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Bedside lung ultrasound score (LUSS) on assessing pneumonia in COVID-19 neonates
  • +4
  • Wei Li,
  • Manli Fu,
  • Chao Qian,
  • Xin Liu,
  • Lingkong Zeng,
  • Huan Zhou,
  • Li Yuan
Wei Li
Wuhan Children ’ s Hospital ( Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science & Technology
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Manli Fu
Wuhan Children ’ s Hospital ( Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science & Technology
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Chao Qian
Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology
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Xin Liu
Wuhan Children ’ s Hospital ( Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science & Technology
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Lingkong Zeng
Wuhan Children ’ s Hospital ( Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science & Technology
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Huan Zhou
Wuhan Children ’ s Hospital ( Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science & Technology
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Li Yuan
Wuhan Children ’ s Hospital ( Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science & Technology
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Abstract

We used the lung ultrasound score (LUSS) to analyze the ultrasound images and assess the lesions and aeration loss in 12 lung regions of 11 COVID-19 neonates born to mother with COVID-19 and 11 age- and gender-matched controls. In the COVID-19 group, 132 regions were reviewed and 83 regions (62.8%) detected abnormalities. Compared with controls, COVID-19 neonates showed more increased B-lines (83 regions), abnormal A-lines (83 regions), abnormal pleural line (29 regions) and subpleural consolidation (5 regions). among which 49 regions (37%) were normal, 73 regions (55%) scored 1, and 10 regions (8%) scored 2. The LUSS was significantly higher in COVID-19 group. All the lesions were bilateral, multiple regions involved, and mainly located in bilateral lower lobes and right middle lobe. The intra-observer and inter-observer reproducibility of LUSS were excellent. Lung ultrasound is a noninvasive and convenient method for the assessment of neonatal COVID-19 pneumonia and presents typical signs. LUSS provides valuable semi-quantitative information about the lesion distribution and severity.

Peer review status:ACCEPTED

19 Sep 2020Submitted to Pediatric Pulmonology
23 Sep 2020Submission Checks Completed
23 Sep 2020Assigned to Editor
23 Sep 2020Reviewer(s) Assigned
24 Oct 2020Review(s) Completed, Editorial Evaluation Pending
25 Oct 2020Editorial Decision: Revise Major
21 Jan 20211st Revision Received
23 Jan 2021Submission Checks Completed
23 Jan 2021Assigned to Editor
23 Jan 2021Reviewer(s) Assigned
08 Feb 2021Review(s) Completed, Editorial Evaluation Pending
13 Feb 2021Editorial Decision: Accept