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Erschienen in: Notfall + Rettungsmedizin 1/2021

02.12.2020 | Originalien

Role of lung ultrasonography in the diagnosis of COVID-19 patients admitted to the emergency department

verfasst von: İshak Şan, MD, Burak Bekgöz, MD, Eren Usul, MD, Çağdaş Yıldırım, MD, Emin Gemcioğlu, MD, Ahmet Fatih Kahraman, MD, Ahmet Emre Ay, MD

Erschienen in: Notfall + Rettungsmedizin | Sonderheft 1/2021

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Abstract

Introduction

In this study, the use of lung ultrasonography (LUS) to diagnosis lung findings was evaluated in patients with suspected COVID-19 who were admitted to the emergency department (ED).

Methods

This observational clinical study was conducted in the ED of the Ankara City Hospital during the period April 1–30, 2020. Patients who were admitted to the ED were triaged as COVID-19 infected and who agreed to undergo LUS/LCT (lung computed tomography) were included in the study.

Results

Included in the study were 40 patients who had been prediagnosed with COVID-19. Pneumonia was detected with LCT in 32 (80%) patients, while the LUS examination identified pneumonia in 23 patients. The most common finding in LCT was ground-glass opacity (n = 29, 90.6%). Of the 23 patients with pneumonia findings in LUS, 15 (65.2%) had direct consolidation. Among the 32 patients who were found to have pneumonia as a result of LCT, 20 (62.5%) had signs of pneumonia on LUS examination, and 12 had no signs of pneumonia. In addition, 3 patients showed no signs of pneumonia with LCT, but they were misdiagnosed with pneumonia by LUS. The sensitivity of LUS in the diagnosis of pneumonia in the COVID-19 patients was 62.5%, while its specificity was 62.5%. In addition, its positive predictive value was 87.0%, and its negative predictive value was 29.4%.

