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IJCS
Editorial

Lung Ultrasound in COVID 19 Outbreak: Can we Reduce the Burden from the Overloaded CT Departments?

Filipe Penna de Carvalho et al. Alex dos Santos Felix

Since the first descriptions on the use of lung ultrasound (LUS) for bedside evaluation of critically ill patients, important publications have underscored the utility of LUS for the detection of a wide array of pulmonary and pleural diseases, as well as for the differential diagnosis of acute respiratory failure, proving to be an important tool for a point-of-care based examination and an extended resource for examining critical patients, cited by many as the “new stethoscope”.,

The coronavirus disease-2019 (COVID-19) outbreak has emerged as a global health burden since late 2019, challenging healthcare systems around the world due to the constant need for intensive care support and isolation of patients, many of whom evolve with severe hemodynamic involvement, leading to high morbidity and mortality. This critical scenario highlights the importance of appropriateness and best appliance of all diagnostic and therapeutic resources. In this regard, the use of point-of-care ultrasound (POCUS) is proving to be a cost-effective tool for the management of these potentially critical patients, from the initial presentation (triage) to in-hospital management and post-discharge follow-up.

[…]

  • computed tomography
  • COVID-19/complications, Pandemics, Acute Failure Respiratory
  • Critic care
  • Morbidity
  • Mortality
  • Pleural Diseases/Diagnosis
  • Ultrasonography/methods
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Creative Commons Attribution (CC BY) Creative Commons license
25/11/2020 DOI: 10.36660/ijcs.20200283
IJCS
Original Article

Lung Ultrasound as a Triage Tool in an Emergency Setting during the Covid-19 Outbreak: comparison with CT Findings

Monica Luiza de Alcantara et al. Marcos Paulo Lacerda Bernardo Tatiana Bagrichevsky Autran Rodolfo de Paula Lustosa … Marcelo Tayah Lucia Antunes Chagas Dequitier Carvalho Machado

Abstract

Background

Lung ultrasound (LUS) can detect interstitial alveolar changes confined to the subpleural region, like those described in Covid-19.

Objetive

To evaluate how LUS findings correlate with chest computed tomography (CT) in patients admitted to the emergency department (ED) with suspicion of Covid-19.

Methods

Cross-sectional study of 20 patients (median age 43 years; interquartile range, 37–63 years; 50% male). All patients underwent LUS and chest CT on the day of ED admission. Each hemithorax was divided into 6 segments with similar landmarks, and equivalent scores (sc) of lesion severity were defined for both methods. The number of affected segments on LUS (LUSseg) was divided into tertiles (0-1, 2-5, and ≥6), and compared with number of affected segments on CT (CTseg), LUSsc, CTsc, and percentage of affected lung parenchyma through visual analysis (CTvis). ANOVA or Kruskal–Wallis test for continuous variables, chi-square test for categorical variables, and receiver operating characteristic (ROC) curve analysis to define optimal cutoff points were performed. P<0.05 was considered statistically significant.

Results

Median LUSsc, CTsc, CTseg, and CTvis were significantly different between groups. A clear separation between groups was demonstrated; patients with 7 LUSsc and >3 LUSseg, respectively.

Conclusion

LUS findings correlate with chest CT, and can help identify patients with normal lung or minor pulmonary involvement secondary to Covid-19. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0

  • COVID-19
  • Lung
  • Pandemics
  • Pleura
  • Pulmonary Alveoli
  • Tomography, X-Ray Computed/methods
  • Triage
  • Ultrasonography/methods
Ler artigo completo
Creative Commons Attribution (CC BY) Creative Commons license
28/08/2020 DOI: 10.36660/ijcs.20200133 Visualizações 1

Como citar este artigo

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Carvalho FP, Felix AS. Lung Ultrasound in COVID 19 Outbreak: Can we Reduce the Burden from the Overloaded CT Departments?. International Journal of Cardiovascular Sciences 2020;33(6):604-5.

Formato de Documento Eletrônico (ABNT)

Carvalho, Filipe Penna de; Felix, Alex dos Santos. Lung Ultrasound in COVID 19 Outbreak: Can we Reduce the Burden from the Overloaded CT Departments?. International Journal of Cardiovascular Sciences, v. 33, n. 6, p. 604-605, nov. 2020.

Formato de Documento Eletrônico (APA)

Carvalho, F. P. , & Felix, A. S. (2020). Lung Ultrasound in COVID 19 Outbreak: Can we Reduce the Burden from the Overloaded CT Departments?. International Journal of Cardiovascular Sciences, 33(6), 604-605.

Formato de Documento Eletrônico (ISO)

Carvalho, Filipe Penna de and Felix, Alex dos Santos. Lung Ultrasound in COVID 19 Outbreak: Can we Reduce the Burden from the Overloaded CT Departments?. International Journal of Cardiovascular Sciences [online]. 2020, vol. 33, n. 6, [citado 2026-10-14], pp. 604-605. Disponível em: <https://journals.cardiol.br/article/lung-ultrasound-in-covid-19-outbreak-can-we-reduce-the-burden-from-the-overloaded-ct-departments-2/>. ISSN 2359-4802

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Alcantara ML, Bernardo MPL, Autran TB, Lustosa RP, Tayah M, Chagas LA, Machado DC, et al. Lung Ultrasound as a Triage Tool in an Emergency Setting during the Covid-19 Outbreak: comparison with CT Findings. International Journal of Cardiovascular Sciences 2020;33(5):479-87.

Formato de Documento Eletrônico (ABNT)

Alcantara, Monica Luiza de; Bernardo, Marcos Paulo Lacerda; Autran, Tatiana Bagrichevsky; Lustosa, Rodolfo de Paula; Tayah, Marcelo; Chagas, Lucia Antunes; Machado, Dequitier Carvalho. Lung Ultrasound as a Triage Tool in an Emergency Setting during the Covid-19 Outbreak: comparison with CT Findings. International Journal of Cardiovascular Sciences, v. 33, n. 5, p. 479-487, ago. 2020.

Formato de Documento Eletrônico (APA)

Alcantara, M. L. , Bernardo, M. P. L., Autran, T. B., Lustosa, R. P., Tayah, M., Chagas, L. A., & Machado, D. C. (2020). Lung Ultrasound as a Triage Tool in an Emergency Setting during the Covid-19 Outbreak: comparison with CT Findings. International Journal of Cardiovascular Sciences, 33(5), 479-487.

Formato de Documento Eletrônico (ISO)

Alcantara, Monica Luiza de and Bernardo, Marcos Paulo Lacerda and Autran, Tatiana Bagrichevsky and Lustosa, Rodolfo de Paula and Tayah, Marcelo and Chagas, Lucia Antunes and Machado, Dequitier Carvalho. Lung Ultrasound as a Triage Tool in an Emergency Setting during the Covid-19 Outbreak: comparison with CT Findings. International Journal of Cardiovascular Sciences [online]. 2020, vol. 33, n. 5, [citado 2026-10-14], pp. 479-487. Disponível em: <https://journals.cardiol.br/article/lung-ultrasound-as-a-triage-tool-in-an-emergency-setting-during-the-covid-19-outbreak-comparison-with-ct-findings-2/>. ISSN 2359-4802

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