The Utility of Handheld Cardiac and Lung Ultrasound in Predicting Outcomes of Hospitalised Patients With COVID-19

Dadon, Ziv; Levi, N.; Orlev, Amir; Belman, Daniel; Alpert, Evan Avraham; Glikson, Michael; Gottlieb, Shmuel; Butnaru, Adi

doi:10.1016/j.cjca.2021.11.016

Cited by 13 publications

(21 citation statements)

References 21 publications

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“…Handheld ultrasound devices offer unique advantages, including greater portability and ease of disinfection [7,15,21,22], but few studies have directly compared different handheld ultrasound devices. One study compared three different handheld devices with the same operator performing gynecological ultrasound exams [12].…”

Section: Discussionmentioning

confidence: 99%

Comparison of four handheld point-of-care ultrasound devices by expert users

Le¹,

Voigt²,

Nathanson

et al. 2022

Ultrasound J

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Background Point-of-care ultrasound (POCUS) is rapidly becoming ubiquitous across healthcare specialties. This is due to several factors including its portability, immediacy of results to guide clinical decision-making, and lack of radiation exposure to patients. The recent growth of handheld ultrasound devices has improved access to ultrasound for many clinicians. Few studies have directly compared different handheld ultrasound devices among themselves or to cart-based ultrasound machines. We conducted a prospective observational study comparing four common handheld ultrasound devices for ease of use, image quality, and overall satisfaction. Twenty-four POCUS experts utilized four handheld devices (Butterfly iQ+™ by Butterfly Network Inc., Kosmos™ by EchoNous, Vscan Air™ by General Electric, and Lumify™ by Philips Healthcare) to obtain three ultrasound views on the same standardized patients using high- and low-frequency probes. Results Data were collected from 24 POCUS experts using all 4 handheld devices. No single ultrasound device was superior in all categories. For overall ease of use, the Vscan Air™ was rated highest, followed by the Lumify™. For overall image quality, Lumify™ was rated highest, followed by Kosmos™. The Lumify™ device was rated highest for overall satisfaction, while the Vscan Air™ was rated as the most likely to be purchased personally and carried in one’s coat pocket. The top 5 characteristics of handheld ultrasound devices rated as being “very important” were image quality, ease of use, portability, total costs, and availability of different probes. Conclusions In a comparison of four common handheld ultrasound devices in the United States, no single handheld ultrasound device was perceived to have all desired characteristics. POCUS experts rated the Lumify™ highest for image quality and Vscan Air™ highest for ease of use. Overall satisfaction was highest with the Lumify™ device, while the most likely to be purchased as a pocket device was the Vscan Air™. Image quality was felt to be the most important characteristic in evaluating handheld ultrasound devices.

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Section: Discussionmentioning

confidence: 99%

Comparison of four handheld point-of-care ultrasound devices by expert users

Le¹,

Voigt²,

Nathanson

et al. 2022

Ultrasound J

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“…Previous studies have demonstrated the clinical utility of cardiac and lung POCUS for triage, diagnosis, and management of patients with COVID‐19 13–14 . Other studies also showed high rates of cardiac and pulmonary abnormalities, as well as the ability to predict a worse outcome in this group of patients 1,2,15,16 . However, most of these studies were performed with full‐size standard ultrasound machines.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14] Other studies also showed high rates of cardiac and pulmonary abnormalities, as well as the ability to predict a worse outcome in this group of patients. 1,2,15,16 However, most of these studies were performed with full-size standard ultrasound machines.…”

Section: Discussionmentioning

confidence: 99%

“… 13 , 14 Other studies also showed high rates of cardiac and pulmonary abnormalities, as well as the ability to predict a worse outcome in this group of patients. 1 , 2 , 15 , 16 However, most of these studies were performed with full‐size standard ultrasound machines. When compared to standard ultrasound machines, hand‐held ultrasound devices might be more useful in patients with suspected or confirmed COVID‐19 infection, due to their improved mobility and smaller size which allow faster cleaning and decontamination resulting in shorter test time and reduced operator exposure and hence less risk.…”

