The use of ultrasound in establishing COVID-19 infection as part of a trauma evaluation.
COVID-19
/ complications
False Positive Reactions
Feasibility Studies
Focused Assessment with Sonography for Trauma
Humans
Lung
/ diagnostic imaging
Lung Diseases
/ diagnostic imaging
Pandemics
Prospective Studies
Retrospective Studies
SARS-CoV-2
Sensitivity and Specificity
Tomography, X-Ray Computed
Trauma Centers
Wounds and Injuries
/ complications
COVID-19
Extended focused assessment with sonography in trauma
Lung ultrasound
Thoracic trauma
Trauma
Journal
Emergency radiology
ISSN: 1438-1435
Titre abrégé: Emerg Radiol
Pays: United States
ID NLM: 9431227
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
14
10
2021
accepted:
29
11
2021
pubmed:
7
1
2022
medline:
16
3
2022
entrez:
6
1
2022
Statut:
ppublish
Résumé
The use of lung ultrasound for diagnosis of COVID-19 has emerged during the pandemic as a beneficial diagnostic modality due to its rapid availability, bedside use, and lack of radiation. This study aimed to determine if routine ultrasound (US) imaging of the lungs of trauma patients with COVID-19 infections who undergo extended focused assessment with sonography for trauma (EFAST) correlates with computed tomography (CT) imaging and X-ray findings, as previously reported in other populations. This was a prospective, observational feasibility study performed at two level 1 trauma centers. US, CT, and X-ray imaging were retrospectively reviewed by a surgical trainee and a board-certified radiologist to determine any correlation of imaging findings in patients with active COVID-19 infection. There were 53 patients with lung US images from EFAST available for evaluation and COVID-19 testing. The overall COVID-19 positivity rate was 7.5%. COVID-19 infection was accurately identified by one patient on US by the trainee, but there was a 15.1% false-positive rate for infection based on the radiologist examination. Evaluation of the lung during EFAST cannot be used in the trauma setting to identify patients with active COVID-19 infection or to stratify patients as high or low risk of infection. This is likely due to differences in lung imaging technique and the presence of concomitant thoracic injury.
Identifiants
pubmed: 34988751
doi: 10.1007/s10140-021-02005-1
pii: 10.1007/s10140-021-02005-1
pmc: PMC8731214
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
227-234Informations de copyright
© 2021. American Society of Emergency Radiology.
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