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Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019

BACKGROUND/AIMS: Current evidence supports lung ultrasound as a point-of-care alternative diagnostic tool for various respiratory diseases. We sought to determine the utility of lung ultrasound for early detection of pneumonia and for assessment of respiratory failure among patients with coronavirus...

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Autores principales: Cho, Young-Jae, Song, Kyoung-Ho, Lee, Yunghee, Yoon, Joo Heung, Park, Ji Young, Jung, Jongtak, Lim, Sung Yoon, Lee, Hyunju, Yoon, Ho Il, Park, Kyoung Un, Kim, Hong Bin, Kim, Eu Suk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Internal Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373970/
https://www.ncbi.nlm.nih.gov/pubmed/32668514
http://dx.doi.org/10.3904/kjim.2020.180
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author Cho, Young-Jae
Song, Kyoung-Ho
Lee, Yunghee
Yoon, Joo Heung
Park, Ji Young
Jung, Jongtak
Lim, Sung Yoon
Lee, Hyunju
Yoon, Ho Il
Park, Kyoung Un
Kim, Hong Bin
Kim, Eu Suk
author_facet Cho, Young-Jae
Song, Kyoung-Ho
Lee, Yunghee
Yoon, Joo Heung
Park, Ji Young
Jung, Jongtak
Lim, Sung Yoon
Lee, Hyunju
Yoon, Ho Il
Park, Kyoung Un
Kim, Hong Bin
Kim, Eu Suk
author_sort Cho, Young-Jae
collection PubMed
description BACKGROUND/AIMS: Current evidence supports lung ultrasound as a point-of-care alternative diagnostic tool for various respiratory diseases. We sought to determine the utility of lung ultrasound for early detection of pneumonia and for assessment of respiratory failure among patients with coronavirus disease 2019 (COVID-19). METHODS: Six patients with confirmed COVID-19 by reverse transcription-polymerase chain reaction were enrolled. All had undergone chest X-ray and chest computed tomography (CT) on the day of admission and underwent multiple point-of-care lung ultrasound scans over the course of their hospitalization. RESULTS: Lung ultrasound detected early abnormal findings of representative B-lines in a patient with a normal chest X-ray, corresponding to ground-glass opacities on the chest CT scan. The ultrasound findings improved as her clinical condition improved and her viral load decreased. In another minimally symptomatic patient without significant chest X-ray findings, the ultrasound showed B-lines, an early sign of pneumonia before abnormalities were detected on the chest CT scan. In two critically ill patients, ultrasound was performed to assess for evaluation of disease severity. In both patients, the clinicians conducted emergency rapid sequence intubation based on the ultrasound findings without awaiting the laboratory results and radiological reports. In two children, ultrasound was used to assess the improvement in their pneumonia, thus avoiding further imaging tests such as chest CT. CONCLUSIONS: Lung ultrasound is feasible and useful as a rapid, sensitive, and affordable point-of-care screening tool to detect pneumonia and assess the severity of respiratory failure in patients hospitalized with COVID-19.
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spelling pubmed-73739702020-07-29 Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019 Cho, Young-Jae Song, Kyoung-Ho Lee, Yunghee Yoon, Joo Heung Park, Ji Young Jung, Jongtak Lim, Sung Yoon Lee, Hyunju Yoon, Ho Il Park, Kyoung Un Kim, Hong Bin Kim, Eu Suk Korean J Intern Med SPECIAL COVID-19 BACKGROUND/AIMS: Current evidence supports lung ultrasound as a point-of-care alternative diagnostic tool for various respiratory diseases. We sought to determine the utility of lung ultrasound for early detection of pneumonia and for assessment of respiratory failure among patients with coronavirus disease 2019 (COVID-19). METHODS: Six patients with confirmed COVID-19 by reverse transcription-polymerase chain reaction were enrolled. All had undergone chest X-ray and chest computed tomography (CT) on the day of admission and underwent multiple point-of-care lung ultrasound scans over the course of their hospitalization. RESULTS: Lung ultrasound detected early abnormal findings of representative B-lines in a patient with a normal chest X-ray, corresponding to ground-glass opacities on the chest CT scan. The ultrasound findings improved as her clinical condition improved and her viral load decreased. In another minimally symptomatic patient without significant chest X-ray findings, the ultrasound showed B-lines, an early sign of pneumonia before abnormalities were detected on the chest CT scan. In two critically ill patients, ultrasound was performed to assess for evaluation of disease severity. In both patients, the clinicians conducted emergency rapid sequence intubation based on the ultrasound findings without awaiting the laboratory results and radiological reports. In two children, ultrasound was used to assess the improvement in their pneumonia, thus avoiding further imaging tests such as chest CT. CONCLUSIONS: Lung ultrasound is feasible and useful as a rapid, sensitive, and affordable point-of-care screening tool to detect pneumonia and assess the severity of respiratory failure in patients hospitalized with COVID-19. The Korean Association of Internal Medicine 2020-07 2020-07-01 /pmc/articles/PMC7373970/ /pubmed/32668514 http://dx.doi.org/10.3904/kjim.2020.180 Text en Copyright © 2020 The Korean Association of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle SPECIAL COVID-19
Cho, Young-Jae
Song, Kyoung-Ho
Lee, Yunghee
Yoon, Joo Heung
Park, Ji Young
Jung, Jongtak
Lim, Sung Yoon
Lee, Hyunju
Yoon, Ho Il
Park, Kyoung Un
Kim, Hong Bin
Kim, Eu Suk
Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019
title Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019
title_full Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019
title_fullStr Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019
title_full_unstemmed Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019
title_short Lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019
title_sort lung ultrasound for early diagnosis and severity assessment of pneumonia in patients with coronavirus disease 2019
topic SPECIAL COVID-19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373970/
https://www.ncbi.nlm.nih.gov/pubmed/32668514
http://dx.doi.org/10.3904/kjim.2020.180
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