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10.1159/000509223

http://scihub22266oqcxt.onion/10.1159/000509223
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32570265!7360505!32570265
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suck abstract from ncbi


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pmid32570265      Respiration 2020 ; 99 (7): 617-624
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  • Lung Ultrasound in COVID-19 Pneumonia: Correlations with Chest CT on Hospital admission #MMPMID32570265
  • Nouvenne A; Zani MD; Milanese G; Parise A; Baciarello M; Bignami EG; Odone A; Sverzellati N; Meschi T; Ticinesi A
  • Respiration 2020[]; 99 (7): 617-624 PMID32570265show ga
  • BACKGROUND: Lung ultrasound (LUS) is an accurate, safe, and cheap tool assisting in the diagnosis of several acute respiratory diseases. The diagnostic value of LUS in the workup of coronavirus disease-19 (COVID-19) in the hospital setting is still uncertain. OBJECTIVES: The aim of this observational study was to explore correlations of the LUS appearance of COVID-19-related pneumonia with CT findings. METHODS: Twenty-six patients (14 males, age 64 +/- 16 years) urgently hospitalized for COVID-19 pneumonia, who underwent chest CT and bedside LUS on the day of admission, were enrolled in this observational study. CT images were reviewed by expert chest radiologists, who calculated a visual CT score based on extension and distribution of ground-glass opacities and consolidations. LUS was performed by clinicians with certified competency in thoracic ultrasonography, blind to CT findings, following a systematic approach recommended by ultrasound guidelines. LUS score was calculated according to presence, distribution, and severity of abnormalities. RESULTS: All participants had CT findings suggestive of bilateral COVID-19 pneumonia, with an average visual scoring of 43 +/- 24%. LUS identified 4 different possible -abnormalities, with bilateral distribution (average LUS score 15 +/- 5): focal areas of nonconfluent B lines, diffuse confluent B lines, small subpleural microconsolidations with pleural line irregularities, and large parenchymal consolidations with air bronchograms. LUS score was significantly correlated with CT visual scoring (r = 0.65, p < 0.001) and oxygen saturation in room air (r = -0.66, p < 0.001). CONCLUSION: When integrated with clinical data, LUS could represent a valid diagnostic aid in patients with suspect COVID-19 pneumonia, which reflects CT findings.
  • |*Coronavirus Infections/diagnosis/epidemiology/physiopathology[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/diagnosis/epidemiology/etiology/physiopathology[MESH]
  • |Betacoronavirus/*isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Correlation of Data[MESH]
  • |Diagnostic Tests, Routine/methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Point-of-Care Testing[MESH]
  • |Reproducibility of Results[MESH]
  • |SARS-CoV-2[MESH]
  • |Tomography, X-Ray Computed/*methods[MESH]


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