [12] , [13] ) for patient selection, in 2 articles for index test ( [14] , [15] ) and in 7 articles for flow and timing ( [16] , [17] , [18] , [19] , [20] , [21] , [22] ). There were high applicability concerns only in one study, specifically in the index test domain ( [23] ). All studies were considered as low-risk in the reference standard domain, since all of them used SARS-CoV-2 RT-PCR as gold standard.…”

Section: Resultsmentioning

confidence: 97%

Ultrasound findings of lung ultrasonography in COVID-19: A systematic review

Gil-Rodríguez

Rojas

Aranda-Laserna

et al. 2022

European Journal of Radiology

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Purpose To identify the defining lung ultrasound (LUS) findings of COVID-19, and establish its association to the initial severity of the disease and prognostic outcomes. Method Systematic review was conducted according to the PRISMA guidelines. We queried PubMed, Embase, Web of Science, Cochrane Database and Scopus using the terms ((coronavirus) OR (covid-19) OR (sars AND cov AND 2) OR (2019-nCoV)) AND ((“lung ultrasound”) OR (LUS)), from 31st of December 2019 to 31st of January 2021. PCR-confirmed cases of SARS-CoV-2 infection, obtained from original studies with at least 10 participants 18 years old or older, were included. Risk of bias and applicability was evaluated with QUADAS-2. Results We found 1333 articles, from which 66 articles were included, with a pooled population of 4687 patients. The most examined findings were at least 3 B-lines, confluent B-lines, subpleural consolidation, pleural effusion and bilateral or unilateral distribution. B-lines, its confluent presentation and pleural abnormalities are the most frequent findings. LUS score was higher in intensive care unit (ICU) patients and emergency department (ED), and it was associated with a higher risk of developing unfavorable outcomes (death, ICU admission or need for mechanical ventilation). LUS findings and/or the LUS score had a good negative predictive value in the diagnosis of COVID-19 compared to RT-PCR. Conclusions The most frequent ultrasound findings of COVID-19 are B-lines and pleural abnormalities. High LUS score is associated with developing unfavorable outcomes. The inclusion of pleural effusion in the LUS score and the standardisation of the imaging protocol in COVID-19 LUS remains to be defined.

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“…Nė vienas iš būdingų plaučių radinių nėra patognominis COVID-19 infekcijai [23]. Gylis, kurį gali pasiekti ultragarso bangos, yra ribotas, tad echoskopuojant oringą plautį negalima įvertinti pakitimų aplink plaučių šaknis bei plaučių centrinių dalių struktūros [21,24].…”

Section: Plaučių Ultragarsinės Diagnostikos Galimybėsunclassified

Plaučių Ultragarsinės Diagnostikos Galimybės Ir Sunkumai Covid-19 Pandemijos Metu

Žarskus¹,

Pačinskaitė²,

Kakta³

et al. 2021

Health Sciences

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Pandemijos sąlygomis teikiant medicininę pagalbą izoliuotiems pacientams, būtina metodika, įgalinanti greitai ir netransportuojant paciento nustatyti vyraujančią patologiją bei parinkti būklę atitinkantį gydymą. Tyrimo tikslas – apžvelgti pacientų, sergančių COVID-19 infekcija, plaučių ultragarsinės diagnostikos galimybes ir sunkumus. Išvada. Trumpieji plaučių ultragarso protokolai, manoma, yra vienas iš būdų, ženkliai supaprastinantis pacientų diagnostinę logistiką.

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Lung Ultrasound Findings in Patients with COVID-19

Cited by 8 publications

References 23 publications

Lung Ultrasound in COVID-19: Clinical Correlates and Comparison with Chest Computed Tomography

Lung Ultrasound in COVID-19: Clinical Correlates and Comparison with Chest Computed Tomography

Ultrasound findings of lung ultrasonography in COVID-19: A systematic review

Plaučių Ultragarsinės Diagnostikos Galimybės Ir Sunkumai Covid-19 Pandemijos Metu

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