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10.1002/jum.15563

http://scihub22266oqcxt.onion/10.1002/jum.15563
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33185316!ä!33185316

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suck abstract from ncbi


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pmid33185316      J+Ultrasound+Med 2021 ; 40 (9): 1823-1838
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  • Residual Lung Injury in Patients Recovering From COVID-19 Critical Illness: A Prospective Longitudinal Point-of-Care Lung Ultrasound Study #MMPMID33185316
  • Alharthy A; Abuhamdah M; Balhamar A; Faqihi F; Nasim N; Ahmad S; Noor A; Tamim H; Alqahtani SA; Abdulaziz Al Saud AAASB; Kutsogiannis DJ; Brindley PG; Memish ZA; Karakitsos D; Blaivas M
  • J Ultrasound Med 2021[Sep]; 40 (9): 1823-1838 PMID33185316show ga
  • Scarce data exist regarding the natural history of lung lesions detected on ultrasound in those who survive severe COVID-19 pneumonia. OBJECTIVE: We performed a prospective analysis of point-of-care ultrasound (POCUS) findings in critically ill COVID-19 patients during and after hospitalization. METHODS: We enrolled 171 COVID-19 intensive care unit patients. POCUS of the lungs was performed with phased array (2-4 MHz), convex (2-6 MHz) and linear (10-15 MHz) transducers, scanning 12 lung areas. Chest computed tomography angiography was performed to exclude suspected pulmonary embolism. Survivors were clinically and sonographically evaluated during a 4 month period for evidence of residual lung injury. Chest computed tomography angiography and echocardiography were used to exclude pulmonary hypertension (PH) and chest high-resolution-computed-tomography to exclude interstitial lung disease (ILD) in symptomatic survivors. RESULTS: Cox regression analysis showed that lymphocytopenia (hazard ratio [HR]: 0.88, 95% confidence intervals [CI]: 0.68-0.96, p = .048), increased lactate (HR: 1.17, 95% CI: 0.94-1.46, p = 0.049), and D-dimers (HR: 1.21, 95% CI: 1.03-1.44, p = .03) were mortality predictors. Non-survivors had increased incidence of pulmonary abnormalities (B-lines, pleural line irregularities, and consolidations) compared to survivors (p < .05). During follow-up, POCUS with clinical and laboratory parameters integrated in the semi-quantitative Riyadh-Residual-Lung-Injury scale had sensitivity of 0.82 (95% CI: 0.76-0.89) and specificity of 0.91 (95% CI: 0.94-0.95) in predicting ILD. The prevalence of PH and ILD (non-specific-interstitial-pneumonia) was 7% and 11.8%, respectively. CONCLUSION: POCUS showed ability to monitor the evolution of severe COVID-19 pneumonia after hospital discharge, supporting its integration in clinical predictive models of residual lung injury.
  • |*COVID-19[MESH]
  • |*Lung Injury/diagnostic imaging[MESH]
  • |Critical Illness[MESH]
  • |Humans[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Point-of-Care Systems[MESH]
  • |SARS-CoV-2[MESH]


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