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dc.contributor.author
Sosa, Fernando A.
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Matarrese, Agustín
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Saavedra, Santiago
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Osatnik, Javier
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Roberti, Javier Eugenio
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Tort Oribe, Barbara
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Ivulich, Daniel
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Durán, Ana Laura
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Caputo, Celeste
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Benay, Cristian Gabriel
dc.date.available
2021-11-03T15:43:02Z
dc.date.issued
2021-07
dc.identifier.citation
Sosa, Fernando A.; Matarrese, Agustín; Saavedra, Santiago; Osatnik, Javier; Roberti, Javier Eugenio; et al.; Lung ultrasound as a predictor of mortality of patients with Covid-19; Sociedade Brasileira de Pneumologia e Tisiologia; Jornal Brasileiro de Pneumologia; 47; 4; 7-2021; 1-7
dc.identifier.issn
1806-3756
dc.identifier.uri
http://hdl.handle.net/11336/145826
dc.description.abstract
Objective: To evaluate the performance of lung ultrasound to determine short-term outcomes of patients with COVID-19 admitted to the intensive care unit. Methods: This is a Prospective, observational study. Between July and November 2020, 59 patients were included and underwent at least two LUS assessments using LUS score (range 0-42) on day of admission, day 5th, and 10th of admission. Results: Age was 66.5±15 years, APACHE II was 8.3±3.9, 12 (20%) patients had malignancy, 46 (78%) patients had a non‑invasive ventilation/high-flow nasal cannula and 38 (64%) patients required mechanical ventilation. The median stay in ICU was 12 days (IQR 8.5-20.5 days). ICU or hospital mortality was 54%. On admission, the LUS score was 20.8±6.1; on day 5th and day 10th of admission, scores were 27.6±5.5 and 29.4±5.3, respectively (P=0.007). As clinical condition deteriorated the LUS score increased, with a positive correlation of 0.52, P <0.001. Patients with worse LUS on day 5th versus better score had a mortality of 76% versus 33% (OR 6.29, 95%CI 2.01-19.65, p. 0.003); a similar difference was observed on day 10. LUS score of 5th day of admission had an area under the curve of 0.80, best cut-point of 27, sensitivity and specificity of 0.75 and 0.78 respectively. Conclusion: These findings position LUS as a simple and reproducible method to predict the course of COVID-19 patients.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Sociedade Brasileira de Pneumologia e Tisiologia
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
COVID-19
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LUND DISEASES
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ULTRASONOGRAPHY
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Otras Ciencias de la Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Lung ultrasound as a predictor of mortality of patients with Covid-19
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2021-11-03T14:56:44Z
dc.journal.volume
47
dc.journal.number
4
dc.journal.pagination
1-7
dc.journal.pais
Brasil
dc.description.fil
Fil: Sosa, Fernando A.. Hospital Alemán; Argentina
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Fil: Matarrese, Agustín. Hospital Aleman; Argentina
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Fil: Saavedra, Santiago. Hospital Aleman; Argentina
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Fil: Osatnik, Javier. Hospital Alemán; Argentina
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Fil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
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Fil: Tort Oribe, Barbara. Hospital Alemán; Argentina
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Fil: Ivulich, Daniel. Hospital Aleman; Argentina
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Fil: Durán, Ana Laura. Hospital Alemán; Argentina
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Fil: Caputo, Celeste. Hospital Aleman; Argentina
dc.description.fil
Fil: Benay, Cristian Gabriel. Hospital Alemán; Argentina
dc.journal.title
Jornal Brasileiro de Pneumologia
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.36416/1806-3756/E20210092
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