The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care

dc.contributor.authorMartínez Redondo, Javier
dc.contributor.authorComas Rodríguez, Carles
dc.contributor.authorPujol Salud, Jesús
dc.contributor.authorCrespo Pons, Montserrat
dc.contributor.authorGarcía-Serrano, Cristina
dc.contributor.authorOrtega Bravo, Marta
dc.contributor.authorPalacín Peruga, Jose María
dc.date.accessioned2021-06-25T11:45:41Z
dc.date.available2021-06-25T11:45:41Z
dc.date.issued2021
dc.descriptionBackground: 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 (p < 0.05). Additionally, an evolutionary pattern during the acute phase represented a risk factor (p = 0.0019). On the contrary, a normal ultrasound pattern was a protective factor (p = 0.0037). Finally, the presence of focal interstitial pattern was not associated with hospital admission (p = 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.ca_ES
dc.description.sponsorshipThe APC was funded by Consell Comarcal de la Noguera, Balaguer, Spain and Institut Universitari d’Investigació en Atenció Primària (IDIAP Jordi Gol), Barcelona, Spain.ca_ES
dc.identifier.doihttps://doi.org/10.3390/ijerph18116083
dc.identifier.idgrec031759
dc.identifier.issn1660-4601
dc.identifier.urihttp://hdl.handle.net/10459.1/71501
dc.language.isoengca_ES
dc.publisherMDPIca_ES
dc.relation.isformatofReproducció del document publicat a https://doi.org/10.3390/ijerph18116083ca_ES
dc.relation.ispartofInternational Journal of Environmental Research and Public Health, 2021, vol. 18, núm. 11, 6083ca_ES
dc.rightscc-by (c) Martínez-Redondo et al., 2021ca_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccessca_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectPrimary health-careca_ES
dc.subjectHospitalizationca_ES
dc.subjectAssessment riskca_ES
dc.subjectUltrasoundca_ES
dc.subjectLung interstitial diseaseca_ES
dc.subjectCOVID-19ca_ES
dc.titleThe Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Careca_ES
dc.typeinfo:eu-repo/semantics/articleca_ES
dc.type.versioninfo:eu-repo/semantics/publishedVersionca_ES
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