The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care
Background: The usefulness of Lung Ultrasound (LUS) for the diagnosis of interstitial syndrome caused by COVID-19 has been broadly described. The aim of this study was to evaluate if LUS may predict the complications (hospital admission) of COVID-19 pneumonia in primary care patients. Methods: This...
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doaj-ef606f4e0c544f31b8ef17434d09b7232021-06-30T23:21:20ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-06-01186083608310.3390/ijerph18116083The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary CareJavier Martínez-Redondo0Carles Comas1Jesús Pujol Salud2Montserrat Crespo-Pons3Cristina García-Serrano4Marta Ortega Bravo5Jose María Palacín Peruga6Balaguer Primary Care Center, Institut Català de la Salut (ICS), 25600 Lleida, SpainDepartment of Mathematics, Campus Cappont, University of Lleida, 25001 Lleida, SpainBalaguer Primary Care Center, Institut Català de la Salut (ICS), 25600 Lleida, SpainBalaguer Primary Care Center, Institut Català de la Salut (ICS), 25600 Lleida, SpainBalaguer Primary Care Center, Institut Català de la Salut (ICS), 25600 Lleida, SpainResearch Group in Therapies in Primary Care (GRETAPS), 25007 Lleida, SpainOnze de Setembre Primary Care Center, Institut Català de la Salut (ICS), Passeig Onze de Setembre, 25005 Lleida, SpainBackground: The usefulness of Lung Ultrasound (LUS) for the diagnosis of interstitial syndrome caused by COVID-19 has been broadly described. The aim of this study was to evaluate if LUS may predict the complications (hospital admission) of COVID-19 pneumonia in primary care patients. Methods: This observational study collects data from a cohort of 279 patients with clinical symptoms of COVID-19 pneumonia who attended the Balaguer Primary Health Care Area between 16 March 2020 and 30 September 2020. We collected the results of LUS scans reported by one general practitioner. We created a database and analysed the absolute and relative frequencies of LUS findings and their association with hospital admission. We found that different LUS patterns (diffuse, attenuated diffuse, and predominantly unilateral) were risk factors for hospital admission (<i>p</i> < 0.05). Additionally, an evolutionary pattern during the acute phase represented a risk factor (<i>p</i> = 0.0019). On the contrary, a normal ultrasound pattern was a protective factor (<i>p</i> = 0.0037). Finally, the presence of focal interstitial pattern was not associated with hospital admission (<i>p</i> = 0.4918). Conclusion: The lung ultrasound was useful to predict complications in COVID-19 pneumonia and to diagnose other lung diseases such as cancer, tuberculosis, pulmonary embolism, chronic interstitial pneumopathy, pleuropericarditis, pneumonia or heart failure.https://www.mdpi.com/1660-4601/18/11/6083primary health-carehospitalizationassessment riskultrasoundlung interstitial diseaseCOVID-19 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Javier Martínez-Redondo Carles Comas Jesús Pujol Salud Montserrat Crespo-Pons Cristina García-Serrano Marta Ortega Bravo Jose María Palacín Peruga |
spellingShingle |
Javier Martínez-Redondo Carles Comas Jesús Pujol Salud Montserrat Crespo-Pons Cristina García-Serrano Marta Ortega Bravo Jose María Palacín Peruga The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care International Journal of Environmental Research and Public Health primary health-care hospitalization assessment risk ultrasound lung interstitial disease COVID-19 |
author_facet |
Javier Martínez-Redondo Carles Comas Jesús Pujol Salud Montserrat Crespo-Pons Cristina García-Serrano Marta Ortega Bravo Jose María Palacín Peruga |
author_sort |
Javier Martínez-Redondo |
title |
The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care |
title_short |
The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care |
title_full |
The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care |
title_fullStr |
The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care |
title_full_unstemmed |
The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care |
title_sort |
risk of hospitalization in covid-19 patients can be predicted by lung ultrasound in primary care |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-06-01 |
description |
Background: The usefulness of Lung Ultrasound (LUS) for the diagnosis of interstitial syndrome caused by COVID-19 has been broadly described. The aim of this study was to evaluate if LUS may predict the complications (hospital admission) of COVID-19 pneumonia in primary care patients. Methods: This observational study collects data from a cohort of 279 patients with clinical symptoms of COVID-19 pneumonia who attended the Balaguer Primary Health Care Area between 16 March 2020 and 30 September 2020. We collected the results of LUS scans reported by one general practitioner. We created a database and analysed the absolute and relative frequencies of LUS findings and their association with hospital admission. We found that different LUS patterns (diffuse, attenuated diffuse, and predominantly unilateral) were risk factors for hospital admission (<i>p</i> < 0.05). Additionally, an evolutionary pattern during the acute phase represented a risk factor (<i>p</i> = 0.0019). On the contrary, a normal ultrasound pattern was a protective factor (<i>p</i> = 0.0037). Finally, the presence of focal interstitial pattern was not associated with hospital admission (<i>p</i> = 0.4918). Conclusion: The lung ultrasound was useful to predict complications in COVID-19 pneumonia and to diagnose other lung diseases such as cancer, tuberculosis, pulmonary embolism, chronic interstitial pneumopathy, pleuropericarditis, pneumonia or heart failure. |
topic |
primary health-care hospitalization assessment risk ultrasound lung interstitial disease COVID-19 |
url |
https://www.mdpi.com/1660-4601/18/11/6083 |
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