Lung ultrasound score based on the BLUE‐plus protocol is associated with the outcomes and oxygenation indices of intensive care unit patients
Purpose The primary objective was to demonstrate the relationship between lung ultrasound (LUS) manifestations and the outcomes of intensive care unit (ICU) patients. The secondary objective was to determine the characteristics of LUS manifestations in different subgroups of ICU patients. Methods Th...
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| Veröffentlicht in: | Journal of clinical ultrasound 2021-09, Vol.49 (7), p.704-714 |
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| container_title | Journal of clinical ultrasound |
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| creator | Peng, Qian‐Yi Liu, Li‐Xia Zhang, Qian Zhu, Ying Zhang, Hong‐Min Yin, Wan‐Hong He, Wei Shang, Xiu‐Ling Chao, Yan‐Gong Lv, Li‐Wen Wang, Xiao‐Ting Zhang, Li‐Na |
| description | Purpose
The primary objective was to demonstrate the relationship between lung ultrasound (LUS) manifestations and the outcomes of intensive care unit (ICU) patients. The secondary objective was to determine the characteristics of LUS manifestations in different subgroups of ICU patients.
Methods
This prospective multi‐center cohort study was conducted in 17 ICUs. A total of 1702 patients admitted between August 31, 2017 and February 16, 2019 were included. LUS was performed according to the bedside lung ultrasound in emergency (BLUE)‐plus protocol, and LUS scores were calculated. Data on the outcomes and oxygenation indices were analyzed and compared between different primary indication groups.
Results
The LUS scores were significantly higher for non‐survivors than for survivors and were significantly different between the oxygenation index groups, with higher scores in the lower oxygenation index groups. The LUS score was an independent risk factor for the 28‐day mortality. The area under the receiver operating characteristic curve was 0.663 for prediction of the 28‐day mortality and 0.748 for prediction of an oxygenation index ≤100.
Conclusions
The LUS score based on the BLUE‐plus protocol was an independent risk factor for the 28‐day mortality and was important for the prediction of an oxygenation index ≤100. An early LUS score within 24 hours of ICU admission helps predicting the outcome of ICU patients. |
| doi_str_mv | 10.1002/jcu.23024 |
| format | Article |
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The primary objective was to demonstrate the relationship between lung ultrasound (LUS) manifestations and the outcomes of intensive care unit (ICU) patients. The secondary objective was to determine the characteristics of LUS manifestations in different subgroups of ICU patients.
Methods
This prospective multi‐center cohort study was conducted in 17 ICUs. A total of 1702 patients admitted between August 31, 2017 and February 16, 2019 were included. LUS was performed according to the bedside lung ultrasound in emergency (BLUE)‐plus protocol, and LUS scores were calculated. Data on the outcomes and oxygenation indices were analyzed and compared between different primary indication groups.
Results
The LUS scores were significantly higher for non‐survivors than for survivors and were significantly different between the oxygenation index groups, with higher scores in the lower oxygenation index groups. The LUS score was an independent risk factor for the 28‐day mortality. The area under the receiver operating characteristic curve was 0.663 for prediction of the 28‐day mortality and 0.748 for prediction of an oxygenation index ≤100.
Conclusions
The LUS score based on the BLUE‐plus protocol was an independent risk factor for the 28‐day mortality and was important for the prediction of an oxygenation index ≤100. An early LUS score within 24 hours of ICU admission helps predicting the outcome of ICU patients.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.23024</identifier><identifier>PMID: 34117639</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>acute respiratory failure ; BLUE‐plus protocol ; Cohort Studies ; Humans ; Intensive care ; Intensive Care Units ; Lung - diagnostic imaging ; lung ultrasound ; Lungs ; Mortality ; Oxygenation ; post‐operation ; Predictions ; Prospective Studies ; Risk analysis ; Risk factors ; shock ; Subgroups ; Ultrasonic imaging ; Ultrasonography ; Ultrasound</subject><ispartof>Journal of clinical ultrasound, 2021-09, Vol.49 (7), p.704-714</ispartof><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-be77b31c938fefd84b1a74d097a0e9337c2675d09a774630b2ed4aac76e587853</citedby><cites>FETCH-LOGICAL-c3534-be77b31c938fefd84b1a74d097a0e9337c2675d09a774630b2ed4aac76e587853</cites><orcidid>0000-0002-7514-3087 ; 0000-0001-5974-466X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.23024$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.23024$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34117639$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peng, Qian‐Yi</creatorcontrib><creatorcontrib>Liu, Li‐Xia</creatorcontrib><creatorcontrib>Zhang, Qian</creatorcontrib><creatorcontrib>Zhu, Ying</creatorcontrib><creatorcontrib>Zhang, Hong‐Min</creatorcontrib><creatorcontrib>Yin, Wan‐Hong</creatorcontrib><creatorcontrib>He, Wei</creatorcontrib><creatorcontrib>Shang, Xiu‐Ling</creatorcontrib><creatorcontrib>Chao, Yan‐Gong</creatorcontrib><creatorcontrib>Lv, Li‐Wen</creatorcontrib><creatorcontrib>Wang, Xiao‐Ting</creatorcontrib><creatorcontrib>Zhang, Li‐Na</creatorcontrib><creatorcontrib>Chinese Critical Ultrasound Study Group (CCUSG)</creatorcontrib><title>Lung ultrasound score based on the BLUE‐plus protocol is associated with the outcomes and oxygenation indices of intensive care unit patients</title><title>Journal of clinical ultrasound</title><addtitle>J Clin Ultrasound</addtitle><description>Purpose
The primary objective was to demonstrate the relationship between lung ultrasound (LUS) manifestations and the outcomes of intensive care unit (ICU) patients. The secondary objective was to determine the characteristics of LUS manifestations in different subgroups of ICU patients.
