Role of Lung Ultrasound in the Management of Patients with Suspected SARS-CoV-2 Infection in the Emergency Department.
Andrea BoccatondaAlice GrignaschiAntonella Maria Grazia LanotteGiulio CoccoGianpaolo VidiliFabrizio GiostraCosima SchiavonePublished in: Journal of clinical medicine (2022)
ratio and the alveolar-arterial gradient increase than expected for age). It was shown that COVID-19 patients with an LUS score of >7 require the use of oxygen support, and a value of >10 is associated with an increased risk of oro-tracheal intubation. The LUS score was found to present higher values in hospitalized patients, increasing according to the degree of care intensity. Patients who died from COVID-19 were characterized by a mean LUS score of 11 at presentation to the emergency department. An LUS score of >7.5 was found to indicate a sensitivity of 83% and a specificity of 89% for 30-day mortality in COVID-19 patients. The use of LUS seems to be an optimal first level method for pneumonia detection and risk stratification in patients with suspected SARS-CoV-2 infection.
Keyphrases
- emergency department
- sars cov
- coronavirus disease
- respiratory syndrome coronavirus
- healthcare
- magnetic resonance imaging
- palliative care
- cardiac arrest
- type diabetes
- quality improvement
- computed tomography
- risk factors
- loop mediated isothermal amplification
- community acquired pneumonia
- label free
- structural basis
- ultrasound guided
- contrast enhanced ultrasound
- drug induced
- respiratory failure