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About:
Findings and prognostic value of lung ultrasound in COVID-19 pneumonia
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research paper
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Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Findings and prognostic value of lung ultrasound in COVID-19 pneumonia
Creator
Sánchez, Ignacio
Soriano, Joan
Alonso, Miguel
Ampuero, Ana
Anta, Yunelsy
Castelao, Jorge
Castillo, María
Fernández, Jesús
Laviña, ;
Mediano, Olga
Morena, Diego
Resano, Pilar
Romero, Sofía
Source
MedRxiv
abstract
Objectives: The aim is to systematically describe the findings of lung ultrasound in patients with COVID-19 pneumonia and to analyze its prognostic value. Methods: Lung ultrasound was performed to 63 patients with COVID-19 pneumonia admitted to a University Hospital. Lung involvement was evaluated using a 4-point scale with a 12-area pulmonary division (lung score -LS-). Ultrasound findings, along with clinical characteristics, were recorded. Results: All patients showed ultrasound involvement in at least 1 area (mean 8 {+/-} 3.5). Total LS was 15.3 {+/-} 8.1, without differences between left and right lung. Most affected regions were the lower one (95.2%) and the posterior one (73.8%). Total LS showed a strong correlation (r = -0.765) with PaO2/FiO2; by lung regions, those with a higher correlation were the LS of the anterior one (r = -0.823) and the LS of the upper one (r = -0.731). 22.2% of patients required non-invasive respiratory support (NIRS). Multivariate analysis shows that anterior region LS, adjusted for age and sex, is significant (odds ratio 2.159, 95% confidence interval 1.309 to 3.561) for the risk of requiring NIRS. Anterior region LS [≥] 4 and total LS [≥] 19 have similar characteristics to predict the need for NIRS. Conclusions: Ultrasound involvement in COVID-19 pneumonia is bilateral and heterogeneous. Most affected regions are the posterior and the lower ones. The anterior region has prognostic value, because its involvement strongly correlates with the risk of requiring NIRS, and an anterior region LS [≥] 4 has high sensitivity and specificity for predicting the need for NIRS.
has issue date
2020-06-30
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bibo:doi
10.1101/2020.06.29.20142646
has license
medrxiv
sha1sum (hex)
0649a5e3465116ccacb32136805024ae59767ae9
schema:url
https://doi.org/10.1101/2020.06.29.20142646
resource representing a document's title
Findings and prognostic value of lung ultrasound in COVID-19 pneumonia
resource representing a document's body
covid:0649a5e3465116ccacb32136805024ae59767ae9#body_text
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named entity 'PROGNOSTIC VALUE'
covid:arg/0649a5e3465116ccacb32136805024ae59767ae9
named entity 'patients'
named entity 'Manuscript'
named entity 'pneumonia'
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named entity 'preprint'
named entity 'left lung'
named entity 'medRxiv'
named entity 'COVID'
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named entity 'acute respiratory distress syndrome'
named entity 'COVID'
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