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10.1111/anae.15175

http://scihub22266oqcxt.onion/10.1111/anae.15175
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32520406!7300460!32520406
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suck abstract from ncbi


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pmid32520406      Anaesthesia 2020 ; 75 (12): 1620-1625
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  • The association of lung ultrasound images with COVID-19 infection in an emergency room cohort #MMPMID32520406
  • Bar S; Lecourtois A; Diouf M; Goldberg E; Bourbon C; Arnaud E; Domisse L; Dupont H; Gosset P
  • Anaesthesia 2020[Dec]; 75 (12): 1620-1625 PMID32520406show ga
  • Lung ultrasound could facilitate the triage of patients with suspected COVID-19 infection admitted to the emergency room. We developed a predictive model for COVID-19 diagnosis based on lung ultrasound and clinical features. We used ultrasound to image the lung bilaterally at two anterior sites, one and two hands below each clavicle, and a posterolateral site that was the posterior transverse continuation from the lower anterior site. We studied 100 patients, 31 of whom had a COVID-19 positive reverse transcriptase polymerase chain reaction. A positive test was independently associated with: quick sequential organ failure assessment score >/=1; >/=3 B-lines at the upper site; consolidation and thickened pleura at the lower site; and thickened pleura line at the posterolateral site. The model discrimination was an area (95%CI) under the receiver operating characteristic curve of 0.82 (0.75-0.90). The characteristics (95%CI) of the model's diagnostic threshold, applied to the population from which it was derived, were: sensitivity, 97% (83-100%); specificity, 62% (50-74%); positive predictive value, 54% (41-98%); and negative predictive value, 98% (88-99%). This model may facilitate triage of patients with suspected COVID-19 infection admitted to the emergency room.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Area Under Curve[MESH]
  • |COVID-19[MESH]
  • |Cohort Studies[MESH]
  • |Coronavirus Infections/diagnosis/*diagnostic imaging[MESH]
  • |Emergency Medical Services[MESH]
  • |Emergency Service, Hospital/organization & administration/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Organ Dysfunction Scores[MESH]
  • |Pandemics[MESH]
  • |Pleura/diagnostic imaging[MESH]
  • |Pneumonia, Viral/diagnosis/*diagnostic imaging[MESH]
  • |Polymerase Chain Reaction[MESH]
  • |Predictive Value of Tests[MESH]
  • |ROC Curve[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Triage[MESH]


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