Multi-organ point-of-care ultrasound for detection of pulmonary embolism in critically ill COVID-19 patients - A diagnostic accuracy study.

ABSTRACT:

Purpose

Critically ill COVID-19 patients have an increased risk of developing pulmonary embolism (PE). Diagnosis of PE by point-of-care ultrasound (POCUS) might reduce the need for computed tomography pulmonary angiography (CTPA), while decreasing time-to-diagnosis.

Materials & methods

This prospective, observational study included adult ICU patients with COVID-19. Multi-organ (lungs, deep vein, cardiac) POCUS was performed within 24 h of CTPA, looking for subpleural consolidations, deep venous thrombosis (DVT), and right ventricular strain (RVS). We reported the scan time, and calculated diagnostic accuracy measures for these signs separately and in combination.

Results

70 consecutive patients were included. 23 patients (32.8%) had a PE. Median scan time was 14 min (

SUBMITTER: Lieveld A 

PROVIDER: S-EPMC8808351 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature