MedStar Authors catalog › Details for: Point-of-Care Lung Ultrasound for COVID-19: Findings and Prognostic Implications From 105 Consecutive Patients.
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Point-of-Care Lung Ultrasound for COVID-19: Findings and Prognostic Implications From 105 Consecutive Patients.

by Yasukawa, Kosuke.
Citation: Journal of Intensive Care Medicine. 36(3):334-342, 2021 Mar.; .Journal: Journal of intensive care medicine.Published: 2021; ; ; ISSN: 0885-0666.Full author list: Boulware DR; Fischer EA; Minami T; Shimada A; Yasukawa K.UI/PMID: 33535883.Subject(s): *COVID-19/dg [Diagnostic Imaging] | *Hospital Mortality | *Intensive Care Units/sn [Statistics & Numerical Data] | *Length of Stay/sn [Statistics & Numerical Data] | *Lung/dg [Diagnostic Imaging] | *Respiration, Artificial/sn [Statistics & Numerical Data] | Aged | Female | Hospitalization | Humans | Male | Middle Aged | Noninvasive Ventilation/sn [Statistics & Numerical Data] | Point-of-Care Systems | Prognosis | Prospective Studies | SARS-CoV-2 | UltrasonographyInstitution(s): MedStar Washington Hospital CenterDepartment(s): Medicine/Internal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1177/0885066620988831 (Click here) ORCID: Yasukawa, Kosuke https://orcid.org/0000-0002-4810-4090 (Click here) Abbreviated citation: J Intensive Care Med. 36(3):334-342, 2021 Mar; .Local Holdings: Available in print through MWHC library: 1992 - 2001.Abstract: BACKGROUND: The prognostic value of point-of-care lung ultrasound has not been evaluated in a large cohort of patients with COVID-19 admitted to general medicine ward in the United States. The aim of this study was to describe lung ultrasound findings and their prognostic value in patients with COVID-19 admitted to internal medicine ward.Abstract: CONCLUSIONS: Most patients hospitalized with COVID-19 had lung ultrasound abnormalities on admission and a higher lung ultrasound score was associated with worse clinical outcomes except death. A low total lung ultrasound score (<5) had a negative predictive value of 100% for the need of intensive respiratory support. Point-of-care ultrasound can aid in the risk stratification for patients with COVID-19 admitted to general wards.Abstract: METHOD: This prospective observational study consecutively enrolled 105 hospitalized participants with COVID-19 at 2 tertiary care centers. Ultrasound was performed in 12 lung zones within 24 hours of admission. Findings were assessed relative to 4 outcomes: intensive care unit (ICU) need, need for intensive respiratory support, length of stay, and death.Abstract: RESULTS: We detected abnormalities in 92% (97/105) of participants. The common findings were confluent B-lines (92%), non-homogenous pleural lines (78%), and consolidations (54%). Large confluent B-lines, consolidations, bilateral involvement, and any abnormality in >= 6 areas were associated with a longer hospitalization and need for intensive respiratory support. Large confluent B-lines and bilateral involvement were also associated with ICU stay. A total lung ultrasound score <5 had a negative predictive value of 100% for the need of intensive respiratory support. A higher total lung ultrasound score was associated with ICU need (median total 18 in the ICU group vs. 11 non-ICU, p = 0.004), a hospitalization >= 9d (15 vs 10, p = 0.016) and need for intensive respiratory support (18 vs. 8.5, P < 0.001).

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