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肺部超声波在COVID-19肺炎中的严重性切断点得分. 一个系统的审查和验证队列

Jaime Gil-Rodríguez¹, Michel Martos-Ruiz¹, Alberto Benavente-Fernández¹

¹Internal Medicine Unit, San Cecilio University Hospital, Avenida del Conocimiento s/n, 18016 Granada, Spain.

Medicina clinica (English ed.)

|June 20, 2023

概括

肺部超声波得分 (LUS) 有效预测COVID-19肺炎的严重程度和患者的结果. 一个LUS>15切线点最好区分轻度和严重的疾病,帮助临床决策.

科学领域:

肺部病理学肺部病理学
医疗成像医学成像
传染性疾病传染性疾病

背景情况:

评估COVID-19肺炎的严重程度对于患者管理至关重要.
肺部超声波评分 (LUS) 是评估肺部疾病的新兴工具.

研究的目的:

建立肺部超声波得分 (LUS) 验证的切断点,用于分类COVID-19肺炎严重程度.
评估LUS和患者不良结果 (包括死亡率) 之间的关联.

主要方法:

对现有的COVID-19的LUS截止点进行系统审查.
对已确认感染SARS-CoV-2的成年患者进行前性队列研究.
与不良结果 (通风,ICU入院,28天死亡率) 相关的LUS分析.

主要成果:

在LUS>15截止点显示,与糟糕的结果最强的关联 (OR = 3.636).
在前性队列中,LUS与糟糕的结果 (OR = 1.303) 和28天死亡率 (OR = 1.024) 有显著的关联.
低于7的LUS显示出很高的灵敏度来排除不良结果,而高于20的LUS显示出很高的特异性来预测不良结果.

结论:

肺部超声波得分 (LUS) 是COVID-19患者不良结果和死亡率的有价值的预测指标.
建议的LUS截止值:轻度为≤7,中度为8-20,重度为≥20的肺炎.
LUS>15 作为一个有效的单一切断点,用于区分轻度和重度的COVID-19肺炎.

关键词:

在 COVID-19 疫情中,疾病严重程度疾病严重程度肺肺肺肺肺肺肺死亡率死亡率死亡率这就是SARS-CoV-2病毒.超声波超声波是指超声波的使用.

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