A prospective observational study to correlate lung ultrasound with clinical severity and prognosis score in patients with primary pulmonary pathology on invasive ventilatory support
Sulagna Basu, Rishiraj Narayan Verma, Aditya Joshi, Deepak Dwivedi, Mohammad Abdul Mateen, Jagdeep Singh Bhatia- Critical Care and Intensive Care Medicine
- Public Health, Environmental and Occupational Health
- Emergency Medicine
Background:
Lung ultrasound (LUS) is a known imaging modality employed for monitoring patients in an intensive care unit. This study evaluates, LUS in assessing disease severity and prognosis, by correlating its score with the three commonly used clinical severity scoring systems (CSSS), namely, sequential organ failure assessment (SOFA) score, acute physiology and chronic health evaluation (APACHE) II score, and simplified acute physiology score (SAPS) II.
Methods:
This single-center prospective observational study included 54 adult patients of primary lung disease-induced acute respiratory distress syndrome (ARDS), on invasive ventilation. The primary objective was to correlate LUS score with SOFA score. Secondary objectives were to correlate LUS score with APACHE II and SAPS II scores. LUS score was also correlated with the estimated mortality derived from the above-mentioned scores. A subgroup analysis on COVID-19-positive cases was also carried out. All scores were calculated on the initiation of mechanical ventilation, daily for 7 days or mortality, whichever was earlier.
Results:
A significant positive correlation (
Conclusion:
Point-of-care LUS in conjunction with CSSS is a reliable tool for assessing the severity and progression of primary lung disease.