Evidence map›Paper›PMID 36284826›Full record

ArticleERJ open research2022

Focused lung ultrasound to predict respiratory failure in patients with symptoms of COVID-19: a multicentre prospective cohort study.

Søren Helbo Skaarup, Rasmus Aagaard, Stig Holm Ovesen, Jesper Weile, Hans Kirkegaard, Caroline Espersen, Mats Christian Højbjerg Lassen, Kristoffer Grundtvig Skaarup, Stefan Posth, Christian B Laursen and 3 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

13 authors at 5 institutions in 1 country.

Søren Helbo SkaarupDepartment of Respiratory Diseases and Allergy, Aarhus University Hospital, Denmark.ORCID https://orcid.org/0000-0001-7975-7441
Rasmus AagaardDepartment of Anaesthesiology, Randers Regional Hospital, Denmark.
Stig Holm OvesenResearch Center for Emergency Medicine, Aarhus University Hospital and Aarhus University, Denmark.ORCID https://orcid.org/0000-0003-3815-2141
Jesper WeileDepartment of Emergency Medicine, Aarhus University Hospital, Denmark.ORCID https://orcid.org/0000-0002-6664-3573
Hans KirkegaardResearch Center for Emergency Medicine, Aarhus University Hospital and Aarhus University, Denmark.
Caroline EspersenDepartment of Cardiology, Herlev & Gentofte University Hospital, Denmark.
Mats Christian Højbjerg LassenDepartment of Cardiology, Herlev & Gentofte University Hospital, Denmark.
Kristoffer Grundtvig SkaarupDepartment of Cardiology, Herlev & Gentofte University Hospital, Denmark.
Stefan PosthDepartment of Emergency Medicine, Odense University Hospital, Denmark.
Christian B LaursenDepartment of Respiratory Medicine, Odense University Hospital, Denmark.ORCID https://orcid.org/0000-0001-6382-9906
Ask BockCopenhagen University Hospital - North Zealand, Hillerød, Denmark.
Michael Dan ArvigDepartment of Emergency Medicine, Slagelse Hospital, Denmark.
Tor Biering-SørensenDepartment of Cardiology, Herlev & Gentofte University Hospital, Denmark.
Aarhus University Hospital · DKGentofte Hospital · DKUniversity of Southern Denmark · DKOdense University Hospital · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In this study we aimed to assess if a focused lung ultrasound examination predicts the need for mechanical ventilation, admission to an intensive care unit, high-flow oxygen treatment, death from COVID-19 within 30 days and 30-day all-cause mortality in patients with clinical suspicion of COVID-19 or PCR-verified SARS-CoV-2 infection. Methods: A multicentre prospective cohort trial was performed. Film clips from focused lung ultrasound examinations were recorded and rated by blinded observers using different scoring systems. A prediction model was built and used to test relationship between lung ultrasound scores and clinical outcomes. Diagnostic performance of scoring systems was analysed. Results: A total of 3889 film clips of 398 patients were analysed. Patients who had any of the outcomes of interest had a significantly higher ultrasound score than those who did not. Multivariable logistic regression analyses showed that lung ultrasound predicts mechanical ventilation (relative risk 2.44, 95% CI 1.32-5.52), admission to intensive care (relative risk 2.55, 95% CI 1.41-54.59) and high-flow oxygen treatment (relative risk 1.95, 95% CI 1.5-2.53) but not survival when adjusting for sex, age and relevant comorbidity. There was no diagnostic difference in area under the receiver operating characteristic curve between a scoring system using only anterolateral thorax zones and a scoring system that also included dorsal zones. Conclusion: Focused lung ultrasound in patients with clinical suspicion of COVID-19 predicts respiratory failure requiring mechanical ventilation, admission to intensive care units and the need for high-flow oxygen treatment. Thus, focused lung ultrasound may be used to risk stratify patients with COVID-19 symptoms.

Identifiers

PMID36284826
PMCPMC9501653
OpenAlexW4296211381

What OpenQuestion holds

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LicenceCC BY-NC
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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.