Lung Ultrasound in COVID-19 Patients

  • STATUS
    Recruiting
  • participants needed
    30
  • sponsor
    Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Updated on 19 February 2024
PCR test
covid-19
lung ultrasound

Summary

To assess the prognostic performance of an early global LUS score with respect to the mortality in ICU and duration of ventilation.

Description

This is an international multicenter cohort study on data collected between March and April 2020. The first available lung ultrasound examination that used a 12-regions approach was used to calculate the global LUS score.

Patients are included if they fulfilled the following criteria: 1) admitted to one of the participating ICU; 2) for invasive ventilation; 3) for respiratory failure due to confirmed COVID-19; and 4) having had a LUS examination performed within the first week of start of invasive ventilation.

The primary and secondary outcomes were liberation from invasive ventilation and mortality.

Demographic, clinical and outcome variables will be presented as percentages for categorical variables and as medians with interquartile ranges (IQR) for continuous variables.

Receiver operating characteristics (ROC) analysis will be used to derive the prognostic discriminatory performance of global LUS score in determining succesful extubation and mortality at day 28. The Youden index will be used to derive the optimal cut-off. The association of global LUS with unfavourable outcomes are analyzed with Cox proportional hazard analysis (for successful extubation and alive at day 28), logistic regression models (mortality at day 28). Hazard ratio or odds ratio with 95% confidence intervals were calculated for each outcome.

Details
Condition Ultrasonic Shockwave, Ultrasound, ultrasonic diagnosis, ADULT RESPIRATORY DISTRESS SYNDROME, Ultrasound, COVID19
Age 18-100 years
Clinical Study IdentifierNCT04487769
SponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Admitted to an ICU participating in this study between February 1, 2020 and April 30, 2020
Confirmed with reverse transcriptase polymerase chain reaction (RT-PCR) COVID-19 infection
Having had received invasive ventilation
Having had examined at least once with lung ultrasound under invasive ventilation

Exclusion Criteria

Age <18 years
First examination with LUS in patients already under extracorporeal membrane oxygenation (ECMO) support
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