Lessons from the pandemic and the value of a structured system of ultrasonographic findings in the diagnosis of COVID-19 pulmonary manifestations.

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2024-06-10 eCollection Date: 2024-01-01 DOI:10.31744/einstein_journal/2024AE0780
Vítor Carminatti Romano, Natália Tavares de Melo Barros Lima, Victor Arantes Jabour, Guilherme Ciconelli Del Guerra, Paulo Rogério Barboza Silvério, Rodrigo Gobbo Garcia, Yoshino Tamaki Sameshima, Miguel José Francisco Neto, Marcos Roberto Gomes de Queiroz
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引用次数: 0

Abstract

Implementing a structured COVID-19 lung ultrasound system, using COVID-RADS standardization. This case series exams revealed correlations between ultrasonographic and tomographic findings. Ventilatory assessments showed that higher categories required second-line oxygen. This replicable tool will aid in screening and predicting disease severity beyond the pandemic.

Objective: We aimed to share our experience in implementing a structured system for COVID-19 lung findings, elucidating key aspects of the lung ultrasound score to facilitate its standardized clinical use beyond the pandemic scenario.

Methods: Using a scoring system to classify the extent of lung involvement, we retrospectively analyzed the ultrasound reports performed in our institution according to COVID-RADS standardization.

Results: The study included 69 thoracic ultrasound exams, with 27 following the protocol. The majority of patients were female (52%), with ages ranging from 1 to 96 years and an average of 56 years. Classification according to COVID-RADS was as follows: 11.1% in category 0, 37% in category 1, 44.4% in category 2, and 7.4% in category 3. Ground-glass opacities on tomography correlated with higher COVID-RADS scores (categories 2 and 3) in 82% of cases. Ventilatory assessment revealed that 50% of cases in higher COVID-RADS categories (2 and 3) required second-line oxygen supplementation, while none of the cases in lower categories (0 and 1) utilized this support.

Conclusion: Lung ultrasound has been widely utilized as a diagnostic tool owing to its availability and simplicity of application. In the context of the pandemic emergency, a pressing need for a focused and easily applicable assessment arose. The structured reporting system, incorporating ultrasound findings for stratification, demonstrated ease of replicability. This system stands as a crucial tool for screening, predicting severity, and aiding in medical decisions, even in a non-pandemic context. Lung ultrasound enables precise diagnosis and ongoing monitoring of the disease. Ultrasound is an effective tool for assessing pulmonary findings in COVID-19. Structured reports enhance communication and are easily reproducible.

从大流行中汲取的教训以及结构化超声波检查结果系统在诊断 COVID-19 肺部表现中的价值。
采用 COVID-RADS 标准化,实施结构化 COVID-19 肺部超声系统。该病例系列检查显示,超声波检查结果与断层扫描结果之间存在相关性。通气评估显示,较高类别的患者需要二线供氧。这一可复制的工具将有助于筛查和预测大流行后的疾病严重程度:我们旨在分享我们在实施 COVID-19 肺部检查结果结构化系统方面的经验,阐明肺部超声波评分的关键方面,以促进其在大流行后的标准化临床应用:方法:使用评分系统对肺部受累程度进行分类,我们根据 COVID-RADS 标准化对本机构进行的超声报告进行了回顾性分析:研究包括 69 例胸部超声检查,其中 27 例按照方案进行。大部分患者为女性(52%),年龄从 1 岁到 96 岁不等,平均年龄为 56 岁。根据 COVID-RADS 进行的分类如下:11.1%为0类,37%为1类,44.4%为2类,7.4%为3类。82%的病例断层扫描显示的地玻璃不透明与较高的 COVID-RADS 评分(第 2 类和第 3 类)相关。通气评估显示,50% COVID-RADS 评分较高(2 类和 3 类)的病例需要二线氧气补充,而评分较低(0 类和 1 类)的病例则无一需要这种支持:结论:肺部超声波作为一种诊断工具,因其可用性和简便性而得到广泛应用。在大流行病紧急情况下,迫切需要一种重点突出且易于应用的评估方法。结构化报告系统结合超声波检查结果进行分层,显示出易于复制的特点。即使在非大流行病的情况下,该系统也是筛查、预测严重程度和协助医疗决策的重要工具。肺部超声波检查可对疾病进行精确诊断和持续监测。超声波是评估 COVID-19 肺部检查结果的有效工具。结构化报告可加强沟通,并易于复制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
210
审稿时长
38 weeks
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