Changes in lung ultrasound of symptomatic healthcare professionals with COVID‐19 pneumonia and their association with clinical findings
Purpose To evaluate ultrasound signs of coronavirus disease‐19 (COVID‐19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings. Methods All patients underwent real‐time polymerase chain reaction (RT‐PCR), lung ultrasound (LUS) and clinical evaluatio...
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Veröffentlicht in: | Journal of clinical ultrasound 2020-11, Vol.48 (9), p.515-521 |
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creator | Mafort, Thiago Thomaz Lopes, Agnaldo José Costa, Cláudia Henrique Cal, Mariana Soares Lopes, Mariana Carneiro Silva, Bruno Rangel Antunes Faria, Luana Fortes Faria, Anamelia Costa Costa, Walter Salles, Raquel Esteves Brandão Castro, Marcos César Santos Rufino, Rogério |
description | Purpose
To evaluate ultrasound signs of coronavirus disease‐19 (COVID‐19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings.
Methods
All patients underwent real‐time polymerase chain reaction (RT‐PCR), lung ultrasound (LUS) and clinical evaluation on the same day. In each of the 12 areas evaluated in the LUS, the LUS signs were scored to generate the aeration score.
Results
A total of 409 participants had positive PCR, with a median age of 41 (35‐51) years. All participants had clinical symptoms, with cough in 84.1%, fever in 69.7%, and dyspnea in 36.2% of cases. In the LUS, 72.6% of participants had B‐lines >2, 36.2% had coalescent B‐lines, and 8.06% had subpleural consolidations. The median aeration score was 3 (2‐7). The aeration score differed significantly regarding the presence of cough (P = .002), fever (P = .001), and dyspnea (P |
doi_str_mv | 10.1002/jcu.22905 |
format | Article |
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To evaluate ultrasound signs of coronavirus disease‐19 (COVID‐19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings.
Methods
All patients underwent real‐time polymerase chain reaction (RT‐PCR), lung ultrasound (LUS) and clinical evaluation on the same day. In each of the 12 areas evaluated in the LUS, the LUS signs were scored to generate the aeration score.
Results
A total of 409 participants had positive PCR, with a median age of 41 (35‐51) years. All participants had clinical symptoms, with cough in 84.1%, fever in 69.7%, and dyspnea in 36.2% of cases. In the LUS, 72.6% of participants had B‐lines >2, 36.2% had coalescent B‐lines, and 8.06% had subpleural consolidations. The median aeration score was 3 (2‐7). The aeration score differed significantly regarding the presence of cough (P = .002), fever (P = .001), and dyspnea (P < .0001). The finding of subpleural consolidations in the LUS showed significant differences between participants with or without dyspnea (P < .0001).
Conclusions
In healthcare professionals with COVID‐19, LUS plays a key role in the characterization of lung involvement. Although B‐lines are the most common ultrasound sign, subpleural consolidations are those that most impact the respiratory condition.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.22905</identifier><identifier>PMID: 32827163</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Aeration ; Betacoronavirus - genetics ; Betacoronavirus - isolation & purification ; Clinical Laboratory Techniques - methods ; Consolidation ; Coronavirus Infections - diagnosis ; Coronavirus Infections - diagnostic imaging ; Coronavirus Infections - pathology ; Coronavirus Infections - virology ; Coronaviruses ; Cough ; COVID-19 ; COVID-19 Testing ; COVID-19 Vaccines ; Cross-Sectional Studies ; Dyspnea ; Female ; Fever ; Health care ; Health Personnel ; Humans ; Lung - diagnostic imaging ; Lung - pathology ; lung ultrasound ; Lungs ; Male ; Middle Aged ; novel coronavirus ; Pandemics ; Pneumonia ; Pneumonia, Viral - diagnosis ; Pneumonia, Viral - diagnostic imaging ; Pneumonia, Viral - pathology ; Pneumonia, Viral - virology ; Polymerase chain reaction ; Real-Time Polymerase Chain Reaction ; Respiration ; SARS-CoV-2 ; Signs and symptoms ; Ultrasonic imaging ; Ultrasonography - methods ; Ultrasound ; Viral diseases</subject><ispartof>Journal of clinical ultrasound, 2020-11, Vol.48 (9), p.515-521</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><rights>2020 Wiley Periodicals, LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3585-30c8c38ebbc58aaa93a76b43d4a48e8f46d4f78ce9f42e4add8281de6117f3da3</citedby><cites>FETCH-LOGICAL-c3585-30c8c38ebbc58aaa93a76b43d4a48e8f46d4f78ce9f42e4add8281de6117f3da3</cites><orcidid>0000-0001-8598-4878</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.22905$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.22905$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32827163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mafort, Thiago Thomaz</creatorcontrib><creatorcontrib>Lopes, Agnaldo José</creatorcontrib><creatorcontrib>Costa, Cláudia Henrique</creatorcontrib><creatorcontrib>Cal, Mariana Soares</creatorcontrib><creatorcontrib>Lopes, Mariana Carneiro</creatorcontrib><creatorcontrib>Silva, Bruno Rangel Antunes</creatorcontrib><creatorcontrib>Faria, Luana Fortes</creatorcontrib><creatorcontrib>Faria, Anamelia Costa</creatorcontrib><creatorcontrib>Costa, Walter</creatorcontrib><creatorcontrib>Salles, Raquel Esteves Brandão</creatorcontrib><creatorcontrib>Castro, Marcos César Santos</creatorcontrib><creatorcontrib>Rufino, Rogério</creatorcontrib><title>Changes in lung ultrasound of symptomatic healthcare professionals with COVID‐19 pneumonia and their association with clinical findings</title><title>Journal of clinical ultrasound</title><addtitle>J Clin Ultrasound</addtitle><description>Purpose
To evaluate ultrasound signs of coronavirus disease‐19 (COVID‐19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings.
Methods
All patients underwent real‐time polymerase chain reaction (RT‐PCR), lung ultrasound (LUS) and clinical evaluation on the same day. In each of the 12 areas evaluated in the LUS, the LUS signs were scored to generate the aeration score.
Results
A total of 409 participants had positive PCR, with a median age of 41 (35‐51) years. All participants had clinical symptoms, with cough in 84.1%, fever in 69.7%, and dyspnea in 36.2% of cases. In the LUS, 72.6% of participants had B‐lines >2, 36.2% had coalescent B‐lines, and 8.06% had subpleural consolidations. The median aeration score was 3 (2‐7). The aeration score differed significantly regarding the presence of cough (P = .002), fever (P = .001), and dyspnea (P < .0001). The finding of subpleural consolidations in the LUS showed significant differences between participants with or without dyspnea (P < .0001).
Conclusions
In healthcare professionals with COVID‐19, LUS plays a key role in the characterization of lung involvement. Although B‐lines are the most common ultrasound sign, subpleural consolidations are those that most impact the respiratory condition.</description><subject>Adult</subject><subject>Aeration</subject><subject>Betacoronavirus - genetics</subject><subject>Betacoronavirus - isolation & purification</subject><subject>Clinical Laboratory Techniques - methods</subject><subject>Consolidation</subject><subject>Coronavirus Infections - diagnosis</subject><subject>Coronavirus Infections - diagnostic imaging</subject><subject>Coronavirus Infections - pathology</subject><subject>Coronavirus Infections - virology</subject><subject>Coronaviruses</subject><subject>Cough</subject><subject>COVID-19</subject><subject>COVID-19 Testing</subject><subject>COVID-19 Vaccines</subject><subject>Cross-Sectional Studies</subject><subject>Dyspnea</subject><subject>Female</subject><subject>Fever</subject><subject>Health care</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - pathology</subject><subject>lung ultrasound</subject><subject>Lungs</subject><subject>Male</subject><subject>Middle