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在delta和OmicronCovid-19患者中进行定性和半定量超声波评估:来自大量参考中心的数据
Vincenza Granata1, Roberta Fusco2, Alberta Villanacci3
1Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", 80131, Naples, Italy.
Infectious agents and cancer
|May 27, 2023
概括
肺部超声波 (LUS) 有效地帮助管理COVID-19患者,区分Omicron和Delta变种并指导治疗决策. 这种诊断工具有助于识别扩散的间歇性肺综合征模式.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19 诊断和管理面临着持续的挑战.
- 肺部超声波 (LUS) 是一种非侵入性成像技术,具有呼吸系统疾病评估的潜力.
- 区分COVID-19变种和评估疾病严重程度对于有效的患者分拣和治疗选择至关重要.
研究的目的:
- 评估肺部超声波 (LUS) 的有效性,无论是定性还是半定量,用于指导COVID-19患者的治疗决策.
- 用患者分拣作为治疗选择有效性的黄金标准.
- 为了比较Omicron和Delta COVID-19变体之间的LUS发现.
主要方法:
- 从2021年12月至2022年5月期间,从COVID-19患者获得的放射性数据的回顾性分析.
- 纳入标准:已证明感染了Omicron或Delta变种,至少接种了两剂COVID-19疫苗.
- 肺部超声波 (LUS) 由经验丰富的放射科医生进行,评估异常 (B线,肺线变化,巩固) 并使用LUS评分系统进行分类.
主要成果:
- 欧米克朗变种患者的LUS中位数为1.5,德尔塔变种患者的LUS中位数为7.
- 在对Delta变种患者的检查 (p=0.045) 和对两种变种的住院和非住院患者 (p=0.02) 之间观察到LUS得分的统计学上显著差异.
- 对于Delta变种患者,使用LUS得分为14的住院预测结果产生了85.29%的灵敏度和44.44%的特异性.
结论:
- 肺部超声波 (LUS) 是COVID-19管理的一个有价值的诊断工具.
- LUS可以识别扩散性间歇性肺综合征的特征模式.
- 这些发现表明,LUS可以指导适当的患者管理和治疗选择.
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