Role of Chest Ultrasound in Diagnosis and Assessment of Patients with Severe and Critically Ill COVID-19 | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 31, Volume 93, Issue 1, October 2023, Pages 7101-7107 PDF (426.66 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.321204 | ||
| Abstract | ||
| Background: Due to the extraordinary severity of the 2019 coronavirus pandemic medical establishments must establish effective and user-friendly ways in the direction of treating patients first and forecast outcomes. Objective: Our rationale of this work was investigating chest ultrasound's function in the evaluation and diagnosis of patients with severe and critically illCOVID-19. Patients and methods: This study was observational study performed at Damanhur chest hospital from April 2021 to March 2022. The study was carried-out on 200 COVID-19 infected patients with mean age of 60.55 ± 19.50 year. They were identified as having COVID-19 infection based on a positive Polymerase Chain Reaction test for SARS-CoV-2 and/or standard CT scan findings. Patients were admitted to the intensive care unit, it was only for really ill patients with severe and critically ill COVID-19 infection. At time of admission, we examined them by pleuro-pulmonary ultrasonography. Results: The results showed elevated scores of lung ultrasonography that had been shown to be significantly related to hypoxemia and clinical severity. The extent of lung injury and hypoxemia during COVID-19 pneumonia were also significantly correlated. Confluent B-lines predominate over consolidation in COVID-19-ARDS, indicating that non-aerated tissue perfusion rather than a true right-to-left shunt is the primary cause of venous mixing. This finding is in accordance with research that claim this is the case. Conclusion: The study's findings suggested that, in situations with limited resources, lung ultrasonography might be a vital instrument for the diagnosis and prognosis of lung damage in seriously sick COVID-19 pneumonia patients. In such circumstances, this straightforward, easily available, and trustworthy technology has considerable promise. For our findings to be confirmed, larger multicenter investigations are required. | ||
| Keywords | ||
| Chest ultrasound; Diagnosis; Assessment; Sever COVID-19 | ||
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