Tags

Type your tag names separated by a space and hit enter

Changes in lung ultrasound of symptomatic healthcare professionals with COVID-19 pneumonia and their association with clinical findings.
J Clin Ultrasound. 2020 Nov; 48(9):515-521.JC

Abstract

PURPOSE

To evaluate ultrasound signs of coronavirus disease-19 (COVID-19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings.

METHODS

All patients underwent real-time polymerase chain reaction (RT-PCR), lung ultrasound (LUS) and clinical evaluation on the same day. In each of the 12 areas evaluated in the LUS, the LUS signs were scored to generate the aeration score.

RESULTS

A total of 409 participants had positive PCR, with a median age of 41 (35-51) years. All participants had clinical symptoms, with cough in 84.1%, fever in 69.7%, and dyspnea in 36.2% of cases. In the LUS, 72.6% of participants had B-lines >2, 36.2% had coalescent B-lines, and 8.06% had subpleural consolidations. The median aeration score was 3 (2-7). The aeration score differed significantly regarding the presence of cough (P = .002), fever (P = .001), and dyspnea (P < .0001). The finding of subpleural consolidations in the LUS showed significant differences between participants with or without dyspnea (P < .0001).

CONCLUSIONS

In healthcare professionals with COVID-19, LUS plays a key role in the characterization of lung involvement. Although B-lines are the most common ultrasound sign, subpleural consolidations are those that most impact the respiratory condition.

Authors+Show Affiliations

Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil. Postgraduate Program in Medical Sciences, School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil. Postgraduate Program in Medical Sciences, School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil. Postgraduate Program in Medical Sciences, School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.Department of Pulmonology, Pedro Ernesto University Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil. Postgraduate Program in Medical Sciences, School of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

32827163

Citation

Mafort, Thiago Thomaz, et al. "Changes in Lung Ultrasound of Symptomatic Healthcare Professionals With COVID-19 Pneumonia and Their Association With Clinical Findings." Journal of Clinical Ultrasound : JCU, vol. 48, no. 9, 2020, pp. 515-521.
Mafort TT, Lopes AJ, da Costa CH, et al. Changes in lung ultrasound of symptomatic healthcare professionals with COVID-19 pneumonia and their association with clinical findings. J Clin Ultrasound. 2020;48(9):515-521.
Mafort, T. T., Lopes, A. J., da Costa, C. H., da Cal, M. S., Lopes, M. C., da Silva, B. R. A., Faria, L. F., Faria, A. C., Costa, W., Salles, R. E. B., de Castro, M. C. S., & Rufino, R. (2020). Changes in lung ultrasound of symptomatic healthcare professionals with COVID-19 pneumonia and their association with clinical findings. Journal of Clinical Ultrasound : JCU, 48(9), 515-521. https://doi.org/10.1002/jcu.22905
Mafort TT, et al. Changes in Lung Ultrasound of Symptomatic Healthcare Professionals With COVID-19 Pneumonia and Their Association With Clinical Findings. J Clin Ultrasound. 2020;48(9):515-521. PubMed PMID: 32827163.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changes in lung ultrasound of symptomatic healthcare professionals with COVID-19 pneumonia and their association with clinical findings. AU - Mafort,Thiago Thomaz, AU - Lopes,Agnaldo José, AU - da Costa,Cláudia Henrique, AU - da Cal,Mariana Soares, AU - Lopes,Mariana Carneiro, AU - da Silva,Bruno Rangel Antunes, AU - Faria,Luana Fortes, AU - Faria,Anamelia Costa, AU - Costa,Walter, AU - Salles,Raquel Esteves Brandão, AU - de Castro,Marcos César Santos, AU - Rufino,Rogério, Y1 - 2020/08/21/ PY - 2020/06/04/received PY - 2020/07/04/revised PY - 2020/07/27/accepted PY - 2020/8/23/pubmed PY - 2020/10/22/medline PY - 2020/8/23/entrez KW - COVID-19 KW - dyspnea KW - lung ultrasound KW - novel coronavirus KW - pneumonia SP - 515 EP - 521 JF - Journal of clinical ultrasound : JCU JO - J Clin Ultrasound VL - 48 IS - 9 N2 - PURPOSE: To evaluate ultrasound signs of coronavirus disease-19 (COVID-19) pneumonia in symptomatic healthcare professionals and to correlate those changes with clinical findings. METHODS: All patients underwent real-time polymerase chain reaction (RT-PCR), lung ultrasound (LUS) and clinical evaluation on the same day. In each of the 12 areas evaluated in the LUS, the LUS signs were scored to generate the aeration score. RESULTS: A total of 409 participants had positive PCR, with a median age of 41 (35-51) years. All participants had clinical symptoms, with cough in 84.1%, fever in 69.7%, and dyspnea in 36.2% of cases. In the LUS, 72.6% of participants had B-lines >2, 36.2% had coalescent B-lines, and 8.06% had subpleural consolidations. The median aeration score was 3 (2-7). The aeration score differed significantly regarding the presence of cough (P = .002), fever (P = .001), and dyspnea (P < .0001). The finding of subpleural consolidations in the LUS showed significant differences between participants with or without dyspnea (P < .0001). CONCLUSIONS: In healthcare professionals with COVID-19, LUS plays a key role in the characterization of lung involvement. Although B-lines are the most common ultrasound sign, subpleural consolidations are those that most impact the respiratory condition. SN - 1097-0096 UR - https://www.unboundmedicine.com/medline/citation/32827163/Changes_in_lung_ultrasound_of_symptomatic_healthcare_professionals_with_COVID_19_pneumonia_and_their_association_with_clinical_findings_ L2 - https://doi.org/10.1002/jcu.22905 DB - PRIME DP - Unbound Medicine ER -