Author: Allegorico, Enrico; Buonerba, Carlo; Bosso, Giorgio; Pagano, Antonio; Porta, Giovanni; Serra, Claudia; Dolce, Pasquale; Minerva, Valentina; Vicario, Ferdinando Dello; Altruda, Concetta; Arbo, Paola; Russo, Teresa; Sio, Chiara De; Franco, Nicoletta; Ruffa, Gianluca; Mormile, Cinzia; Cannavacciuolo, Francesca; Mercurio, Valentina; Gervasio, Gelsomina; Costanzo, Giuseppe Di; Ragozzino, Alfonso; Scafuri, Luca; Facchini, Gaetano; Numis, Fabio
Title: The use of chest ultrasonography in suspected cases of COVID-19 in the emergency department Cord-id: xf24qlph Document date: 2020_12_1
ID: xf24qlph
Snippet: Aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus-specific reverse transcriptase-polymerase chain reaction (RT-PCR) represents the diagnostic gold standard. We explored the value of chest ultrasonography to predict positivity to SARS-CoV-2 on RT-PCR in suspected COVID-19 cases. Patients & methods: Consecutive patients with suspect COVID-19 were included if they had fever and/or history of cough and/or dyspnea. Lung ultrasound score (LUSS) was computed according to published
Document: Aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus-specific reverse transcriptase-polymerase chain reaction (RT-PCR) represents the diagnostic gold standard. We explored the value of chest ultrasonography to predict positivity to SARS-CoV-2 on RT-PCR in suspected COVID-19 cases. Patients & methods: Consecutive patients with suspect COVID-19 were included if they had fever and/or history of cough and/or dyspnea. Lung ultrasound score (LUSS) was computed according to published methods. Results: A total of 76 patients were included. A 3-variable model based on aspartate transaminase (AST) > upper limit of normal, LUSS >12 and body temperature >37.5°C yielded an overall accuracy of 91%. Conclusion: A simple LUSS-based model may represent a powerful tool for initial assessment in suspected cases of COVID-19.
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