Evidence map›Paper›PMID 34988751›Full record

Observational studyEmergency radiology2022

The use of ultrasound in establishing COVID-19 infection as part of a trauma evaluation.

Jose Diaz-Miron, Marina L Reppucci, Jason Weinman, Alexander Kaizer, Aparna Annam, Jonathan Orsborn, Lauren Steward, Juliana Wilson, Denis Bensard

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Emergency radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Jose Diaz-MironDivision of Pediatric Surgery, Department of Surgery, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, B-323, Aurora, CO, 80045, USA. jose.diaz-miron@childrenscolorado.org.ORCID http://orcid.org/0000-0002-9947-5932
Marina L ReppucciDivision of Pediatric Surgery, Department of Surgery, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, B-323, Aurora, CO, 80045, USA.
Jason WeinmanDivision of Pediatric Radiology, Department of Radiology, University of Colorado School of Medicine, Aurora, CO, USA.
Alexander KaizerCenter for Innovative Design and Analysis, Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado, Aurora, CO, USA.
Aparna AnnamDivision of Pediatric Radiology, Department of Radiology, University of Colorado School of Medicine, Aurora, CO, USA.
Jonathan OrsbornDivision of Pediatric Emergency Medicine, Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Lauren StewardDivision of Gastrointestinal, Trauma, and Endocrine Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Juliana WilsonDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Denis BensardDivision of Pediatric Surgery, Department of Surgery, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, B-323, Aurora, CO, 80045, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of lung ultrasound for diagnosis of COVID-19 has emerged during the pandemic as a beneficial diagnostic modality due to its rapid availability, bedside use, and lack of radiation. This study aimed to determine if routine ultrasound (US) imaging of the lungs of trauma patients with COVID-19 infections who undergo extended focused assessment with sonography for trauma (EFAST) correlates with computed tomography (CT) imaging and X-ray findings, as previously reported in other populations.

methodsThis was a prospective, observational feasibility study performed at two level 1 trauma centers. US, CT, and X-ray imaging were retrospectively reviewed by a surgical trainee and a board-certified radiologist to determine any correlation of imaging findings in patients with active COVID-19 infection.

resultsThere were 53 patients with lung US images from EFAST available for evaluation and COVID-19 testing. The overall COVID-19 positivity rate was 7.5%. COVID-19 infection was accurately identified by one patient on US by the trainee, but there was a 15.1% false-positive rate for infection based on the radiologist examination.

conclusionsEvaluation of the lung during EFAST cannot be used in the trauma setting to identify patients with active COVID-19 infection or to stratify patients as high or low risk of infection. This is likely due to differences in lung imaging technique and the presence of concomitant thoracic injury.

Indexed as

COVID-19Focused Assessment with Sonography for TraumaLungLung DiseasesWounds and InjuriesFalse Positive ReactionsFeasibility StudiesHumansPandemicsProspective StudiesRetrospective StudiesSARS-CoV-2Sensitivity and SpecificityTomography, X-Ray ComputedTrauma CentersCOVID-19Extended focused assessment with sonography in traumaLung ultrasoundThoracic traumaTrauma

Identifiers

PMID34988751
PMCPMC8731214

What OpenQuestion holds

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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.