超声波通风评分表明COVID-19的重症患者的疾病严重程度
Daniel T Marggrander1, Philippe Simon1, Tobias Schröder2
1Department of Anaesthesiology, Intensive Care and Pain Therapy, Sana Hospital Offenbach, 63069 Offenbach am Main, Germany.
Diagnostics (Basel, Switzerland)
|November 24, 2023
概括
一种新的超声波评分可靠地监测重症病患者的COVID-19严重程度. 较高的得分表明疾病的严重程度更高,并预测死亡风险,有助于临床决策.
科学领域:
- 关键护理医学 关键护理医学
- 肺部医学 肺部医学
- 医疗成像医学成像
背景情况:
- 在监测重症患者方面,COVID-19带来了重大挑战.
- 准确评估疾病严重程度对于有效管理至关重要.
- 现有的方法可能无法完全捕捉疾病的动态性质.
研究的目的:
- 为了评估用于监测COVID-19严重程度的新型超声波得分.
- 为了将超声波得分与已确定的疾病严重程度参数相关联.
- 评估得分的可靠性和死亡率的预测价值.
主要方法:
- 在八个肺部区域开发并应用了0-32点超声波得分.
- 将得分与氧化指数,呼吸支,死亡率,IL-6水平以及世卫组织/ARDS分类相关联.
- 使用类内相关系数 (ICC) 评估评价者之间的可靠性.
主要成果:
- 严重的COVID-19患者的得分明显高 (中位数为17) 比中度病例 (中位数为11).
- 该得分根据ESICM标准区分了ARDS (p=0.002) 并预测了未幸存者 (中位数为18.5对14).
- 评分与氧化指数 (ρ=-0.56) 和IL-6 (ρ=0.35) 相对应;评分器之间的可靠性很高 (ICC=0.87).
结论:
- 开发的超声波得分是监测COVID-19严重程度的可靠工具.
- 这一分数可以帮助分层患者的风险和预测死亡率.
- 超声波为评估重症COVID-19患者提供了一种有价值的非侵入性方法.
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