ArticleJournal of the American College of Emergency Physicians open2021
Assessing COVID-19 pneumonia-Clinical extension and risk with point-of-care ultrasound: A multicenter, prospective, observational study.
Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Lung ultrasound score severity cut-off points in COVID-19 pneumonia. A systematic review and validating cohort.Medicina clinica · 2023Pooled it
- Review
- Can Artificial Intelligence Aid Diagnosis by Teleguided Point-of-Care Ultrasound? A Pilot Study for Evaluating a Novel Computer Algorithm for COVID-19 Diagnosis Using Lung Ultrasound.AI (Basel, Switzerland) · 2023Article
- Use of thoracic ultrasound in acute respiratory distress syndrome.Annals of translational medicine · 2023Review
- Lung ultrasound score severity cut-off points in COVID-19 pneumonia. A systematic review and validating cohort.Medicina clinica (English ed.) · 2023Article
- CORONA (COre ultRasOund of covid in iNtensive care and Acute medicine) study: National service evaluation of lung and heart ultrasound in intensive care patients with suspected or proven COVID-19.Journal of the Intensive Care Society · 2023Article
- Monitoring of pulmonary involvement in critically ill COVID-19 patients - should lung ultrasound be preferred over CT?The ultrasound journal · 2023Article
- Multi-organ point-of-care ultrasound for detection of pulmonary embolism in critically ill COVID-19 patients - A diagnostic accuracy study.Journal of critical care · 2022Observational
- Comments on "Review of the role of diagnostic modalities and imaging findings in the COVID-19 pandemic".World journal of radiology · 2022Article
- Lung ultrasound in predicting COVID-19 clinical outcomes: A prospective observational study.Journal of the American College of Emergency Physicians open · 2021Article
- Assessing COVID-19 pneumonia-Clinical extension and risk with point-of-care ultrasound: A multicenter, prospective, observational study.Journal of the American College of Emergency Physicians open · 2021Article
Corrections and comments
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAssessing the extent of lung involvement is important for the triage and care of COVID-19 pneumonia. We sought to determine the utility of point-of-care ultrasound (POCUS) for characterizing lung involvement and, thereby, clinical risk determination in COVID-19 pneumonia.
methodsThis multicenter, prospective, observational study included patients with COVID-19 who received 12-zone lung ultrasound and chest computed tomography (CT) scanning in the emergency department (ED). We defined lung disease severity using the lung ultrasound score (LUS) and chest CT severity score (CTSS). We assessed the association between the LUS and poor outcome (ICU admission or 30-day all-cause mortality). We also assessed the association between the LUS and hospital length of stay. We examined the ability of the LUS to differentiate between disease severity groups. Lastly, we estimated the correlation between the LUS and CTSS and the interrater agreement for the LUS. We handled missing data by multiple imputation with chained equations and predictive mean matching.
resultsWe included 114 patients treated between March 19, 2020, and May 4, 2020. An LUS ≥12 was associated with a poor outcome within 30 days (hazard ratio [HR], 5.59; 95% confidence interval [CI], 1.26-24.80;
conclusionsWe showed that baseline lung ultrasound - is associated with poor outcomes, admission duration, and disease severity. The LUS also correlates well with CTSS. Point-of-care lung ultrasound may aid the risk stratification and triage of patients with COVID-19 at the ED.
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