Aged</subject><subject>novel coronavirus</subject><subject>Pandemics</subject><subject>Pneumonia</subject><subject>Pneumonia, Viral - diagnosis</subject><subject>Pneumonia, Viral - diagnostic imaging</subject><subject>Pneumonia, Viral - pathology</subject><subject>Pneumonia, Viral - virology</subject><subject>Polymerase chain reaction</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>Respiration</subject><subject>SARS-CoV-2</subject><subject>Signs and symptoms</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><subject>Viral diseases</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kTFv1DAUgC0Eokdh4A8gSywwpLUdO3EWpOooUFSpC2W13jnOxSfHDnZCdRtrN34jvwQfKRUgMb3hffr07A-h55ScUELY6U7PJ4w1RDxAK0qauiCkqR6iVR60YLWgR-hJSjtCSCWEeIyOSiZZTatyhW7XPfitSdh67Ga_xbObIqQw-xaHDqf9ME5hgMlq3BtwU68hGjzG0JmUbPDgEr6xU4_XV58v3v749p02ePRmHoK3gCFbpt7YiCGloG32BL_w2llvNTjcWd9av01P0aMu28yzu3mMrt-df1p_KC6v3l-szy4LXQopipJoqUtpNhstJAA0JdTVhpctBy6N7HjV8q6W2jQdZ4ZD20omaWsqSuuubKE8Rm8W7zhvBtNq4_ODnRqjHSDuVQCr_t5426tt-KpqXlFekyx4dSeI4cts0qQGm7RxDrwJc1KMlxUnlAqW0Zf_oLswx8OnZYo3uQETB-HrhdIxpBRNd38MJeoQWOXA6lfgzL748_p78nfRDJwuwI11Zv9_k_q4vl6UPwHIbLRY</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Mafort, Thiago Thomaz</creator><creator>Lopes, Agnaldo José</creator><creator>Costa, Cláudia Henrique</creator><creator>Cal, Mariana Soares</creator><creator>Lopes, Mariana Carneiro</creator><creator>Silva, Bruno Rangel Antunes</creator><creator>Faria, Luana Fortes</creator><creator>Faria, Anamelia Costa</creator><creator>Costa, Walter</creator><creator>Salles, Raquel Esteves Brandão</creator><creator>Castro, Marcos César Santos</creator><creator>Rufino, Rogério</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><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8598-4878</orcidid></search><sort><creationdate>202011</creationdate><title>Changes in lung ultrasound of symptomatic healthcare professionals with COVID‐19 pneumonia and their association with clinical findings</title><author>Mafort, Thiago Thomaz ; Lopes, Agnaldo José ; Costa, Cláudia Henrique ; Cal, Mariana Soares ; Lopes, Mariana Carneiro ; Silva, Bruno Rangel Antunes ; Faria, Luana Fortes ; Faria, Anamelia Costa ; Costa, Walter ; Salles, Raquel Esteves Brandão ; Castro, Marcos César Santos ; Rufino, Rogério</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3585-30c8c38ebbc58aaa93a76b43d4a48e8f46d4f78ce9f42e4add8281de6117f3da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aeration</topic><topic>Betacoronavirus - genetics</topic><topic>Betacoronavirus - isolation & purification</topic><topic>Clinical Laboratory Techniques - methods</topic><topic>Consolidation</topic><topic>Coronavirus Infections - diagnosis</topic><topic>Coronavirus Infections - diagnostic imaging</topic><topic>Coronavirus Infections - pathology</topic><topic>Coronavirus Infections - virology</topic><topic>Coronaviruses</topic><topic>Cough</topic><topic>COVID-19</topic><topic>COVID-19 Testing</topic><topic>COVID-19 Vaccines</topic><topic>Cross-Sectional Studies</topic><topic>Dyspnea</topic><topic>Female</topic><topic>Fever</topic><topic>Health care</topic><topic>Health Personnel</topic><topic>Humans</topic><topic>Lung - diagnostic imaging</topic><topic>Lung - pathology</topic><topic>lung ultrasound</topic><topic>Lungs</topic><topic>Male</topic><topic>Middle Aged</topic><topic>novel coronavirus</topic><topic>Pandemics</topic><topic>Pneumonia</topic><topic>Pneumonia, Viral - diagnosis</topic><topic>Pneumonia, Viral - diagnostic imaging</topic><topic>Pneumonia, Viral - pathology</topic><topic>Pneumonia, Viral - virology</topic><topic>Polymerase chain reaction</topic><topic>Real-Time Polymerase Chain Reaction</topic><topic>Respiration</topic><topic>SARS-CoV-2</topic><topic>Signs and symptoms</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound</topic><topic>Viral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mafort, Thiago Thomaz</creatorcontrib><creatorcontrib>Lopes, Agnaldo