The use of chest ultrasonography in suspected cases of COVID-19 in the emergency department

AIM: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus-specific reverse transcriptase-polymerase chain reaction (RT-PCR) represents the diagnostic gold standard. We explored the value of chest ultrasonography to predict positivity to SARS-CoV-2 on RT-PCR in suspected COVID-19 cases....

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Detalles Bibliográficos
Autores principales: Allegorico, Enrico, Buonerba, Carlo, Bosso, Giorgio, Pagano, Antonio, Porta, Giovanni, Serra, Claudia, Dolce, Pasquale, Minerva, Valentina, Vicario, Ferdinando Dello, Altruda, Concetta, Arbo, Paola, Russo, Teresa, Sio, Chiara De, Franco, Nicoletta, Ruffa, Gianluca, Mormile, Cinzia, Cannavacciuolo, Francesca, Mercurio, Valentina, Gervasio, Gelsomina, Costanzo, Giuseppe Di, Ragozzino, Alfonso, Scafuri, Luca, Facchini, Gaetano, Numis, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Future Science Ltd 2020
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745656/
https://www.ncbi.nlm.nih.gov/pubmed/33432268
http://dx.doi.org/10.2144/fsoa-2020-0127
Descripción
Sumario:AIM: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus-specific reverse transcriptase-polymerase chain reaction (RT-PCR) represents the diagnostic gold standard. We explored the value of chest ultrasonography to predict positivity to SARS-CoV-2 on RT-PCR in suspected COVID-19 cases. PATIENTS & METHODS: Consecutive patients with suspect COVID-19 were included if they had fever and/or history of cough and/or dyspnea. Lung ultrasound score (LUSS) was computed according to published methods. RESULTS: A total of 76 patients were included. A 3-variable model based on aspartate transaminase (AST) > upper limit of normal, LUSS >12 and body temperature >37.5°C yielded an overall accuracy of 91%. CONCLUSION: A simple LUSS-based model may represent a powerful tool for initial assessment in suspected cases of COVID-19.

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