Usefulness of lung ultrasound in the early identification of severe COVID-19: results from a prospective study

Hernández-Píriz, Alba; Tung‐Chen, Yale; Jiménez-Virumbrales, David; Ayala-Larrañaga, Ibone; Barba-Martín, R.; Canora-Lebrato, Jesús; Zapatero-Gaviria, Antonio; Casasola-Sánchez, G. García de

doi:10.11152/mu-3263

Cited by 8 publications

(9 citation statements)

References 21 publications

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“…Berce et al underline the importance of LUS as a useful method in a bacterial or viral outbreak or in epidemic times [ 30 ]. Lately, several studies have shown a significant role of LUS in the evaluation of COVID-19 pneumonia, not only regarding its accuracy in the detection of lesions, but also in evaluating the risk of death and complications development [ 8 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Is Lung Ultrasound Helpful in COVID-19 Neonates?—A Systematic Review

et al. 2021

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Background: The SARS-CoV-2 infection has occurred in neonates, but it is a fact that radiation exposure is not recommended given their age. The aim of this review is to assess the evidence on the utility of lung ultrasound (LUS) in neonates diagnosed with COVID-19. Methods: A systematic literature review was performed so as to find a number of published studies assessing the benefits of lung ultrasound for newborns diagnosed with COVID and, in the end, to make a comparison between LUS and the other two more conventional procedures of chest X-rays or CT exam. The key terms used in the search of several databases were: “lung ultrasound”, “sonography”, “newborn”, “neonate”, and “COVID-19′. Results: In total, 447 studies were eligible for this review, and after removing the duplicates, 123 studies referring to LU were further examined, but only 7 included cases of neonates. These studies were considered for the present research paper. Conclusions: As a non-invasive, easy-to-use, and reliable method for lung lesion detection in neonates with COVID-19, lung ultrasound can be used as a useful diagnosis tool for the evaluation of COVID-19-associated lung lesions. The benefits of this method in this pandemic period are likely to arouse interest in opening new research horizons, with immediate practical applicability.

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Section: Discussionmentioning

confidence: 99%

Is Lung Ultrasound Helpful in COVID-19 Neonates?—A Systematic Review

et al. 2021

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“…This is an added value, especially if we take into account the AUCs reached ( Table 2 and Supplementary Table S2 ). Most of the predictive models in which clinical variables [ 9 ] or lung ultrasound [ 37 , 38 ] are used only contemplate mortality as the primary outcome, when identifying those patients who require early intubation is probably more practical to improve care, and this fact makes our models more attractive.…”

Section: Discussionmentioning

confidence: 99%

Multiple Approaches at Admission Based on Lung Ultrasound and Biomarkers Improves Risk Identification in COVID-19 Patients

Rubio-Gracia

Sánchez‐Marteles

Garcés-Horna

et al. 2021

JCM

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Background: Risk stratification of COVID-19 patients is fundamental to improving prognosis and selecting the right treatment. We hypothesized that a combination of lung ultrasound (LUZ-score), biomarkers (sST2), and clinical models (PANDEMYC score) could be useful to improve risk stratification. Methods: This was a prospective cohort study designed to analyze the prognostic value of lung ultrasound, sST2, and PANDEMYC score in COVID-19 patients. The primary endpoint was in-hospital death and/or admission to the intensive care unit. The total length of hospital stay, increase of oxygen flow, or escalated medical treatment during the first 72 h were secondary endpoints. Results: a total of 144 patients were included; the mean age was 57.5 ± 12.78 years. The median PANDEMYC score was 243 (52), the median LUZ-score was 21 (10), and the median sST2 was 53.1 ng/mL (30.9). Soluble ST2 showed the best predictive capacity for the primary endpoint (AUC = 0.764 (0.658–0.871); p = 0.001), towards the PANDEMYC score (AUC = 0.762 (0.655–0.870); p = 0.001) and LUZ-score (AUC = 0.749 (0.596–0.901); p = 0.002). Taken together, these three tools significantly improved the risk capacity (AUC = 0.840 (0.727–0.953); p ≤ 0.001). Conclusions: The PANDEMYC score, lung ultrasound, and sST2 concentrations upon admission for COVID-19 are independent predictors of intra-hospital death and/or the need for admission to the ICU for mechanical ventilation. The combination of these predictive tools improves the predictive power compared to each one separately. The use of decision trees, based on multivariate models, could be useful in clinical practice.

