The use of chest ultrasonography in suspected cases of COVID-19 in the emergency department

Future Science OA

Giorgio Bosso¹  Gianluca Ruffa²  Fabio Numis³  Giovanni Porta⁴  Pasquale Dolce⁴  Antonio Pagano⁴  Paola Arbo⁴  Claudia Serra⁴  Ferdinando Dello Vicario⁴  Teresa Russo⁴  Valentina Mercurio⁴  Concetta Altruda⁴  Francesca Cannavacciuolo⁴  Enrico Allegorico⁴  Chiara De Sio⁴  Carlo Buonerba⁵  Gelsomina Gervasio⁶  Valentina Minerva⁷  Giuseppe Di Costanzo⁷  Luca Scafuri⁸  Alfonso Ragozzino⁸  Gaetano Facchini⁸  Nicoletta Franco⁹  Cinzia Mormile^1,10 

[1] Hematology, Regional Reference Center for Rare Tumors, AOU Federico II of Naples, 80131 Naples, Italy;Surgical Sciences, Università della Campania “Luigi Vanvitelli”, 80131 Naples, Italy;;10Department of Clinical Medicine &1Department of Emergency Medicine “Santa Maria delle Grazie” Hospital, 80078 Pozzuoli, Italy;;2Department of Oncology &4A.O.R.N.“San Giuseppe Moscati”, Internal Medicine Department, 83100 Avellino, Italy;5Department of Public Health, Federico II University, 80131 Naples, Italy;6Department of Diagnostic Imaging “Santa Maria delle Grazie” Hospital, 80078 Pozzuoli, Italy;;7Department of Medical &8Internal Medicine, AOU Federico II of Naples, 80131 Naples, Italy;

关键词: COVID-19;    lung ultrasound;    RT-PCR;    SARS-CoV-2;   

DOI  :  10.2144/fsoa-2020-0127

来源: DOAJ

【 摘 要 】

Aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus-specific reverse transcriptase-polymerase chain reaction (RT-PCR) represents the diagnostic gold standard. We explored the value of chest ultrasonography to predict positivity to SARS-CoV-2 on RT-PCR in suspected COVID-19 cases. Patients & methods: Consecutive patients with suspect COVID-19 were included if they had fever and/or history of cough and/or dyspnea. Lung ultrasound score (LUSS) was computed according to published methods. Results: A total of 76 patients were included. A 3-variable model based on aspartate transaminase (AST) > upper limit of normal, LUSS >12 and body temperature >37.5°C yielded an overall accuracy of 91%. Conclusion: A simple LUSS-based model may represent a powerful tool for initial assessment in suspected cases of COVID-19.

【 授权许可】

Unknown