José</creatorcontrib><creatorcontrib>Costa, Cláudia Henrique</creatorcontrib><creatorcontrib>Cal, Mariana Soares</creatorcontrib><creatorcontrib>Lopes, Mariana Carneiro</creatorcontrib><creatorcontrib>Silva, Bruno Rangel Antunes</creatorcontrib><creatorcontrib>Faria, Luana Fortes</creatorcontrib><creatorcontrib>Faria, Anamelia Costa</creatorcontrib><creatorcontrib>Costa, Walter</creatorcontrib><creatorcontrib>Salles, Raquel Esteves Brandão</creatorcontrib><creatorcontrib>Castro, Marcos César Santos</creatorcontrib><creatorcontrib>Rufino, Rogério</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mafort, Thiago Thomaz</au><au>Lopes, Agnaldo José</au><au>Costa, Cláudia Henrique</au><au>Cal, Mariana Soares</au><au>Lopes, Mariana Carneiro</au><au>Silva, Bruno Rangel Antunes</au><au>Faria, Luana Fortes</au><au>Faria, Anamelia Costa</au><au>Costa, Walter</au><au>Salles, Raquel Esteves Brandão</au><au>Castro, Marcos César Santos</au><au>Rufino, Rogério</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in lung ultrasound of symptomatic healthcare professionals with COVID‐19 pneumonia and their association with clinical findings</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J Clin Ultrasound</addtitle><date>2020-11</date><risdate>2020</risdate><volume>48</volume><issue>9</issue><spage>515</spage><epage>521</epage><pages>515-521</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>Purpose
To evaluate ultrasound signs of coronavirus disease‐19 (COVID‐19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings.
Methods
All patients underwent real‐time polymerase chain reaction (RT‐PCR), lung ultrasound (LUS) and clinical evaluation on the same day. In each of the 12 areas evaluated in the LUS, the LUS signs were scored to generate the aeration score.
Results
A total of 409 participants had positive PCR, with a median age of 41 (35‐51) years. All participants had clinical symptoms, with cough in 84.1%, fever in 69.7%, and dyspnea in 36.2% of cases. In the LUS, 72.6% of participants had B‐lines >2, 36.2% had coalescent B‐lines, and 8.06% had subpleural consolidations. The median aeration score was 3 (2‐7). The aeration score differed significantly regarding the presence of cough (P = .002), fever (P = .001), and dyspnea (P < .0001). The finding of subpleural consolidations in the LUS showed significant differences between participants with or without dyspnea (P < .0001).
Conclusions
In healthcare professionals with COVID‐19, LUS plays a key role in the characterization of lung involvement. Although B‐lines are the most common ultrasound sign, subpleural consolidations are those that most impact the respiratory condition.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32827163</pmid><doi>10.1002/jcu.22905</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8598-4878</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Adult Aeration Betacoronavirus - genetics Betacoronavirus - isolation & purification Clinical Laboratory Techniques - methods Consolidation Coronavirus Infections - diagnosis Coronavirus Infections - diagnostic imaging Coronavirus Infections - pathology Coronavirus Infections - virology Coronaviruses Cough COVID-19 COVID-19 Testing COVID-19 Vaccines Cross-Sectional Studies Dyspnea Female Fever Health care Health Personnel Humans Lung - diagnostic imaging Lung - pathology lung ultrasound Lungs Male Middle Aged novel coronavirus Pandemics Pneumonia Pneumonia, Viral - diagnosis Pneumonia, Viral - diagnostic imaging Pneumonia, Viral - pathology Pneumonia, Viral - virology Polymerase chain reaction Real-Time Polymerase Chain Reaction Respiration SARS-CoV-2 Signs and symptoms Ultrasonic imaging Ultrasonography - methods Ultrasound Viral diseases |
title | Changes in lung ultrasound of symptomatic healthcare professionals with COVID‐19 pneumonia and their association with clinical findings |
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