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- Title
Lung Ultrasound and Sonographic Subpleural Consolidation in COVID-19 Pneumonia Correlate with Disease Severity.
- Authors
Bitar, Zouheir Ibrahim; Shamsah, Mohammed; Maadarani, OssamaSajeh; Bamasood, Omar Mohammed; Bitar, Ali Zouheir; Alfoudri, Huda
- Abstract
<bold>Introduction: </bold>One of the ultrasonic features of COVID-19 pneumonia is the presence of subpleural consolidation (SPC), and the number of SPCs varies among patients with COVID-19 pneumonia.<bold>Aim: </bold>To examine the relationship between disease severity and the number of SPCs on admission. Methodology. This observational, prospective, single-center study included patients with suspected COVID-19 infection who had been transferred to the ICU. A specialized intensivist in critical care ultrasound performed lung ultrasound (LUS) and echocardiography within 12 hours of a patient's admission to the ICU. The aeration score was calculated, and the total number of SPCs was quantified in 12 zones of the LUS.<bold>Results: </bold>Of 109 patients with suspected COVID-19 pneumonia, 77 (71%) were confirmed. The median patient age was 53 (82-36) years, and 81 of the patients (73.7%) were men. The aeration score and the counts of subpleural consolidation in each zone were significantly higher in patients with COVID-19 pneumonia (P=0.018 and P < 0.0001, respectively). There was an inverse relationship between PO2/FiO2, the aeration score, and the number of subpleural consolidations. The higher the number of SPCs, the worse the PO2/FiO2 will be.<bold>Conclusions: </bold>Sonographic SPC counts correlate well with the severity of COVID-19 pneumonia and PO2/FiO2. The number of SPCs should be considered when using LUS to assess disease severity.
- Subjects
COVID-19; PNEUMONIA; LUNGS; HOSPITAL admission &; discharge; DISEASES
- Publication
Critical Care Research & Practice, 2021, p1
- ISSN
2090-1305
- Publication type
journal article
- DOI
10.1155/2021/6695033