Academic Journal
Clinical application of lung ultrasound score on COVID-19 setting: A regional experience in Southern Italy
| العنوان: | Clinical application of lung ultrasound score on COVID-19 setting: A regional experience in Southern Italy |
|---|---|
| المؤلفون: | Lugara M., Oliva G., Pafundi P. C., Tamburrini S., Nevola R., Gjeloshi K., Ricozzi C., Imbriani S., Padula A., Aprea C., Meo L., Cozzolino D., Cuomo G., Marrone A., Romano C., Fiorini V., Coppola M. G., Corvino M., Perrella A., Ponti G., Nunnari G., Ranieri R., Ruosi C., Sasso F. C., Adinolfi L. E., Rinaldi L. |
| المساهمون: | Lugara, M., Oliva, G., Pafundi, P. C., Tamburrini, S., Nevola, R., Gjeloshi, K., Ricozzi, C., Imbriani, S., Padula, A., Aprea, C., Meo, L., Cozzolino, D., Cuomo, G., Marrone, A., Romano, C., Fiorini, V., Coppola, M. G., Corvino, M., Perrella, A., Ponti, G., Nunnari, G., Ranieri, R., Ruosi, C., Sasso, F. C., Adinolfi, L. E., Rinaldi, L. |
| سنة النشر: | 2021 |
| المجموعة: | Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS) |
| مصطلحات موضوعية: | Blood gas analysi, COVID19, Intensive care, Lung ultrasound, LUS score, Aged, COVID-19, Female, Hospitalization, Human, Italy, Lung, Male, Middle Aged, Prospective Studie, Ultrasonography |
| الوصف: | Objective: We aimed to assess the correlation between LUS Soldati proposed score and clinical presentation, course of disease and the possible need of ventilation support/ intensive care. PATIENTS AND METHODS: All consecutive patients with laboratory confirmed SARS-CoV-2 infection and hospitalized in two COVID Centers were enrolled. All patients performed blood gas analysis and lung ultrasound (LUS) at admission. The LUS acquisition was based on standard sequence of 14 peculiar anatomic landmarks with a score between 0-3 based on impairment of LUS picture. Total score was computed with their sum with a total score ranging 0 to 42, according to Soldati LUS score. We evaluated the course of hospitalization until either discharge or death, the ventilatory support and the transition in intensive care if needed. Results: One hundred and fifty-six patients were included in the final analysis. Most of patients presented moderate-to-severe respiratory failure (FiO2<20%, PaO2<60 mmHg) and consequent recommendation to invasive mechanic ventilation (CPAP/NIV/OTI). The median ultrasound thoracic score was 28 (IQR 18-36) and most of patients could be ascertained either in a score 2 (40%) or score 3 pictures (24.4%). The bivariate correlation analysis displayed statistically significant and high positive correlations between the LUS score and the following parameters: ventilation (rho=0.481, p<0.001), lactates (rho=0.464, p<0.001), dyspnea (rho=0.398, p=0.001) mortality (rho=0.410, p=0.001). Conversely, P/F (rho= -0.663, p<0.001), pH (rho = -0.363, p=0.003) and pO2(rho = -0.400 p=0.001) displayed significant negative correlations. Conclusions: LUS score improve the workflow and provide an optimal management both in early diagnosis and prognosis of COVID-19 related lung pathology. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/34002839; info:eu-repo/semantics/altIdentifier/wos/WOS:000649036200030; volume:25; issue:9; firstpage:3623; lastpage:3631; journal:EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES; http://hdl.handle.net/11380/1287012; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85106193441 |
| DOI: | 10.26355/eurrev_202105_25846 |
| الاتاحة: | http://hdl.handle.net/11380/1287012 https://doi.org/10.26355/eurrev_202105_25846 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.86456106 |
| قاعدة البيانات: | BASE |
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