Methods
This prospective multi‐center cohort study was conducted in 17 ICUs. A total of 1702 patients admitted between August 31, 2017 and February 16, 2019 were included. LUS was performed according to the bedside lung ultrasound in emergency (BLUE)‐plus protocol, and LUS scores were calculated. Data on the outcomes and oxygenation indices were analyzed and compared between different primary indication groups.
Results
The LUS scores were significantly higher for non‐survivors than for survivors and were significantly different between the oxygenation index groups, with higher scores in the lower oxygenation index groups. The LUS score was an independent risk factor for the 28‐day mortality. The area under the receiver operating characteristic curve was 0.663 for prediction of the 28‐day mortality and 0.748 for prediction of an oxygenation index ≤100.
Conclusions
The LUS score based on the BLUE‐plus protocol was an independent risk factor for the 28‐day mortality and was important for the prediction of an oxygenation index ≤100. An early LUS score within 24 hours of ICU admission helps predicting the outcome of ICU patients.</description><subject>acute respiratory failure</subject><subject>BLUE‐plus protocol</subject><subject>Cohort Studies</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Lung - diagnostic imaging</subject><subject>lung ultrasound</subject><subject>Lungs</subject><subject>Mortality</subject><subject>Oxygenation</subject><subject>post‐operation</subject><subject>Predictions</subject><subject>Prospective Studies</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>shock</subject><subject>Subgroups</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAQxy0EokvhwAsgS1zgkNYfcbw5wqrlQytxYc-R40xar7L2krEpe-MN6DPyJAzdwgGJ09gzP_3s0Z-x51KcSSHU-daXM6WFqh-whRStrYRom4dsQUVWyhp5wp4gboUQjTHmMTvRtZS20e2C_ViXeMXLlGeHqcSBo08z8N4hDDxFnq-Bv11vLn5-v91PBfl-Tjn5NPGA3CEmH1wm8ibk6zs2lezTDmhIrvTtcAXR5UCiEIfgqZ9GOmaIGL4C947eKjFkvicKYsan7NHoJoRn9_WUbS4vPq_eV-tP7z6s3qwrr42uqx6s7bX0rV6OMA7LupfO1gPt7gS0WluvGmvo7qytGy16BUPtnLcNmKVdGn3KXh29tNCXApi7XUAP0-QipIKdMrUwUgmpCX35D7pNZY70O6IaoYw2rSTq9ZHyc0KcYez2c9i5-dBJ0f1OqaOUuruUiH1xbyz9Doa_5J9YCDg_AjdhgsP_Td3H1eao_AVZkZ4T</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Peng, Qian‐Yi</creator><creator>Liu, Li‐Xia</creator><creator>Zhang, Qian</creator><creator>Zhu, Ying</creator><creator>Zhang, Hong‐Min</creator><creator>Yin, Wan‐Hong</creator><creator>He, Wei</creator><creator>Shang, Xiu‐Ling</creator><creator>Chao, Yan‐Gong</creator><creator>Lv, Li‐Wen</creator><creator>Wang, Xiao‐Ting</creator><creator>Zhang, Li‐Na</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7514-3087</orcidid><orcidid>https://orcid.org/0000-0001-5974-466X</orcidid></search><sort><creationdate>202109</creationdate><title>Lung ultrasound score based on the BLUE‐plus protocol is associated with the outcomes and oxygenation indices of intensive care unit patients</title><author>Peng, Qian‐Yi ; Liu, Li‐Xia ; Zhang, Qian ; Zhu, Ying ; Zhang, Hong‐Min ; Yin, Wan‐Hong ; He, Wei ; Shang, Xiu‐Ling ; Chao, Yan‐Gong ; Lv, Li‐Wen ; Wang, Xiao‐Ting ; Zhang, Li‐Na</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-be77b31c938fefd84b1a74d097a0e9337c2675d09a774630b2ed4aac76e587853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acute respiratory failure</topic><topic>BLUE‐plus protocol</topic><topic>Cohort Studies</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Lung - diagnostic imaging</topic><topic>lung ultrasound</topic><topic>Lungs</topic><topic>Mortality</topic><topic>Oxygenation</topic><topic>post‐operation</topic><topic>Predictions</topic><topic>Prospective