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10.1016/j.ultrasmedbio.2021.04.026

http://scihub22266oqcxt.onion/10.1016/j.ultrasmedbio.2021.04.026
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suck abstract from ncbi


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pmid34088531      Ultrasound+Med+Biol 2021 ; 47 (8): 2090-2096
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  • Lung Ultrasound Can Predict the Clinical Course and Severity of COVID-19 Disease #MMPMID34088531
  • Ravetti CG; Vassallo PF; de Barros GM; Rocha GC; Chamon S; Borges IN; Marinho CC; Cabral MAS; Duani H; de Andrade MVM; Nobre V
  • Ultrasound Med Biol 2021[Aug]; 47 (8): 2090-2096 PMID34088531show ga
  • Coronavirus disease 2019 (COVID-19) compromises the lung in large numbers of people. The development of minimally invasive methods to determine the severity of pulmonary extension is desired. This study aimed to describe the characteristics of sequential lung ultrasound and to test the prognostic usefulness of this exam in a group of patients admitted to the hospital with COVID-19. We prospectively evaluated patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection admitted to our hospital between April and August 2020. Bedside lung ultrasound exams were performed at three time points: at inclusion in the study, after 48 h and on the seventh day of follow-up. Lung ultrasound scores were quantified according to the aeration loss in each of eight zones scanned. Sixty-six participants were included: 42 (63.6%) in the intensive care unit and 24 (36.3%) in the ward. Lung ultrasound scores were higher in participants admitted to the intensive care unit than in those admitted to the ward at the time of inclusion (16 [13-17] vs. 10 [4-14], p < 0.001), after 48 h (15.5 [13-17] vs. 12.5 [8.2-14.7], p?=?0.001) and on the seventh day (16 [14-17] vs. 7 [4.5-13.7], p < 0.001) respectively. Lung ultrasound score measured at the time of inclusion in the study was independently associated with the need for admission to the intensive care unit (odds ratio?=?1.480; 95% confidence interval, 1.093-2.004; p?=?0.011) adjusted by the Sequential Organ Failure Assessment score.
  • |*SARS-CoV-2[MESH]
  • |Aged[MESH]
  • |Brazil[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Predictive Value of Tests[MESH]
  • |Prognosis[MESH]
  • |Severity of Illness Index[MESH]


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