Lung Ultrasound Examination in Patients with SARS-CoV-2 Infection: Multicenter Study
Background: The COVID-19 pandemic has, by necessity, contributed to rapid advancements in medicine. Owing to the necessity of following strict anti-epidemic sanitary measures when taking care of infected patients, the accessibility of standard diagnostic methods may be limited. Consequently, the sig...
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| Veröffentlicht in: | Journal of clinical medicine 2021-07, Vol.10 (15), p.3255 |
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| creator | Buda, Natalia Cylwik, Jolanta Mróz, Katarzyna Rudzińska, Renata Dubik, Paweł Malczewska, Agnieszka Oraczewska, Aleksandra Skoczyński, Szymon Suska, Anna Górecki, Tomasz Mendrala, Konrad Piotrkowski, Jakub Gola, Wojciech Segura-Grau, Elena Zamojska, Anna Wełnicki, Marcin |
| description | Background: The COVID-19 pandemic has, by necessity, contributed to rapid advancements in medicine. Owing to the necessity of following strict anti-epidemic sanitary measures when taking care of infected patients, the accessibility of standard diagnostic methods may be limited. Consequently, the significance and potential of bedside diagnostic modalities increase, including lung ultrasound (LUS). Method: Multicenter registry study involving adult patients with confirmed COVID-19, for whom LUS was performed. Results: A total of 228 patients (61% males) qualified for the study. The average age was 60 years (±14), 40% were older than 65 years of age. In 130 from 173 hospitalized patients, HRCT (high-resolution computed tomography) was performed. In 80% of patients, LUS findings indicated interstitial pneumonia. In hospitalized patients multifocally located single B-lines, symmetrical B-lines, and areas of white lung were significantly more frequent as compared to ambulatory patients. LUS findings, both those indicating interstitial syndrome and consolidations, were positively correlated with HRCT images. As compared to HRCT, the sensitivity and specificity of LUS in detecting interstitial pneumonia were 97% and 100%, respectively. Conclusions: As compared to HRCT, LUS is characterized by a very high sensitivity and specificity in detecting interstitial pneumonia in COVID-19 patients. Potentially, LUS can be a particularly useful diagnostic modality for COVID-19 patients pneumonia. |
| doi_str_mv | 10.3390/jcm10153255 |
| format | Article |
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Owing to the necessity of following strict anti-epidemic sanitary measures when taking care of infected patients, the accessibility of standard diagnostic methods may be limited. Consequently, the significance and potential of bedside diagnostic modalities increase, including lung ultrasound (LUS). Method: Multicenter registry study involving adult patients with confirmed COVID-19, for whom LUS was performed. Results: A total of 228 patients (61% males) qualified for the study. The average age was 60 years (±14), 40% were older than 65 years of age. In 130 from 173 hospitalized patients, HRCT (high-resolution computed tomography) was performed. In 80% of patients, LUS findings indicated interstitial pneumonia. In hospitalized patients multifocally located single B-lines, symmetrical B-lines, and areas of white lung were significantly more frequent as compared to ambulatory patients. LUS findings, both those indicating interstitial syndrome and consolidations, were positively correlated with HRCT images. As compared to HRCT, the sensitivity and specificity of LUS in detecting interstitial pneumonia were 97% and 100%, respectively. Conclusions: As compared to HRCT, LUS is characterized by a very high sensitivity and specificity in detecting interstitial pneumonia in COVID-19 patients. Potentially, LUS can be a particularly useful diagnostic modality for COVID-19 patients pneumonia.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm10153255</identifier><identifier>PMID: 34362039</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Antigens ; Chronic obstructive pulmonary disease ; Clinical medicine ; Coronaviruses ; COVID-19 ; Disease ; Hospitalization ; Infections ; Intensive care ; Internal medicine ; Laboratories ; Medicine ; Pandemics ; Patients ; Pneumonia ; Severe acute respiratory syndrome coronavirus 2 ; Statistical analysis ; Ultrasonic imaging</subject><ispartof>Journal of clinical medicine, 2021-07, Vol.10 (15), p.3255</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-c099c5b8ade7863c7e2414beb958380827abc99df129fe02dacdc1aff906d9083</citedby><cites>FETCH-LOGICAL-c386t-c099c5b8ade7863c7e2414beb958380827abc99df129fe02dacdc1aff906d9083</cites><orcidid>0000-0002-3318-6943 ; 0000-0002-9019-0420 ; 0000-0001-7919-1281 ; 0000-0002-9356-2736 ; 0000-0003-1796-7659 ; 0000-0002-0075-5054 ; 0000-0002-9397-6963 ; 0000-0002-0919-4222 ; 0000-0002-7454-521X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347909/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347909/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,27911,27912,53778,53780</link.rule.ids></links><search><creatorcontrib>Buda, Natalia</creatorcontrib><creatorcontrib>Cylwik, Jolanta</creatorcontrib><creatorcontrib>Mróz, Katarzyna</creatorcontrib><creatorcontrib>Rudzińska, Renata</creatorcontrib><creatorcontrib>Dubik, Paweł</creatorcontrib><creatorcontrib>Malczewska, Agnieszka</creatorcontrib><creatorcontrib>Oraczewska, Aleksandra</creatorcontrib><creatorcontrib>Skoczyński, Szymon</creatorcontrib><creatorcontrib>Suska, Anna</creatorcontrib><creatorcontrib>Górecki, Tomasz</creatorcontrib><creatorcontrib>Mendrala, Konrad</creatorcontrib><creatorcontrib>Piotrkowski, Jakub</creatorcontrib><creatorcontrib>Gola, Wojciech</creatorcontrib><creatorcontrib>Segura-Grau, Elena</creatorcontrib><creatorcontrib>Zamojska, Anna</creatorcontrib><creatorcontrib>Wełnicki, Marcin</creatorcontrib><title>Lung Ultrasound Examination in Patients with SARS-CoV-2 Infection: Multicenter Study</title><title>Journal of clinical medicine</title><description>Background: The COVID-19 pandemic has, by necessity, contributed to rapid advancements in medicine. Owing to the necessity of following strict anti-epidemic sanitary measures when taking care of infected patients, the accessibility of standard diagnostic methods may be limited. Consequently, the significance and potential of bedside diagnostic modalities increase, including lung ultrasound (LUS). Method: Multicenter registry study involving adult patients with confirmed COVID-19, for whom LUS was performed. Results: A total of 228 patients (61% males) qualified for the study. The average age was 60 years (±14), 40% were older than 65 years of age. In 130 from 173 hospitalized patients, HRCT (high-resolution computed tomography) was performed. In 80% of patients, LUS findings indicated interstitial pneumonia. In hospitalized patients multifocally located single B-lines, symmetrical B-lines, and areas of white lung were significantly more frequent as compared to ambulatory patients. LUS findings, both those indicating interstitial syndrome and consolidations, were positively correlated with HRCT images. As compared to HRCT, the sensitivity and specificity of LUS in detecting interstitial pneumonia were 97% and 100%, respectively. Conclusions: As compared to HRCT, LUS is characterized by a very high sensitivity and specificity in detecting interstitial pneumonia in COVID-19 patients. Potentially, LUS can be a particularly useful diagnostic modality for COVID-19 patients pneumonia.</description><subject>Antigens</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Clinical medicine</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Disease</subject><subject>Hospitalization</subject><subject>Infections</subject><subject>Intensive care</subject><subject>Internal medicine</subject><subject>Laboratories</subject><subject>Medicine</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Statistical analysis</subject><subject>Ultrasonic imaging</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkU1LxDAQhoMoKqsn_0DAiyDVfLRN4kGQZdWFFcVVryFN090sbaJJq-6_t2VF1LnMwDy8884MAEcYnVEq0PlKNxjhjJIs2wL7BDGWIMrp9q96DxzGuEJ9cJ4SzHbBHk1pThAV--Bp1rkFfK7boKLvXAknn6qxTrXWO2gdfOgr49oIP2y7hPOrx3ky9i8JgVNXGT1QF_Cuq1ure8oEOG-7cn0AdipVR3P4nUfg-XryNL5NZvc30_HVLNGU522ikRA6K7gqDeM51cyQFKeFKUTGKUecMFVoIcoKE1EZREqlS41VVQmUlwJxOgKXG93XrmhMOVgIqpavwTYqrKVXVv7tOLuUC_8uOU2ZQKIXOPkWCP6tM7GVjY3a1LVyxndR9lcVKWW5GGYd_0NXvguuX2-gOKc5Q7inTjeUDj7GYKofMxjJ4WHy18PoFxtYhzA</recordid><startdate>20210723</startdate><enddate>20210723</enddate><creator>Buda, Natalia</creator><creator>Cylwik, Jolanta</creator><creator>Mróz, Katarzyna</creator><creator>Rudzińska, Renata</creator><creator>Dubik, Paweł</creator><creator>Malczewska, Agnieszka</creator><creator>Oraczewska, Aleksandra</creator><creator>Skoczyński, Szymon</creator><creator>Suska, Anna</creator><creator>Górecki, Tomasz</creator><creator>Mendrala, Konrad</creator><creator>Piotrkowski, Jakub</creator><creator>Gola, Wojciech</creator><creator>Segura-Grau, Elena</creator><creator>Zamojska, Anna</creator><creator>Wełnicki, Marcin</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3318-6943</orcidid><orcidid>https://orcid.org/0000-0002-9019-0420</orcidid><orcidid>https://orcid.org/0000-0001-7919-1281</orcidid><orcidid>https://orcid.org/0000-0002-9356-2736</orcidid><orcidid>https://orcid.org/0000-0003-1796-7659</orcidid><orcidid>https://orcid.org/0000-0002-0075-5054</orcidid><orcidid>https://orcid.org/0000-0002-9397-6963</orcidid><orcidid>https://orcid.org/0000-0002-0919-4222</orcidid><orcidid>https://orcid.org/0000-0002-7454-521X</orcidid></search><sort><creationdate>20210723</creationdate><title>Lung