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Lung Ultrasound Findings Associated With COVID-19 ARDS, ICU Admission, and All-Cause Mortality

Federal government websites often end in. The site is secure. Preview improvements coming to the PMC website in October Learn More or Try it out now. Subjects underwent an LUS evaluating a total of 8 zones. Images were analyzed off-line, blinded to clinical variables and outcomes. The total LUS score ranged from 0—24 per subject. However, LUS findings and score did not differ significantly between subjects with the composite outcome and those without, and were not associated with outcomes in unadjusted and adjusted logistic regression analyses.

These findings should be confirmed in future investigations. The study is registered at Clinicaltrials. Prior studies have provided evidence for a promising role of lung ultrasound LUS in the diagnosis, management, and prognostic assessment of subjects with ARDS 3 - 8 LUS has emerged as a useful tool in the bedside assessment of patients, and its noninvasive, portable, and rapid use makes it an attractive tool in evaluating critically ill patients. Several studies have already identified the potential utility of LUS in the initial assessment of patients with COVID and described the typical findings on LUS seen with this infection including bilateral B-lines, confluent B-lines, consolidations, and pleural line abnormalities.

Although there is evidence supporting the use of LUS in the early assessment and diagnosis of patients with COVID, there is limited knowledge regarding the use of LUS for risk stratification in these patients. LUS could potentially allow clinicians to perform fast and noninvasive risk assessments in patients with COVID, enabling individualized tailoring of therapy and patient management. The typical findings on LUS seen with this infection include bilateral B-lines, confluent B-lines, consolidations, and pleural line abnormalities.

However, there is limited knowledge regarding the use of LUS for risk stratification in this population. Moreover, there was a significant positive correlation between LUS findings and C-reactive protein, ferritin, and level of oxygen therapy. This was a prospective, multi-center, observational cohort study of hospitalized subjects with laboratory-confirmed SARS-CoV Subjects were not recruited from ICUs.

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