Lung ultrasound as a predictor of mortality of patients with COVID-19

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 asse...

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Published in:Jornal brasileiro de pneumologia 2021-01, Vol.47 (4), p.e20210092-e20210092
Main Authors: A. Sosa1, Fernando, Matarrese1, Agustín, Saavedra1, Santiago, Osatnik1, Javier, Roberti2, Javier, Tort Oribe1, Barbara, Ivulich1, Daniel, Durán1, Ana Laura, Caputo1, Celeste, Benay1, Cristian
Format: Article
Language:English
Subjects:
COVID-19
Lund diseases
Original
RESPIRATORY SYSTEM
Ultrasonography
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Summary: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
ISSN:1806-3756
1806-3713
1806-3756
DOI:10.36416/1806-3756/e20210092