Section: Discussionmentioning

confidence: 99%

“…The association between cardiovascular disease and morbidity and mortality among hospitalized Coronavirus disease 2019 (COVID- 19) patients is well established, with worse outcomes demonstrated among patients with an abnormal echocardiogram. 1,2 In addition, lung ultrasound has proven to be useful in the triage, diagnosis, prognostication, and treatment of patients with COVID-19. 3 Both cardiac and lung ultrasound of patients hospitalized with COVID-19 play a key role in clinical management.…”

Section: Introductionmentioning

confidence: 99%

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The quality, safety, feasibility, and interpretive accuracy of echocardiographic and lung ultrasound assessment of COVID‐19 patients using a hand‐held ultrasound

et al. 2022

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Background The association between COVID‐19 infection and the cardiovascular system necessitates the use of an echocardiogram in this setting. Information on the utilization, safety, and quality of point‐of‐care cardiac and lung ultrasound using a hand‐held device in these patients is scarce. Aims To investigate the safety, technical aspects, quality indices, and interpretive accuracy of a hand‐held echocardiogram in patients with COVID‐19. Methods From April‐28 through July‐27, 2020, consecutive patients with COVID‐19 underwent hand‐held echocardiogram and lung ultrasound evaluation (Vscan Extend™; GE Healthcare) within 48‐h of admission. The operators recorded a series of technical parameters and graded individual experiences. The examinations were further analyzed by a blinded fellowship‐trained echocardiographer for general quality, proper acquisition, and right ventricular (RV) demonstration. Results Among 103 patients, 66 (64.1%) were male. Twenty‐nine (28.2%) patients could not turn on their left side and 23 (22.3%) could not maintain effective communication. The mean length of each echocardiogram study was 8.5 ± 2.9 min, battery usage was 14 ± 5%, and mean operator‐to‐patient proximity was 59 ± 11 cm. Ninety‐five (92.2%) examinations were graded as fair/good quality. A fair agreement was demonstrated between the operator and the echocardiographer for general ultrasound quality (Kappa = 0.329, p < 0.001). A fair‐good correlation (r = 0.679, p < 0.001) and substantial agreement (Kappa = 0.612, p < 0.001) were demonstrated between the operator and echocardiographer for left ventricular ejection fraction (LVEF), whereas a fair agreement was demonstrated for RV systolic function (Kappa = 0.308, p = 0.002). LVEF agreement was also assessed using the Bland‐Altman analysis revealing a mean bias of −0.96 (95% limits of agreement 9.43 to −11.35; p = 0.075). Conclusions Among patients with COVID‐19, echocardiography with a hand‐held ultrasound is a safe and reasonable alternative for a complete formal study (<10% poor‐quality indices). Echocardiogram assessment by the operators during the exam acquisition is reliable for LVEF, while RV systolic function should be subsequently offline reassessed.

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The Point-of-Care Ultrasound (POCUS) by the Handheld Ultrasound Devices (HUDs) in the COVID-19 Scenario: a Review of the Literature

Martocchia

Bentivegna

Sergi

et al. 2022

SN Compr. Clin. Med.

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The use of portable ultrasound (US) devices is increasing, due to its accessibility, versatility, non-invasiveness, and its significant support in the patient management, extending the traditional physical examination through the POCUS (point-of-care ultrasound). The pocket-size or handheld ultrasound devices (HUDs) can easily perform focused exams, not aiming to substitute for the high-end US systems (gold standard), since the HUDs usually have more limited functions. The HUDs are promising tools for the diagnosis, prognosis, and monitoring of the COVID-19 infection and its related disorders. In conclusion, the routine use of HUDs may ameliorate the management of COVID-19 pandemic, according to the guidelines for the POCUS approach and the procedures for the protection of the patients and the professionals.

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The Utility of Handheld Cardiac and Lung Ultrasound in Predicting Outcomes of Hospitalised Patients With COVID-19

Cited by 13 publications

References 21 publications

Comparison of four handheld point-of-care ultrasound devices by expert users

Comparison of four handheld point-of-care ultrasound devices by expert users

The quality, safety, feasibility, and interpretive accuracy of echocardiographic and lung ultrasound assessment of COVID‐19 patients using a hand‐held ultrasound

The Point-of-Care Ultrasound (POCUS) by the Handheld Ultrasound Devices (HUDs) in the COVID-19 Scenario: a Review of the Literature

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