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10.4081/monaldi.2020.1446

http://scihub22266oqcxt.onion/10.4081/monaldi.2020.1446
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32875776!ä!32875776

suck abstract from ncbi


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pmid32875776      Monaldi+Arch+Chest+Dis 2020 ; 90 (3): ä
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  • Bedside wireless lung ultrasound for the evaluation of COVID-19 lung injury in senior nursing home residents #MMPMID32875776
  • Dini FL; Bergamini C; Allegrini A; Scopelliti M; Secco G; Miccoli M; Boni S; Brigada R; Perlini S
  • Monaldi Arch Chest Dis 2020[Sep]; 90 (3): ä PMID32875776show ga
  • Lung Ultrasound (LUS) is regarded to be potentially useful to diagnose lung injury in older adults living in nursing homes with suspected COVID-19 pneumonia. We aimed at evaluating presence lung injury among senior nursing home residents by LUS performed with portable wireless scanner echography. The study population consisted of 150 residents with a mean age of 88 years (85% female) residing in 12 nursing homes in Northern Italy. Subjects had to have a history of recent onset of symptoms compatible with COVID-19 pneumonia or have been exposed to the contagion of patients carrying the disease. COVID-19 testing was performed with SARS-CoV-2 nasal-pharyngeal (NP) swabs. Positive subjects to LUS scanning were considered those with non-coascelent B-lines in >3 zones, coalescent B-lines in >3 zones and with iperdensed patchy non-consolidated lungs. Sixty-three percent had positive NP testing and 65% had LUS signs of pulmonary injury. LUS had a sensitivity of 79% in predicting positive NP testing. Sixteen percent of residents tested negative for SARSCoV-2 carried the signs of COVID-19 lung injury at LUS. There were 92 patients (61%) with current or recent symptoms.Positivity to LUS scanning was reported in 73% of residents with symptoms, while it was 53% in those without (P=0.016). A positive NP testing was observed in 66% of residents with symptoms and in 57% of those without (P=0.27). We conclude that assessment of LUS by portable wireless scanner echography can be profitability utilized to diagnose lung injury among senior nursing home residents with or without symptoms compatible with COVID-19 pneumonia.
  • |*Coronavirus Infections/diagnosis/epidemiology/physiopathology[MESH]
  • |*Pandemics[MESH]
  • |*Point-of-Care Testing[MESH]
  • |*Ultrasonography/instrumentation/methods[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Female[MESH]
  • |Homes for the Aged/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Lung Injury/*diagnostic imaging[MESH]
  • |Male[MESH]
  • |Nursing Homes/statistics & numerical data[MESH]
  • |Pneumonia, Viral/*diagnosis/epidemiology/etiology/physiopathology[MESH]
  • |Predictive Value of Tests[MESH]
  • |SARS-CoV-2[MESH]
  • |Sensitivity and Specificity[MESH]


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