Evidence map›Paper›PMID 33274782›Full record

ArticleJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine2021

Canadian Internal Medicine Ultrasound (CIMUS) Expert Consensus Statement on the Use of Lung Ultrasound for the Assessment of Medical Inpatients With Known or Suspected Coronavirus Disease 2019.

Irene W Y Ma, Arif Hussain, Michael Wagner, Brandie Walker, Alex Chee, Shane Arishenkoff, Brian Buchanan, Rachel B Liu, Gregory Mints, Tanping Wong and 6 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. New International Guidelines and Consensus on the Use of Lung Ultrasound.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2023
    Review
  3. Article
  4. Review
  5. Early Lung Ultrasound Findings in Patients With COVID-19 Pneumonia: A Retrospective Multicenter Study of 479 Patients.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022
    Article
  6. Article
  7. Article
  8. Competence of anesthesiology residents following a longitudinal point-of-care ultrasound curriculum.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022
    Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care.International journal of environmental research and public health · 2021
    Observational
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 4 countries.

Irene W Y MaDivision of General Internal Medicine, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-7580-0171
Arif HussainDivision of Cardiac Critical Care, Department of Cardiac Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Michael WagnerDivision of Hospital Medicine, Department of Medicine, Prisma Health-Upstate, Greenville, South Carolina, USA.
Brandie WalkerDivision of Respiratory Medicine, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Alex CheeDivision of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Shane ArishenkoffDivision of General Internal Medicine, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Brian BuchananDepartment of Critical Care, University of Alberta, Edmonton, Alberta, Canada.
Rachel B LiuSection of Emergency Ultrasound, Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID https://orcid.org/0000-0002-3997-0325
Gregory MintsSection of Hospital Medicine, Division of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York, USA.ORCID https://orcid.org/0000-0002-3013-2608
Tanping WongSection of Hospital Medicine, Division of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York, USA.
Vicki NobleDepartment of Emergency Medicine, University Hospitals, Cleveland Medical Center, Case Western Reserve School of Medicine, Cleveland, Ohio, USA.
Ana Claudia TonelliDepartment of General Internal Medicine, Hospital de Clinicas de Porto Alegre and Department of Medicine, Unisinos University, São Leopoldo, Brazil.
Elaine DumoulinDivision of Respiratory Medicine, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Daniel J MillerDivision of Respiratory Medicine, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Christopher A HergottDivision of Respiratory Medicine, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Andrew S LiteploDivision of Emergency Ultrasound, Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
University of Calgary · CAHarvard University · USNewYork–Presbyterian Hospital · USBeth Israel Deaconess Medical Center · USHospital de Clínicas de Porto Alegre · BRKing Abdulaziz Medical City · SAPrisma Health · USUniversity Hospitals of Cleveland · USUniversity of Alberta · CAUniversity of British Columbia · CAYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop a consensus statement on the use of lung ultrasound (LUS) in the assessment of symptomatic general medical inpatients with known or suspected coronavirus disease 2019 (COVID-19).

methodsOur LUS expert panel consisted of 14 multidisciplinary international experts. Experts voted in 3 rounds on the strength of 26 recommendations as "strong," "weak," or "do not recommend." For recommendations that reached consensus for do not recommend, a fourth round was conducted to determine the strength of those recommendations, with 2 additional recommendations considered.

resultsOf the 26 recommendations, experts reached consensus on 6 in the first round, 13 in the second, and 7 in the third. Four recommendations were removed because of redundancy. In the fourth round, experts considered 4 recommendations that reached consensus for do not recommend and 2 additional scenarios; consensus was reached for 4 of these. Our final recommendations consist of 24 consensus statements; for 2 of these, the strength of the recommendations did not reach consensus.

conclusionsIn symptomatic medical inpatients with known or suspected COVID-19, we recommend the use of LUS to: (1) support the diagnosis of pneumonitis but not diagnose COVID-19, (2) rule out concerning ultrasound features, (3) monitor patients with a change in the clinical status, and (4) avoid unnecessary additional imaging for patients whose pretest probability of an alternative or superimposed diagnosis is low. We do not recommend the use of LUS to guide admission and discharge decisions. We do not recommend routine serial LUS in patients without a change in their clinical condition.

Indexed as

COVID-19InpatientsCanadaConsensusHumansLungSARS-CoV-2consensuscoronavirus disease 2019internal medicinelungpoint-of-care ultrasound

Identifiers

PMID33274782
PMCPMC8451849
OpenAlexW3106980222

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.