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Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity
INTRODUCTION: One of the ultrasonic features of COVID-19 pneumonia is the presence of subpleural consolidation (SPC), and the number of SPCs varies among patients with COVID-19 pneumonia. AIM: To examine the relationship between disease severity and the number of SPCs on admission. Methodology. This...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780695/ https://www.ncbi.nlm.nih.gov/pubmed/33425386 http://dx.doi.org/10.1155/2021/6695033 |
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author | Bitar, Zouheir Ibrahim Shamsah, Mohammed Maadarani, OssamaSajeh Bamasood, Omar Mohammed Bitar, Ali Zouheir Alfoudri, Huda |
author_facet | Bitar, Zouheir Ibrahim Shamsah, Mohammed Maadarani, OssamaSajeh Bamasood, Omar Mohammed Bitar, Ali Zouheir Alfoudri, Huda |
author_sort | Bitar, Zouheir Ibrahim |
collection | PubMed |
description | INTRODUCTION: One of the ultrasonic features of COVID-19 pneumonia is the presence of subpleural consolidation (SPC), and the number of SPCs varies among patients with COVID-19 pneumonia. AIM: To examine the relationship between disease severity and the number of SPCs on admission. Methodology. This observational, prospective, single‐center study included patients with suspected COVID-19 infection who had been transferred to the ICU. A specialized intensivist in critical care ultrasound performed lung ultrasound (LUS) and echocardiography within 12 hours of a patient's admission to the ICU. The aeration score was calculated, and the total number of SPCs was quantified in 12 zones of the LUS. RESULTS: Of 109 patients with suspected COVID-19 pneumonia, 77 (71%) were confirmed. The median patient age was 53 (82–36) years, and 81 of the patients (73.7%) were men. The aeration score and the counts of subpleural consolidation in each zone were significantly higher in patients with COVID-19 pneumonia (P=0.018 and P < 0.0001, respectively). There was an inverse relationship between PO(2)/FiO(2), the aeration score, and the number of subpleural consolidations. The higher the number of SPCs, the worse the PO(2)/FiO(2) will be. CONCLUSIONS: Sonographic SPC counts correlate well with the severity of COVID-19 pneumonia and PO(2)/FiO(2). The number of SPCs should be considered when using LUS to assess disease severity. |
format | Online Article Text |
id | pubmed-7780695 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-77806952021-01-08 Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity Bitar, Zouheir Ibrahim Shamsah, Mohammed Maadarani, OssamaSajeh Bamasood, Omar Mohammed Bitar, Ali Zouheir Alfoudri, Huda Crit Care Res Pract Research Article INTRODUCTION: One of the ultrasonic features of COVID-19 pneumonia is the presence of subpleural consolidation (SPC), and the number of SPCs varies among patients with COVID-19 pneumonia. AIM: To examine the relationship between disease severity and the number of SPCs on admission. Methodology. This observational, prospective, single‐center study included patients with suspected COVID-19 infection who had been transferred to the ICU. A specialized intensivist in critical care ultrasound performed lung ultrasound (LUS) and echocardiography within 12 hours of a patient's admission to the ICU. The aeration score was calculated, and the total number of SPCs was quantified in 12 zones of the LUS. RESULTS: Of 109 patients with suspected COVID-19 pneumonia, 77 (71%) were confirmed. The median patient age was 53 (82–36) years, and 81 of the patients (73.7%) were men. The aeration score and the counts of subpleural consolidation in each zone were significantly higher in patients with COVID-19 pneumonia (P=0.018 and P < 0.0001, respectively). There was an inverse relationship between PO(2)/FiO(2), the aeration score, and the number of subpleural consolidations. The higher the number of SPCs, the worse the PO(2)/FiO(2) will be. CONCLUSIONS: Sonographic SPC counts correlate well with the severity of COVID-19 pneumonia and PO(2)/FiO(2). The number of SPCs should be considered when using LUS to assess disease severity. Hindawi 2021-01-04 /pmc/articles/PMC7780695/ /pubmed/33425386 http://dx.doi.org/10.1155/2021/6695033 Text en Copyright © 2021 Zouheir Ibrahim Bitar et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Bitar, Zouheir Ibrahim Shamsah, Mohammed Maadarani, OssamaSajeh Bamasood, Omar Mohammed Bitar, Ali Zouheir Alfoudri, Huda Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity |
title | Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity |
title_full | Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity |
title_fullStr | Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity |
title_full_unstemmed | Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity |
title_short | Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity |
title_sort | lung ultrasound and sonographic subpleural consolidation in covid-19 pneumonia correlate with disease severity |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780695/ https://www.ncbi.nlm.nih.gov/pubmed/33425386 http://dx.doi.org/10.1155/2021/6695033 |
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