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10.1002/ppul.25255

http://scihub22266oqcxt.onion/10.1002/ppul.25255
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33404197!ä!33404197

suck abstract from ncbi


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pmid33404197      Pediatr+Pulmonol 2021 ; 56 (5): 1045-1052
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  • Lung ultrasound in the diagnosis and monitoring of 30 children with coronavirus disease 2019 #MMPMID33404197
  • Musolino AM; Supino MC; Buonsenso D; Papa RE; Chiurchiu S; Magistrelli A; Barbieri MA; Raponi M; D'Argenio P; Villani A; Toma P
  • Pediatr Pulmonol 2021[May]; 56 (5): 1045-1052 PMID33404197show ga
  • BACKGROUND: The coronavirus disease 2019 (COVID-19) has caused a new global pandemic and is responsible for millions of infections and thousands of deaths in the world. The lung ultrasound (LUS) is a noninvasive and easily repeatable tool and can be carried out by the pediatrician at the bedside of children with a consequent reduction in the risk of transmission of the virus. OBJECTIVE: We hypothesized that ultrasound findings in these patients would (1) be associated with their disease severity and (2) change over time in alignment with clinical outcome. METHODS: The study was made in the emergency department (ED) in a tertiary level pediatric hospital. All patients with swab-confirmed COVID-19 infection were subjected to a LUS within 6 h from admission and after 96 h. RESULTS: Among a total of 30 children, 18 (60%) were males, 4 reported exertional dyspnea, and only 1 chest pain. The mean oxygen saturation was 98.8 +/- 1.0% in ambient air in the ED and no patient needed oxygen therapy during hospitalization. Children with moderate disease presented more B line (p = .03). After 96 h, we had observed ultrasound abnormality only in 20% of the children. We found a statistically significant reduction in pleural irregularities (30% vs. 16.7; p = .001) and in B lines (50% vs. 20%; p = .008). CONCLUSIONS: The LUS is a useful, feasible, and safe tool for the clinician to complement the clinical evaluation and to monitor the evolution of lung disease in children with COVID-19.
  • |*COVID-19[MESH]
  • |*Child, Hospitalized[MESH]
  • |*SARS-CoV-2[MESH]
  • |Adolescent[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Pneumonia, Viral/*diagnostic imaging[MESH]
  • |Point-of-Care Testing[MESH]
  • |Predictive Value of Tests[MESH]
  • |Tomography, X-Ray Computed[MESH]


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