Conclusion

LUS may also be used in the diagnosis of pneumonia in COVID-19 patients because it is a valuable and accessible bedside diagnostic tool.
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Literatur
5.
Zurück zum Zitat World Health Organization (2020) Guidance W. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected. WHO/2019-nCoV/clinical/2020.5 World Health Organization (2020) Guidance W. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected. WHO/2019-nCoV/clinical/2020.5
6.
Zurück zum Zitat Munster VJ, Koopmans M, van Doremalen N et al (2020) A Novel Coronavirus Emerging in China—Key Questions for Impact Assessment. N Engl J Med 382(8):692–694CrossRef Munster VJ, Koopmans M, van Doremalen N et al (2020) A Novel Coronavirus Emerging in China—Key Questions for Impact Assessment. N Engl J Med 382(8):692–694CrossRef
7.
Zurück zum Zitat Zanobetti M, Poggioni C, Pini R (2011) Can chest ultrasonography replace standard chest radiography for evaluation of acute dyspnea in the ED? Chest 139:1140–1147CrossRef Zanobetti M, Poggioni C, Pini R (2011) Can chest ultrasonography replace standard chest radiography for evaluation of acute dyspnea in the ED? Chest 139:1140–1147CrossRef
8.
Zurück zum Zitat Ai T, Yang Z, Hou H, et al (2020) Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology 200642. Ai T, Yang Z, Hou H, et al (2020) Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology 200642.
10.
Zurück zum Zitat Cortellaro F, Colombo S, Coen D et al (2012) Lung ultrasound is an accurate diagnostic tool for the diagnosis of pneumonia in the emergency department. Emerg Med J 29(1):19–23CrossRef Cortellaro F, Colombo S, Coen D et al (2012) Lung ultrasound is an accurate diagnostic tool for the diagnosis of pneumonia in the emergency department. Emerg Med J 29(1):19–23CrossRef
11.
Zurück zum Zitat Cardinale L, Volpicelli G, Binello F et al (2009) Clinical application of lung ultrasound in patients with acute dyspnea: differential diagnosis between cardiogenicand pulmonary causes. Radiol Med 114:1053–1064CrossRef Cardinale L, Volpicelli G, Binello F et al (2009) Clinical application of lung ultrasound in patients with acute dyspnea: differential diagnosis between cardiogenicand pulmonary causes. Radiol Med 114:1053–1064CrossRef
12.
Zurück zum Zitat Lichtenstein DA, Mezière GA (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 134:117–125CrossRef Lichtenstein DA, Mezière GA (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 134:117–125CrossRef
13.
Zurück zum Zitat Bekgoz B, Kilicaslan İ, Bildik F et al (2019) BLUE Protocol Ultrasonography in Emergency Department Patients Presenting With Acute Dyspnea. Am J Emerg Med 37(11):2020–2027CrossRef Bekgoz B, Kilicaslan İ, Bildik F et al (2019) BLUE Protocol Ultrasonography in Emergency Department Patients Presenting With Acute Dyspnea. Am J Emerg Med 37(11):2020–2027CrossRef
14.
Zurück zum Zitat Lu W, Zhang S, Chen B et al (2020) A Clinical Study of Noninvasive Assessment of Lung Lesions in Patients With Coronavirus Disease-19 (COVID-19) by Bedside Ultrasound. Ultraschall Med 41(3):300–307CrossRef Lu W, Zhang S, Chen B et al (2020) A Clinical Study of Noninvasive Assessment of Lung Lesions in Patients With Coronavirus Disease-19 (COVID-19) by Bedside Ultrasound. Ultraschall Med 41(3):300–307CrossRef
15.
Zurück zum Zitat Lomoro P, Verde F, Zerboni F, et al (2020) COVID-19 Pneumonia Manifestations at the Admission on Chest Ultrasound, Radiographs, and CT: Single-Center Study and Comprehensive Radiologic Literature Review. Eur J Radiol Open 7:100231. Lomoro P, Verde F, Zerboni F, et al (2020) COVID-19 Pneumonia Manifestations at the Admission on Chest Ultrasound, Radiographs, and CT: Single-Center Study and Comprehensive Radiologic Literature Review. Eur J Radiol Open 7:100231.
16.
Zurück zum Zitat Yasukawa K, Minami T (2020) Point-of-Care Lung Ultrasound Findings in Patients With Novel Coronavirus Disease (COVID-19) Pneumonia. Am J Trop Med Hyg 102(6):1198–1202CrossRef Yasukawa K, Minami T (2020) Point-of-Care Lung Ultrasound Findings in Patients With Novel Coronavirus Disease (COVID-19) Pneumonia. Am J Trop Med Hyg 102(6):1198–1202CrossRef
17.
Zurück zum Zitat Stawicki SP, Jeanmonod R, Miller AC, et al (2020) The 2019–2020 Novel Coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) Pandemic: A Joint American College of Academic International Medicine-World Academic Council of Emergency Medicine Multidisciplinary COVID-19 Working Group Consensus Paper. J Glob Infect Dis 12(2): 47–93. Stawicki SP, Jeanmonod R, Miller AC, et al (2020) The 2019–2020 Novel Coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) Pandemic: A Joint American College of Academic International Medicine-World Academic Council of Emergency Medicine Multidisciplinary COVID-19 Working Group Consensus Paper. J Glob Infect Dis 12(2): 47–93.
18.
Zurück zum Zitat Gargani L , Soliman-Aboumarie H , Volpicelli G (2020) Why, when, and how to use lung ultrasound during the COVID-19 pandemic: enthusiasm and caution. Eur Heart J Cardiovasc Imaging jeaa163. Gargani L , Soliman-Aboumarie H , Volpicelli G (2020) Why, when, and how to use lung ultrasound during the COVID-19 pandemic: enthusiasm and caution. Eur Heart J Cardiovasc Imaging jeaa163.
Metadaten
Titel
Role of lung ultrasonography in the diagnosis of COVID-19 patients admitted to the emergency department
verfasst von
İshak Şan, MD
Burak Bekgöz, MD
Eren Usul, MD
Çağdaş Yıldırım, MD
Emin Gemcioğlu, MD
Ahmet Fatih Kahraman, MD
Ahmet Emre Ay, MD
Publikationsdatum
02.12.2020
Verlag
Springer Medizin
Erschienen in
Notfall + Rettungsmedizin / Ausgabe Sonderheft 1/2021
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-020-00807-3

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