Ultrasound Examination in Patients with SARS-CoV-2 Infection: Multicenter Study</title><author>Buda, Natalia ; Cylwik, Jolanta ; Mróz, Katarzyna ; Rudzińska, Renata ; Dubik, Paweł ; Malczewska, Agnieszka ; Oraczewska, Aleksandra ; Skoczyński, Szymon ; Suska, Anna ; Górecki, Tomasz ; Mendrala, Konrad ; Piotrkowski, Jakub ; Gola, Wojciech ; Segura-Grau, Elena ; Zamojska, Anna ; Wełnicki, Marcin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-c099c5b8ade7863c7e2414beb958380827abc99df129fe02dacdc1aff906d9083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Antigens</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Clinical medicine</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Disease</topic><topic>Hospitalization</topic><topic>Infections</topic><topic>Intensive care</topic><topic>Internal medicine</topic><topic>Laboratories</topic><topic>Medicine</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Statistical analysis</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buda, Natalia</creatorcontrib><creatorcontrib>Cylwik, Jolanta</creatorcontrib><creatorcontrib>Mróz, Katarzyna</creatorcontrib><creatorcontrib>Rudzińska, Renata</creatorcontrib><creatorcontrib>Dubik, Paweł</creatorcontrib><creatorcontrib>Malczewska, Agnieszka</creatorcontrib><creatorcontrib>Oraczewska, Aleksandra</creatorcontrib><creatorcontrib>Skoczyński, Szymon</creatorcontrib><creatorcontrib>Suska, Anna</creatorcontrib><creatorcontrib>Górecki, Tomasz</creatorcontrib><creatorcontrib>Mendrala, Konrad</creatorcontrib><creatorcontrib>Piotrkowski, Jakub</creatorcontrib><creatorcontrib>Gola, Wojciech</creatorcontrib><creatorcontrib>Segura-Grau, Elena</creatorcontrib><creatorcontrib>Zamojska, Anna</creatorcontrib><creatorcontrib>Wełnicki, Marcin</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buda, Natalia</au><au>Cylwik, Jolanta</au><au>Mróz, Katarzyna</au><au>Rudzińska, Renata</au><au>Dubik, Paweł</au><au>Malczewska, Agnieszka</au><au>Oraczewska, Aleksandra</au><au>Skoczyński, Szymon</au><au>Suska, Anna</au><au>Górecki, Tomasz</au><au>Mendrala, Konrad</au><au>Piotrkowski, Jakub</au><au>Gola, Wojciech</au><au>Segura-Grau, Elena</au><au>Zamojska, Anna</au><au>Wełnicki, Marcin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung Ultrasound Examination in Patients with SARS-CoV-2 Infection: Multicenter Study</atitle><jtitle>Journal of clinical medicine</jtitle><date>2021-07-23</date><risdate>2021</risdate><volume>10</volume><issue>15</issue><spage>3255</spage><pages>3255-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Background: The COVID-19 pandemic has, by necessity, contributed to rapid advancements in medicine. Owing to the necessity of following strict anti-epidemic sanitary measures when taking care of infected patients, the accessibility of standard diagnostic methods may be limited. Consequently, the significance and potential of bedside diagnostic modalities increase, including lung ultrasound (LUS). Method: Multicenter registry study involving adult patients with confirmed COVID-19, for whom LUS was performed. Results: A total of 228 patients (61% males) qualified for the study. The average age was 60 years (±14), 40% were older than 65 years of age. In 130 from 173 hospitalized patients, HRCT (high-resolution computed tomography) was performed. In 80% of patients, LUS findings indicated interstitial pneumonia. In hospitalized patients multifocally located single B-lines, symmetrical B-lines, and areas of white lung were significantly more frequent as compared to ambulatory patients. LUS findings, both those indicating interstitial syndrome and consolidations, were positively correlated with HRCT images. As compared to HRCT, the sensitivity and specificity of LUS in detecting interstitial pneumonia were 97% and 100%, respectively. Conclusions: As compared to HRCT, LUS is characterized by a very high sensitivity and specificity in detecting interstitial pneumonia in COVID-19 patients. 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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central |
| subjects | Antigens Chronic obstructive pulmonary disease Clinical medicine Coronaviruses COVID-19 Disease Hospitalization Infections Intensive care Internal medicine Laboratories Medicine Pandemics Patients Pneumonia Severe acute respiratory syndrome coronavirus 2 Statistical analysis Ultrasonic imaging |
| title | Lung Ultrasound Examination in Patients with SARS-CoV-2 Infection: Multicenter Study |
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