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“…4. Ausencia de enfermedad crítica en el momento de la inclusión [10][11][12][13][14][15][16] en el estudio según la clasificación de la Guía de COVID-19 del NIH 14 . 5.…”

Section: Enfermedad Leve Moderada O Grave Según La Clasificación De Launclassified

“…La exploración ecográfica pulmonar se realizó siguiendo el protocolo Hernández-Píriz et al 15 . Se exploraron 13 áreas (3 en región posterior y 2 en cara lateral de ambos pulmones, 2 en cara anterior de pulmón derecho y 1 en cara antero-superior de pulmón izquierdo).…”

Section: Exploración Ecográficaunclassified

“…En función al Score pulmonar 15 en nuestra muestra hubo 23 pacientes con afectación ecográfica pulmonar leve pulmonar, con una media de 9,59 [6,62] puntos, 10 pacientes con afectación ecográfica pulmonar moderada con 30,7 [2,42] puntos, 39 pacientes con afectación ecográfica pulmonar grave 41,32 [4,56] puntos y 35 pacientes con afectación ecográfica pulmonar crítica con 61,16 [8,28] puntos.…”

Section: Solo En 4 Pacientes Se Detectó Derrame Pleural (3 Unilateral...unclassified

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Ecografía Multiórgano en infección por SARS-COV2

Píriz¹,

Virumbrales²,

Martín³

et al. 2022

Gal. Clin.

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Aim: There is growing evidence regarding the imaging ultrasound findings of coronavirus disease 2019 COVID-19. Multi-organ ultrasound has played a significant role in the diagnosis and follow-up of these patients. The aim of this study was to describe the ultrasound findings at pulmonary, cardiac and deep venous system of the lower extremities in patients with SARS-COV-2 infection. Material and method: Prospective, cross-sectional, observational study was conducted in patients with confirmed COVID-19 who underwent a multi-organ point-of-care ultrasound (POCUS) examination during hospitalization. Results: A total of 107 patients were enrolled. Lung involvement was present in 100% of the patients, 93.4% bilaterally involvement. The most affected lung area was the posteroinferior (94.39%) followed by the lateral (89.72%). Subpleural consolidations were present in 71% of patients and consolidations larger than 1 cm in 25%. More echographic lung involvement is relational with the degree of respiratory insufficiency. Only two patients had proximal deep vein thrombosis in the lower extremities, 27 angiography tomography scan were performed and pulmonary thromboembolism was confirmed in 14 patients. The most frequent echocardiographic findings were impaired left ventricular relaxation and left ventricular hypertrophy. All patients with thromboembolic disease had severe or critical echocardiographic pulmonary involvement. Conclusions: Multi-organ POCUS ultrasound may be useful for the manifestations of COVID-19. The degree of lung ultrasound involvement was related to the degree of respiratory failure and to the presence of VTED. The relationship between DVT and PTE was lower than expected. Cardiac involvement has little relevance in our series.

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Usefulness of lung ultrasound in the early identification of severe COVID-19: results from a prospective study

Cited by 8 publications

References 21 publications

Is Lung Ultrasound Helpful in COVID-19 Neonates?—A Systematic Review

Is Lung Ultrasound Helpful in COVID-19 Neonates?—A Systematic Review

Multiple Approaches at Admission Based on Lung Ultrasound and Biomarkers Improves Risk Identification in COVID-19 Patients

Ecografía Multiórgano en infección por SARS-COV2

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