1. Lung ultrasound as a predictor of mortality of patients with COVID-19
- Author
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Daniel Ivulich, Fernando A. Sosa, Cristian Gabriel Benay, Agustín Matarrese, Celeste Caputo, Santiago Saavedra, Javier Osatnik, Ana Laura Durán, Barbara Tort Oribe, and Javier Roberti
- Subjects
Ultrassonografia ,medicine.medical_treatment ,medicine.disease_cause ,Malignancy ,law.invention ,03 medical and health sciences ,purl.org/becyt/ford/3.3 [https] ,Diseases of the respiratory system ,0302 clinical medicine ,ULTRASONOGRAPHY ,law ,medicine ,Humans ,Lund diseases ,Prospective Studies ,Lung ,Aged ,Ultrasonography ,Aged, 80 and over ,Mechanical ventilation ,APACHE II ,RC705-779 ,SARS-CoV-2 ,business.industry ,Area under the curve ,COVID-19 ,030208 emergency & critical care medicine ,Middle Aged ,medicine.disease ,Intensive care unit ,LUND DISEASES ,Intensive Care Units ,030228 respiratory system ,Anesthesia ,Doenças de Lund ,Breathing ,Original Article ,Observational study ,purl.org/becyt/ford/3 [https] ,business ,Nasal cannula - Abstract
Objective: To evaluate the performance of lung ultrasound to determine short-term outcomes of patients with COVID-19 admitted to the intensive care unit. Methods: This is a Prospective, observational study. Between July and November 2020, 59 patients were included and underwent at least two LUS assessments using LUS score (range 0-42) on day of admission, day 5th, and 10th of admission. Results: Age was 66.5±15 years, APACHE II was 8.3±3.9, 12 (20%) patients had malignancy, 46 (78%) patients had a non‑invasive ventilation/high-flow nasal cannula and 38 (64%) patients required mechanical ventilation. The median stay in ICU was 12 days (IQR 8.5-20.5 days). ICU or hospital mortality was 54%. On admission, the LUS score was 20.8±6.1; on day 5th and day 10th of admission, scores were 27.6±5.5 and 29.4±5.3, respectively (P=0.007). As clinical condition deteriorated the LUS score increased, with a positive correlation of 0.52, P
- Published
- 2021