A New Scoring Model to Diagnose COVID-19 Using Lung Ultrasound in the Emergency Department

Faculty Medicine Year: 2022
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Egyptian Journal of Bronchology Springer Volume:
Keywords : , , Scoring Model , Diagnose COVID-19 Using Lung    
Abstract:
Background: Several studies have reported the predictors of the prognosis in COVID-19 patients; however, smoking, X-ray findings of pulmonary congestion, and A-profile and areas of consolidation in LUS are independent predictors for COVID-19 infection. The new score had a sensitivity of 93.8% and a specificity of 58% for the prediction of COVID-19. Mortality in COVID-19 patients is significantly correlated with age, fever duration, cardiac history, and B-profile and areas of consolidation in LUS. However, it is negatively correlated with initial O 2 saturation and ejection fraction. This study aimed to design a new scoring model to diagnose COVID-19 using bedside lung ultrasound (LUS) in the emergency department (ED). Results: Eighty-two patients were recruited. Fifty patients (61%) were negative for COVID-19, and 32 (39%) were positive. Sixty-four patients (78%) recovered while 18 patients (22%) died. COVID-19 patients had more AB-profile and more areas of consolidation than the non-COVID-19 group ( p <0.001). Smoking, congestion in X-ray, A-profile, and abnormal A line in LUS are independent predictors for COVID-19 infection. The score had a sensitivity of 93.8% and a specificity of 58% for the prediction of COVID-19. Mortality in COVID-19 patients is significantly correlated with age, fever duration, cardiac history, and B-profile and areas of consolidation in LUS. However, it is negatively correlated with initial O 2 saturation and ejection fraction. Conclusion: In conclusion, the application of our new score can stratify patients presented to ED with suspected COVID-19 pneumonia, considering that it is a good negative test. Moreover, this score may have a good impact on the safety of medical personnel. Keywords: COVID-19, SARS-CoV-2, Lung ultrasound, Corona Virus, Pneumonia, New Score.
   
     
 
       

Author Related Publications

  • Walid Mansour Mohammed Amer, "Airway pressure release ventilation in comparison to synchronized intermittent mandatory ventilation in acute respiratory failure: a randomized controlled trial", Wolters Kluwer - Medknow, 2020 More
  • Walid Mansour Mohammed Amer, "Computed Tomography Imaging Assessment of the Effect of Vancomycin Paste on Poststernotomy Healing", Dove Press Ltd, 2021 More
  • Walid Mansour Mohammed Amer, "Impact of pulmonary rehabilitation on patients with interstitial lung diseases: an Egyptian experience", Wolters Kluwer - Medknow, 2019 More
  • Walid Mansour Mohammed Amer, "Pulmonary rehabilitation slows the decline in forced expiratory volume in 1 second and improves body mass index in patients with Chronic Obstructive Pulmonary Disease", ايلسيفيير, 2015 More
  • Walid Mansour Mohammed Amer, "Leptin and adiponectin are valuable serum markers explaining obesity/bronchial asthma interrelationship", ايلسيفيير, 2015 More

Department Related Publications

  • Hanan Mohamed Elsehaat, "قيمة أيزوإنزيمات اللكتات ديهيدروجينيز فى تشخىص الإنسكاب البلورى", لايوجد, 1900 More
  • Hanan Mohamed Elsehaat, "دراسة بعض عوامل الخطورة للربو الشعبي ذو العامل الوراثي في مرحلة الطفولة", لايوجد, 1900 More
  • Hanan Mohamed Elsehaat, "نظام تقييم التدخل العلاجى المبسط-28 فى وحدة الرعاية المركزة التنفسية بالزقازيق", لايوجد, 1900 More
  • Hanan Mohamed Elsehaat, "مقارنة للطرق المختلفة لفطام مرضي السدة الرئوية المزمنة الخاضعين للتهوية الميكانيكية", لايوجد, 1900 More
  • Ramadan Mahmoud Elsayed Nafea, "chest mass miniature radiography (MMR) results among symptomatic and asymptomatic subjects ", لايوجد, 1900 More
Tweet