Lung ultrasound score severity cut-off points in COVID-19 pneumonia. A systematic review and validating cohort

Gil-Rodríguez, Jaime; Martos-Ruiz, Michel; Alberto, Benavente-Fernández; Aranda-Laserna, Pablo; Ángel, Montero-Alonso Miguel; Peregrina-Rivas, José-Antonio; Daniel, Fernández-Reyes; Javier, Martínez de Victoria-Carazo; Guirao-Arrabal, Emilio; José, Hernández-Quero

doi:10.1016/j.medcli.2023.01.024

Cited by 4 publications

(3 citation statements)

References 46 publications

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“…A study by Bardakci et al documented the sensitivity and specificity rates as 90.3% and 60.4%, respectively, with a cut‐off value of >11 20 . Yet another study observed that sensitivity and specificity rates of 74% and 56%, respectively, were an indicator of mortality in patients with a cut‐off value of >15 21 . Only patients with COVID‐19 pneumonia were included in these studies, and our study includes all patients diagnosed with ARDS, regardless of the causative agent.…”

Section: Discussionmentioning

confidence: 99%

“…20 Yet another study observed that sensitivity and specificity rates of 74% and 56%, respectively, were an indicator of mortality in patients with a cut-off value of >15. 21 Only patients with COVID-19 pneumonia were included in these studies, and our study includes all patients diagnosed with ARDS, regardless of the causative agent. In another research, the cut-off value was 18 and the sensitivity and specificity values were 77.04% and 61.29%, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the Prognosis of Patients With Acute Respiratory Distress Syndrome at the Emergency Department Based on the Lung Ultrasound Score

Altuğ,

Toksul,

Çakir

et al. 2024

J of Ultrasound Medicine

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ObjectivesAcute respiratory distress syndrome (ARDS) is a respiratory disease characterized by a high rate of mortality. Determining the prognosis of this disease is therefore important. Lung ultrasonography has found increased use, especially in the recent years. This study aimed to score patients diagnosed with ARDS at the emergency department using point‐of‐care ultrasound (POCUS)‐Lung and to investigate the prognosis of patients with ARDS using a scoring system.MethodsThis study was designed as a single‐center prospective study. The study was performed in patients admitted to the emergency department and were diagnosed with ARDS pursuant to the Berlin criteria for ARDS and who met the inclusion criteria. The patients underwent lung ultrasonography at the emergency department and were scored (A line: 0; B1 line: 1; B2 line: 2; and C line: 3 points) accordingly.ResultsThe study included 100 patients with ARDS. The mortality rate was 52% in the patients in the study. The lung ultrasonography score in the mortality group (25.48 ± 3.64) was higher than that in the survivors (8.46 ± 3.61). For a cut‐off value of 17.5 for the lung ultrasonography score, the sensitivity and specificity with regard to mortality indicators were 92.8% and 90.9%, respectively (the area under the curve: 0.901; 95% confidence interval: 0.945–0.985: P < .001).ConclusionThe findings suggested that scoring based on POCUS‐Lung at the time of initial presentation at the emergency department in patients diagnosed with ARDS according to the Berlin criteria could help determine the prognosis. As POCUS‐Lung proved to be an important imaging method in investigating the affected alveolar capacity, we recommend its possible use as a prognostic indicator.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of the Prognosis of Patients With Acute Respiratory Distress Syndrome at the Emergency Department Based on the Lung Ultrasound Score

Altuğ,

Toksul,

Çakir

et al. 2024

J of Ultrasound Medicine

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“…POCUS use has increased significantly during the pandemic for monitoring the inflammatory lung changes seen in COVID-19 patients [18][19][20][21][22][23][24]. This is facilitated in part by the typical sonographic characteristics of COVID-19-associated lung injury during disease progression and recovery [25][26][27][28][29][30][31][32][33][34][35][36][37]. Usually, POCUS is operated by experienced clinicians.…”

Section: The Role Of Pocus In the Management Of Covid-19 Patientsmentioning

confidence: 99%

Can Artificial Intelligence Aid Diagnosis by Teleguided Point-of-Care Ultrasound? A Pilot Study for Evaluating a Novel Computer Algorithm for COVID-19 Diagnosis Using Lung Ultrasound

Sultan,

Haertter,

Al-Hasani

et al. 2023

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With the 2019 coronavirus disease (COVID-19) pandemic, there is an increasing demand for remote monitoring technologies to reduce patient and provider exposure. One field that has an increasing potential is teleguided ultrasound, where telemedicine and point-of-care ultrasound (POCUS) merge to create this new scope. Teleguided POCUS can minimize staff exposure while preserving patient safety and oversight during bedside procedures. In this paper, we propose the use of teleguided POCUS supported by AI technologies for the remote monitoring of COVID-19 patients by non-experienced personnel including self-monitoring by the patients themselves. Our hypothesis is that AI technologies can facilitate the remote monitoring of COVID-19 patients through the utilization of POCUS devices, even when operated by individuals without formal medical training. In pursuit of this goal, we performed a pilot analysis to evaluate the performance of users with different clinical backgrounds using a computer-based system for COVID-19 detection using lung ultrasound. The purpose of the analysis was to emphasize the potential of the proposed AI technology for improving diagnostic performance, especially for users with less experience.

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Point-of-care Ultrasound in Infectious Diseases: Current Insights and Future Perspectives

Díez-Vidal,

Martínez-Martín,

González-Muñoz

et al. 2024

Clinical Infectious Diseases

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Point-of-Care Ultrasound (POCUS) is a safe, non-invasive technique performed at the patient's bedside, providing immediate results to the operator. It complements physical examination and facilitates clinical decision-making. In infectious diseases, POCUS is particularly valuable, offering an initial assessment in cases of suspected infection. It often leads to an early tentative diagnosis enabling the prompt initiation of antimicrobial treatment without the delay associated with traditional radiology. POCUS provides direct visualization of affected organs, assists in evaluating fluid balance and facilitates various interventions, all while reducing patient discomfort. For infectious disease specialists, becoming proficient in POCUS is a critical future challenge, requiring dedicated training for effective utilization.

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Lung ultrasound score severity cut-off points in COVID-19 pneumonia. A systematic review and validating cohort

Cited by 4 publications

References 46 publications

Evaluation of the Prognosis of Patients With Acute Respiratory Distress Syndrome at the Emergency Department Based on the Lung Ultrasound Score

Evaluation of the Prognosis of Patients With Acute Respiratory Distress Syndrome at the Emergency Department Based on the Lung Ultrasound Score

Can Artificial Intelligence Aid Diagnosis by Teleguided Point-of-Care Ultrasound? A Pilot Study for Evaluating a Novel Computer Algorithm for COVID-19 Diagnosis Using Lung Ultrasound

Point-of-care Ultrasound in Infectious Diseases: Current Insights and Future Perspectives

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