Lung ultrasound findings in hospitalized COVID-19 patients in relation to venous thromboembolic events: the ECHOVID-19 study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-07-02

AUTHORS

Kristoffer Grundtvig Skaarup, Mats Christian Højbjerg Lassen, Caroline Espersen, Jannie Nørgaard Lind, Niklas Dyrby Johansen, Morten Sengeløv, Alia Saed Alhakak, Anne Bjerg Nielsen, Kirstine Ravnkilde, Raphael Hauser, Liv Borum Schöps, Eva Holt, Henning Bundgaard, Christian Hassager, Reza Jabbari, Jørn Carlsen, Ole Kirk, Uffe Bodtger, Matias Greve Lindholm, Lothar Wiese, Ole Peter Kristiansen, Emil Schwarz Walsted, Olav Wendelboe Nielsen, Birgitte Lindegaard, Niels Tønder, Klaus Nielsen Jeschke, Charlotte Suppli Ulrik, Morten Lamberts, Pradeesh Sivapalan, Jannik Pallisgaard, Gunnar Gislason, Kasper Iversen, Jens Ulrik Stæhr Jensen, Morten Schou, Søren Helbo Skaarup, Elke Platz, Tor Biering-Sørensen

ABSTRACT

PURPOSE: Several studies have reported thromboembolic events to be common in severe COVID-19 cases. We sought to investigate the relationship between lung ultrasound (LUS) findings in hospitalized COVID-19 patients and the development of venous thromboembolic events (VTE). METHODS: A total of 203 adults were included from a COVID-19 ward in this prospective multi-center study (mean age 68.6 years, 56.7% men). All patients underwent 8-zone LUS, and all ultrasound images were analyzed off-line blinded. Several LUS findings were investigated (total number of B-lines, B-line score, and LUS-scores). RESULTS: Median time from admission to LUS examination was 4 days (IQR: 2, 8). The median number of B-lines was 12 (IQR: 8, 18), and 44 (21.7%) had a positive B-line score. During hospitalization, 17 patients developed VTE (4 deep-vein thrombosis, 15 pulmonary embolism), 12 following and 5 prior to LUS. In fully adjusted multivariable Cox models (excluding participants with VTE prior to LUS), all LUS parameters were significantly associated with VTE (total number of B-lines: HR = 1.14, 95% CI (1.03, 1.26) per 1 B-line increase), positive B-line score: HR = 9.79, 95% CI (1.87, 51.35), and LUS-score: HR = 1.51, 95% CI (1.10, 2.07), per 1-point increase). The B-line score and LUS-score remained significantly associated with VTE in sensitivity analyses. CONCLUSION: In hospitalized COVID-19 patients, pathological LUS findings were common, and the total number of B-lines, B-line score, and LUS-score were all associated with VTE. These findings indicate that the LUS examination may be useful in risk stratification and the clinical management of COVID-19. These findings should be considered hypothesis generating. CLINICALTRIALS. GOV ID: NCT04377035. More... »

PAGES

1-11

References to SciGraph publications

Journal

TITLE

Journal of Ultrasound

ISSUE

N/A

VOLUME

N/A

Author Affiliations

  • Cardiovascular Non-Invasive Imaging Research Laboratory, Department of Cardiology, Herlev & Gentofte Hospital, University of Copenhagen, Niels Andersens vej 65, 2900 Hellerup, Denmark
  • Department of Cardiology, Rigshospitalet, University of Copenhagen, Hellerup, Denmark
  • Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Hellerup, Denmark
  • Department of Respiratory and Internal Medicine, Næstved-Slagelse Hospital, University of Southern Denmark, Odense, Denmark
  • Department of Cardiology, Zealand University Hospital Roskilde, University of Copenhagen, Hellerup, Denmark
  • Department of Infectious Diseases; Zealand University Hospital Roskilde, University of Copenhagen, Hellerup, Denmark
  • Department of Cardiology, Bispebjerg & Frederiksberg Hospital, University of Copenhagen, Hellerup, Denmark
  • Department of Respiratory Medicine, Bispebjerg & Frederiksberg Hospital, University of Copenhagen, Hellerup, Denmark
  • Department of Respiratory Medicine and Infectious Diseases, Nordsjællands Hospital, University of Copenhagen, Hellerup, Denmark
  • Department of Cardiology, Nordsjællands Hospital, University of Copenhagen, Hellerup, Denmark
  • Department of Respiratory Medicine, Amager Hvidovre Hospital, University of Copenhagen, Hellerup, Denmark
  • Department of Medicine, Herlev & Gentofte Hospital, University of Copenhagen, Hellerup, Denmark
  • Department of Respiratory Medicine and Allergy, Aarhus University Hospital, University of Aarhus, Aarhus, Denmark
  • Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, USA
  • Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Hellerup, Denmark
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s40477-021-00605-8

    DOI

    http://dx.doi.org/10.1007/s40477-021-00605-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1139319210

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34213740


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