Comparative analysis of chest radiography and lung ultrasound to predict intra-hospital prognosis of patients admitted for acute SARS-CoV-2 pneumonia (COVID-19)
Copyright © 2022 Elsevier España, S.L.U. All rights reserved..
BACKGROUND: Point of care lung ultrasound (POCUS) has been recently used to assess prognosis in COVID-19 patients. However, there are no data comparing POCUS and chest-X ray, a technique widely used.
PATIENTS AND METHODS: Retrospective analysis in stable COVID-19 patients. Schalekamp radiological lung scale and LUZ-Score ultrasound scale were compared. Primary end-point was in-hospital death and/or need for Intensive Care Unit admission.
RESULTS: A total of 138 patients were included. Median Schalekamp scale was 2 (2) and median LUZ-Score scale was 21 (10). No significant correlation was observed between both techniques. Patients with a LUZ-Score ≥21points at admission had worse lung function and higher concentrations of LDH, CRP and Interleuquine-6. Schalekamp scale failed to identify patients at a higher risk at admission for the primary end-point. Addition of POCUS to a previous clinical model, improved risk prediction (AUC 0.805 [95%CI: 0.662-0.948]; P=<.001).
CONCLUSIONS: Chest X-ray and POCUS showed no correlation at admission in this analysis. Only POCUS identified a group of patients with greater clinical and analytical involvement. POCUS improved, previous clinical model, while chest X-ray did not add relevant predictive information for the primary endpoint.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:159 |
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| Enthalten in: |
Medicina clinica - 159(2022), 11 vom: 09. Dez., Seite 515-521 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Análisis comparativo de la radiografía de tórax y la ecografía pulmonar para predecir el pronóstico intrahospitalario de pacientes ingresados por neumonía secundaria a SARS-CoV-2 (COVID-19) |
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| Beteiligte Personen: |
Rubio-Gracia, Jorge [VerfasserIn] |
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| Links: |
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| Themen: |
COVID-19 |
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| Anmerkungen: |
Date Completed 29.11.2022 Date Revised 28.03.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.medcli.2022.01.028 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Rubio-Gracia, Jorge |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparative analysis of chest radiography and lung ultrasound to predict intra-hospital prognosis of patients admitted for acute SARS-CoV-2 pneumonia (COVID-19) |
| 246 | 3 | 3 | |a Análisis comparativo de la radiografía de tórax y la ecografía pulmonar para predecir el pronóstico intrahospitalario de pacientes ingresados por neumonía secundaria a SARS-CoV-2 (COVID-19) |
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| 500 | |a Date Completed 29.11.2022 | ||
| 500 | |a Date Revised 28.03.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a BACKGROUND: Point of care lung ultrasound (POCUS) has been recently used to assess prognosis in COVID-19 patients. However, there are no data comparing POCUS and chest-X ray, a technique widely used | ||
| 520 | |a PATIENTS AND METHODS: Retrospective analysis in stable COVID-19 patients. Schalekamp radiological lung scale and LUZ-Score ultrasound scale were compared. Primary end-point was in-hospital death and/or need for Intensive Care Unit admission | ||
| 520 | |a RESULTS: A total of 138 patients were included. Median Schalekamp scale was 2 (2) and median LUZ-Score scale was 21 (10). No significant correlation was observed between both techniques. Patients with a LUZ-Score ≥21points at admission had worse lung function and higher concentrations of LDH, CRP and Interleuquine-6. Schalekamp scale failed to identify patients at a higher risk at admission for the primary end-point. Addition of POCUS to a previous clinical model, improved risk prediction (AUC 0.805 [95%CI: 0.662-0.948]; P=<.001) | ||
| 520 | |a CONCLUSIONS: Chest X-ray and POCUS showed no correlation at admission in this analysis. Only POCUS identified a group of patients with greater clinical and analytical involvement. POCUS improved, previous clinical model, while chest X-ray did not add relevant predictive information for the primary endpoint | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Chest X-ray | |
| 650 | 4 | |a Ecografía pulmonar | |
| 650 | 4 | |a Lung ultrasound | |
| 650 | 4 | |a Radiografía tórax | |
| 700 | 1 | |a Ibáñez-Muñoz, David |e verfasserin |4 aut | |
| 700 | 1 | |a Giménez-López, Ignacio |e verfasserin |4 aut | |
| 700 | 1 | |a Garcés-Horna, Vanesa |e verfasserin |4 aut | |
| 700 | 1 | |a López-Delgado, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Sierra-Monzón, José Luis |e verfasserin |4 aut | |
| 700 | 1 | |a Crespo-Aznarez, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Peña-Fresneda, Natacha |e verfasserin |4 aut | |
| 700 | 1 | |a Pérez-Calvo, Juan Ignacio |e verfasserin |4 aut | |
| 700 | 1 | |a Sánchez-Marteles, Marta |e verfasserin |4 aut | |
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