tetano
Editor, Senior Moderator
Tomography
. 2023 Mar 21;9(2):706-716.
doi: 10.3390/tomography9020056.
Repeated Lung Ultrasound versus Chest X-ray-Which One Predicts Better Clinical Outcome in COVID-19?
Jakob Spogis[SUP] 1 [/SUP], Stefano Fusco[SUP] 2 [/SUP], Florian Hagen[SUP] 1 [/SUP], Sascha Kaufmann[SUP] 3 [/SUP], Nisar Malek[SUP] 2 [/SUP], Tatjana Hoffmann[SUP] 2 [/SUP]
Affiliations
Abstract
The purpose of this study was to evaluate whether changes in repeated lung ultrasound (LUS) or chest X-ray (CXR) of coronavirus disease 2019 (COVID-19) patients can predict the development of severe disease and the need for treatment in the intensive care unit (ICU). In this prospective monocentric study, COVID-19 patients received standardized LUS and CXR at day 1, 3 and 5. Scores for changes in LUS (LUS score) and CXR (RALE and M-RALE) were calculated and compared. Intra-class correlation was calculated for two readers of CXR and ROC analysis to evaluate the best discriminator for the need for ICU treatment. A total of 30 patients were analyzed, 26 patients with follow-up LUS and CXR. Increase in M-RALE between baseline and follow-up 1 was significantly higher in patients with need for ICU treatment in the further hospital stay (p = 0.008). Both RALE and M-RALE significantly correlated with LUS score (r = 0.5, p < 0.0001). ROC curves with need for ICU treatment as separator were not significantly different for changes in M-RALE (AUC: 0.87) and LUS score (AUC: 0.79), both being good discriminators. ICC was moderate for RALE (0.56) and substantial for M-RALE (0.74). The present study demonstrates that both follow-up LUS and CXR are powerful tools to track the evolution of COVID-19, and can be used equally as predictors for the need for ICU treatment.
Keywords: COVID-19; X-ray; critical care; intensive care; lung ultrasound.
. 2023 Mar 21;9(2):706-716.
doi: 10.3390/tomography9020056.
Repeated Lung Ultrasound versus Chest X-ray-Which One Predicts Better Clinical Outcome in COVID-19?
Jakob Spogis[SUP] 1 [/SUP], Stefano Fusco[SUP] 2 [/SUP], Florian Hagen[SUP] 1 [/SUP], Sascha Kaufmann[SUP] 3 [/SUP], Nisar Malek[SUP] 2 [/SUP], Tatjana Hoffmann[SUP] 2 [/SUP]
Affiliations
- PMID: 36961015
- DOI: 10.3390/tomography9020056
Abstract
The purpose of this study was to evaluate whether changes in repeated lung ultrasound (LUS) or chest X-ray (CXR) of coronavirus disease 2019 (COVID-19) patients can predict the development of severe disease and the need for treatment in the intensive care unit (ICU). In this prospective monocentric study, COVID-19 patients received standardized LUS and CXR at day 1, 3 and 5. Scores for changes in LUS (LUS score) and CXR (RALE and M-RALE) were calculated and compared. Intra-class correlation was calculated for two readers of CXR and ROC analysis to evaluate the best discriminator for the need for ICU treatment. A total of 30 patients were analyzed, 26 patients with follow-up LUS and CXR. Increase in M-RALE between baseline and follow-up 1 was significantly higher in patients with need for ICU treatment in the further hospital stay (p = 0.008). Both RALE and M-RALE significantly correlated with LUS score (r = 0.5, p < 0.0001). ROC curves with need for ICU treatment as separator were not significantly different for changes in M-RALE (AUC: 0.87) and LUS score (AUC: 0.79), both being good discriminators. ICC was moderate for RALE (0.56) and substantial for M-RALE (0.74). The present study demonstrates that both follow-up LUS and CXR are powerful tools to track the evolution of COVID-19, and can be used equally as predictors for the need for ICU treatment.
Keywords: COVID-19; X-ray; critical care; intensive care; lung ultrasound.