Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation

Background. Lung ultrasound score (LUS) is a clinical index used to measure lung injury, but its clinical value in patients after cardiopulmonary resuscitation (CPR) remains relatively unknown. The purpose of this study was to investigate the clinical value of LUS in patients after CPR. Methods. Thi...

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Main Authors: Yi-Ling Zhang, Zhou Yang, Jie Cao, Yu-Long Bai, Chun-Yun Fang, Wei Wang
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2023/4951950
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author Yi-Ling Zhang
Zhou Yang
Jie Cao
Yu-Long Bai
Chun-Yun Fang
Wei Wang
author_facet Yi-Ling Zhang
Zhou Yang
Jie Cao
Yu-Long Bai
Chun-Yun Fang
Wei Wang
author_sort Yi-Ling Zhang
collection DOAJ
description Background. Lung ultrasound score (LUS) is a clinical index used to measure lung injury, but its clinical value in patients after cardiopulmonary resuscitation (CPR) remains relatively unknown. The purpose of this study was to investigate the clinical value of LUS in patients after CPR. Methods. This retrospective study included a total of 34 patients older than 18 years with a nontraumatic cause of in-hospital cardiac arrest, who received standard resuscitation and achieved return of spontaneous circulation (ROSC). All patients underwent bedside lung ultrasound examination within half an hour once ROSC was achieved, and LUSs were calculated. The study included patient death as the endpoint event. Results. Compared with the group with lower LUSs, the patients with higher LUSs had a lower oxygenation index, longer duration of CPR, and lower 72 h survival rate. The initial LUS had good clinical value in predicting the secondary outcomes of CPR (adjusted odds ratio (aOR): 1.353, 95% confidence interval (CI): 1.018–1.797, and P = 0.037) and 72 h survival rate of patients who underwent CPR (aOR: 1.145, 95% CI: 1.014–1.294, and P = 0.029). Conclusions. LUS was shown to be helpful and had a prognostic value in patients after CPR.
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spelling doaj-art-dc0bc5ec037b4bd6a2483cbb6b3853542025-02-03T01:32:00ZengWileyEmergency Medicine International2090-28592023-01-01202310.1155/2023/4951950Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary ResuscitationYi-Ling Zhang0Zhou Yang1Jie Cao2Yu-Long Bai3Chun-Yun Fang4Wei Wang5Department of EmergencyDepartment of EmergencyDepartment of EmergencyDepartment of EmergencyDepartment of EmergencyDepartment of EmergencyBackground. Lung ultrasound score (LUS) is a clinical index used to measure lung injury, but its clinical value in patients after cardiopulmonary resuscitation (CPR) remains relatively unknown. The purpose of this study was to investigate the clinical value of LUS in patients after CPR. Methods. This retrospective study included a total of 34 patients older than 18 years with a nontraumatic cause of in-hospital cardiac arrest, who received standard resuscitation and achieved return of spontaneous circulation (ROSC). All patients underwent bedside lung ultrasound examination within half an hour once ROSC was achieved, and LUSs were calculated. The study included patient death as the endpoint event. Results. Compared with the group with lower LUSs, the patients with higher LUSs had a lower oxygenation index, longer duration of CPR, and lower 72 h survival rate. The initial LUS had good clinical value in predicting the secondary outcomes of CPR (adjusted odds ratio (aOR): 1.353, 95% confidence interval (CI): 1.018–1.797, and P = 0.037) and 72 h survival rate of patients who underwent CPR (aOR: 1.145, 95% CI: 1.014–1.294, and P = 0.029). Conclusions. LUS was shown to be helpful and had a prognostic value in patients after CPR.http://dx.doi.org/10.1155/2023/4951950
spellingShingle Yi-Ling Zhang
Zhou Yang
Jie Cao
Yu-Long Bai
Chun-Yun Fang
Wei Wang
Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation
Emergency Medicine International
title Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation
title_full Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation
title_fullStr Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation
title_full_unstemmed Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation
title_short Clinical Implications of the Lung Ultrasound Score in Patients after Cardiopulmonary Resuscitation
title_sort clinical implications of the lung ultrasound score in patients after cardiopulmonary resuscitation
url http://dx.doi.org/10.1155/2023/4951950
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