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使用肺部超声波识别COVID-19患者的修改后的冠状病毒得分
Costantino Caroselli1, Michael Blaivas2, Yale Tung Chen3
1Acute Geriatric Unit, Geriatric Emergency Room and Aging Research Centre IRCCS INRCA, 60127 Ancona, Italy.
Diagnostics (Basel, Switzerland)
|January 11, 2024
概括
使用肺超声波 (LUS) 修改的冠状病毒评分方法显示,它对诊断COVID-19有希望,特别是在资源有限的环境中. 仅LUS就提高了诊断性能,为胸部X射线 (CXRs) 提供了有价值的替代方案.
科学领域:
- 医疗成像医学成像
- 传染病诊断 传染病诊断 传染病诊断
- 护理中心超声波检查
背景情况:
- 随着各种菌株的持续流通,COVID-19仍然是一个全球健康问题.
- 可访问和替代的诊断方法至关重要,特别是在医院以外的环境和资源较低的地区.
- 传统的测试方法在可用性和可访问性方面可能存在局限性.
研究的目的:
- 为了比较传统和修改的冠状病毒分数方法的诊断性能,用于识别COVID-19.
- 评估肺超声波 (LUS) 和胸部X射线 (CXR) 在这些评分系统中的实用性.
- 在资源有限的场景中评估基于LUS的评分的有效性.
主要方法:
- 追溯多中心研究,将传统的冠状病毒得分与两种修改版本进行比较 (M1CS包括LUS和CXR,M2CS仅使用LUS).
- 护理点肺超声波 (LUS) 和体检由急诊医生进行.
- 鼻抽样被用于SARS-CoV-2的测试.
主要成果:
- 在SARS-CoV-2阳性和阴性组之间的冠状病毒得分和修改得分中观察到显著差异 (p < 0.001).
- 阳性SARS-CoV-2患者表现出特定的临床和成像发现,包括较少的膜异常和更多的CXR间歇性模式.
- 修改后的冠状病毒得分,特别是仅使用LUS的M2CS,显示出强大的预测能力.
结论:
- 肺部超声波 (LUS) 显著促进并提高了COVID-19诊断冠状病毒评分的性能.
- 单独的LUS,没有CXR,提供了可比的诊断性能,使其适合资源有限的设置.
- 超声波可以作为诊断SARS-CoV-2肺炎的唯一成像方式,在CXR无法访问或昂贵的情况下.
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