Utility of a Pulmonary Oedema Score for Predicting the Need for Mechanical Ventilation in COVID-19 Patients in a General Hospital

Torres-Vargas, Criseida; Legorreta-Soberanis, José; Sánchez-Gervacio, Belén Madeline; Fernandez-Lopez, Pablo; Flores-Moreno, Miguel; Alvarado-Castro, Víctor Manuel; Paredes-Solís, Sergio; Andersson, Neil; Cockcroft, Anne

doi:10.1016/j.arcmed.2022.03.006

Archives of Medical Research

2022

DOI: 10.1016/j.arcmed.2022.03.006

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Utility of a Pulmonary Oedema Score for Predicting the Need for Mechanical Ventilation in COVID-19 Patients in a General Hospital

Criseida Torres-Vargas

José Legorreta-Soberanis

Belén Madeline Sánchez-Gervacio

et al.

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2024

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Cited by 1 publication

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Radiographic scores as a predictor of oxygenation index in very low‐birthweight infants

Zuiki,

Asuka,

Hasegawa

et al. 2024

Pediatrics International

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BackgroundVery low birthweight infants (VLBWIs) often undergo chest radiographic examinations without standardization or objectivity. This study aimed to assess the association of two radiographic scores, the Brixia and radiographic assessment of lung edema (RALE), with oxygenation index (OI) in ventilated VLBWIs and to determine the optimal cutoff values to predict hypoxic respiratory severity.MethodsVLBWIs who received invasive respiratory support with arterial lines between January 2010 and October 2023 were enrolled in this study (n = 144). The correlation between the Brixia or RALE scores and OI was investigated. Receiver operating characteristic curve analysis was performed to determine the optimal cutoff points of the two radiographic scores for predicting OI values (OI ≥5, ≥10, and ≥15).ResultsThe enrolled infants had a median gestational age of 27 weeks (interquartile range [IQR], 25–28 weeks) and a median birthweight of 855 g (IQR, 684–1003 g). Radiographic scoring methods correlated with the OI (Brixia score: r = 0.79, p < 0.001; RALE score: r = 0.72, p < 0.001). The optimal cutoff points for predicting OI values were as follows: Brixia score: OI ≥5, 10; OI ≥10, 13; OI ≥15, 15; RALE score: OI ≥5, 22; OI ≥10, 31; and OI ≥15, 40.ConclusionsBrixia and RALE scores are useful predictive markers of the oxygenation status in intubated VLBWIs with stable hemodynamics. These scores are easy to use and promising tools for clinicians to identify patients with a higher risk of hypoxic respiratory failure.

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Radiographic scores as a predictor of oxygenation index in very low‐birthweight infants

Zuiki,

Asuka,

Hasegawa

et al. 2024

Pediatrics International

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Utility of a Pulmonary Oedema Score for Predicting the Need for Mechanical Ventilation in COVID-19 Patients in a General Hospital

Cited by 1 publication

References 37 publications

Radiographic scores as a predictor of oxygenation index in very low‐birthweight infants

Radiographic scores as a predictor of oxygenation index in very low‐birthweight infants

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