Studies</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>shock</topic><topic>Subgroups</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peng, Qian‐Yi</creatorcontrib><creatorcontrib>Liu, Li‐Xia</creatorcontrib><creatorcontrib>Zhang, Qian</creatorcontrib><creatorcontrib>Zhu, Ying</creatorcontrib><creatorcontrib>Zhang, Hong‐Min</creatorcontrib><creatorcontrib>Yin, Wan‐Hong</creatorcontrib><creatorcontrib>He, Wei</creatorcontrib><creatorcontrib>Shang, Xiu‐Ling</creatorcontrib><creatorcontrib>Chao, Yan‐Gong</creatorcontrib><creatorcontrib>Lv, Li‐Wen</creatorcontrib><creatorcontrib>Wang, Xiao‐Ting</creatorcontrib><creatorcontrib>Zhang, Li‐Na</creatorcontrib><creatorcontrib>Chinese Critical Ultrasound Study Group (CCUSG)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peng, Qian‐Yi</au><au>Liu, Li‐Xia</au><au>Zhang, Qian</au><au>Zhu, Ying</au><au>Zhang, Hong‐Min</au><au>Yin, Wan‐Hong</au><au>He, Wei</au><au>Shang, Xiu‐Ling</au><au>Chao, Yan‐Gong</au><au>Lv, Li‐Wen</au><au>Wang, Xiao‐Ting</au><au>Zhang, Li‐Na</au><aucorp>Chinese Critical Ultrasound Study Group (CCUSG)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung ultrasound score based on the BLUE‐plus protocol is associated with the outcomes and oxygenation indices of intensive care unit patients</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J Clin Ultrasound</addtitle><date>2021-09</date><risdate>2021</risdate><volume>49</volume><issue>7</issue><spage>704</spage><epage>714</epage><pages>704-714</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>Purpose
The primary objective was to demonstrate the relationship between lung ultrasound (LUS) manifestations and the outcomes of intensive care unit (ICU) patients. The secondary objective was to determine the characteristics of LUS manifestations in different subgroups of ICU patients.
Methods
This prospective multi‐center cohort study was conducted in 17 ICUs. A total of 1702 patients admitted between August 31, 2017 and February 16, 2019 were included. LUS was performed according to the bedside lung ultrasound in emergency (BLUE)‐plus protocol, and LUS scores were calculated. Data on the outcomes and oxygenation indices were analyzed and compared between different primary indication groups.
Results
The LUS scores were significantly higher for non‐survivors than for survivors and were significantly different between the oxygenation index groups, with higher scores in the lower oxygenation index groups. The LUS score was an independent risk factor for the 28‐day mortality. The area under the receiver operating characteristic curve was 0.663 for prediction of the 28‐day mortality and 0.748 for prediction of an oxygenation index ≤100.
Conclusions
The LUS score based on the BLUE‐plus protocol was an independent risk factor for the 28‐day mortality and was important for the prediction of an oxygenation index ≤100. An early LUS score within 24 hours of ICU admission helps predicting the outcome of ICU patients.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>34117639</pmid><doi>10.1002/jcu.23024</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-7514-3087</orcidid><orcidid>https://orcid.org/0000-0001-5974-466X</orcidid></addata></record> |
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| ispartof | Journal of clinical ultrasound, 2021-09, Vol.49 (7), p.704-714 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | acute respiratory failure BLUE‐plus protocol Cohort Studies Humans Intensive care Intensive Care Units Lung - diagnostic imaging lung ultrasound Lungs Mortality Oxygenation post‐operation Predictions Prospective Studies Risk analysis Risk factors shock Subgroups Ultrasonic imaging Ultrasonography Ultrasound |
| title | Lung ultrasound score based on the BLUE‐plus protocol is associated with the outcomes and oxygenation indices of intensive care unit patients |
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