Comparative analysis of chest radiography and lung ultrasound to predict intra-hospital prognosis of patients admitted for acute SARS-CoV-2 pneumonia (COVID-19)
© 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 ≥ 21 points 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 = <0.001).
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.
| Errataetall: |
CommentIn: Med Clin (Barc). 2023 Oct 13;161(7):314-315. - PMID 37173182 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:159 |
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| Enthalten in: |
Medicina clinica (English ed.) - 159(2022), 11 vom: 09. Dez., Seite 515-521 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Rubio-Gracia, Jorge [VerfasserIn] |
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| Anmerkungen: |
Date Revised 31.10.2023 published: Print-Electronic CommentIn: Med Clin (Barc). 2023 Oct 13;161(7):314-315. - PMID 37173182 Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.medcle.2022.01.024 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM348510195 |
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| 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) |
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| 500 | |a CommentIn: Med Clin (Barc). 2023 Oct 13;161(7):314-315. - PMID 37173182 | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 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 ≥ 21 points 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 = <0.001) | ||
| 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 Lung ultrasound | |
| 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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