Evolution of Pulmonary Ultrasound in Patients Hospitalized for Covid (Coronavirus Disease) 19
Condition: Pneumonia, Viral; COVID-19
MeSH terms: COVID-19; Pneumonia, Viral
Study type: Observational [Patient Registry]

Summary: 
      Clinical thoracic ultrasound plays an important role in the exploration, diagnosis and
      follow-up of thoracic pathologies.

      The COVID (Coronavirus Disease) epidemic is leading to a large influx of patients in the
      emergency department with respiratory disorders. The rapid diagnosis of respiratory disorders
      in infected patients is important for further management.

      Chest ultrasound has already demonstrated its value in the diagnosis of pneumonia in the
      emergency department with superiority over chest X-ray.

      However, there is little data on the thoracic ultrasound semiology of viral pneumonia in
      general and of COVID in particular.
    

Detailed description: 
      Chest ultrasound has already shown its value in the diagnosis of pneumonia in the emergency
      department with superiority over chest X-ray.

      However, there is little data on the thoracic ultrasound semiology of viral pneumonia in
      general and of COVID in particular.

      Peng reported data from 20 patients and compared them to chest CT. The abnormalities are a
      thickening of the pleuropneumonia line, an interstitial syndrome with B lines, corresponding
      to frosted glass opacities, confluent B lines (snowstorm appearance) corresponding to
      interstitial infiltrate, sub-pleural alveolar opacities corresponding to sub-pleural
      condensations, more frank alveolar images corresponding to alveolar opacities. A multifocal
      aspect was associated with involvement of more than 2 lobes. However, the frequency of these
      abnormalities as well as the sensitivity of the echo are not detailed in this article.

      Another Italian article describes a clinical case of COVID-19 pneumonia with sub-pleural
      involvement and irregularity of the pleuro-pulmonary line.

      Clinical thoracic ultrasound has a major potential interest during the COVID epidemic:
      available at the patient's bedside, avoiding the need to move around, feasible for the
      physician during his visit, easy to clean especially if ultraportable devices are used, fast
      and not exposing the staff any more than the usual clinical examination.

      In order to determine whether this technique is useful in the management of infected patients
      or patients suspected of COVID-19 infection with respiratory signs, we propose a descriptive
      prospective study evaluating the ultrasound semiology of COVID-19 pneumonia and the interest
      of ultrasound in the evolutionary follow-up of these patients.
    

Intervention name(s): No special intervention
Intervention type(s): Other
Intervention description(s): No special intervention : Ultrasound data will be collected
Observational model: Cohort
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        Patient admitted to hospital with proven COVID-19 infection with respiratory signs and who
        need an hospitalization