Calamai Italo, Greco Massimiliano, Finazzi Stefano, Savi Marzia, Vitiello Gaia, Garbero Elena, Spina Rosario, Montisci Andrea, Mongodi Silvia, Bertolini Guido
Anesthesia and Intensive Care Unit AUsl Toscana Centro, Ospedale San Giuseppe, Viale Boccaccio 16/20, 50053 Empoli, Italy.
Department of Biomedical Sciences, Humanitas University, 20090 Milan, Italy.
J Clin Med. 2022 Nov 30;11(23):7126. doi: 10.3390/jcm11237126.
Lung ultrasound (LUS) is a validated technique for the prompt diagnosis and bedside monitoring of critically ill patients due to its availability, safety profile, and cost-effectiveness. The aim of this work is to detect similarities and differences among LUS reports performed in ICUs and to provide a common ground for an integrated report form. We collected all LUS reports during an index week in 21 ICUs from the GiViTI network. First, we considered signs, chest areas, and terminology reported. Then, we compared different report structures and categorized them as structured reports (SRs), provided with a predefined model form, and free unstructured text reports (FTRs) that had no predetermined structure. We analyzed 171 reports from 21 ICUs, and 59 reports from 5 ICUs were structured. All the reports presented a qualitative description that mainly focused on the presence of B-lines, consolidations, and pleural effusion. Zones were defined in 66 reports (39%). In SRs, a complete examination of all the regions was more frequently achieved (96% vs. 74%), and a higher impact on therapeutic strategies was observed (17% vs. 6%). LUS reports vary significantly among different centers. Adopting an integrated SR seems to promote a systematic approach in scanning and reporting, with a potential impact on LUS clinical applications.
肺部超声（LUS）因其可用性、安全性和成本效益，是一种用于危重症患者快速诊断和床边监测的有效技术。这项工作的目的是检测重症监护病房（ICU）中进行的LUS报告之间的异同，并为综合报告形式提供共同基础。我们收集了来自GiViTI网络21个ICU在索引周期间的所有LUS报告。首先，我们考虑报告中提及的体征、胸部区域和术语。然后，我们比较了不同的报告结构，并将它们分类为具有预定义模型形式的结构化报告（SRs）和没有预定结构的自由非结构化文本报告（FTRs）。我们分析了来自21个ICU的171份报告，其中来自5个ICU的59份报告是结构化的。所有报告都进行了定性描述，主要集中在B线、实变和胸腔积液的存在情况。66份报告（39%）定义了区域。在结构化报告中，更常对所有区域进行全面检查（96%对74%），并且观察到对治疗策略的影响更大（17%对6%）。不同中心之间的LUS报告差异很大。采用综合结构化报告似乎有助于在扫描和报告中推广系统方法，对LUS临床应用可能产生影响。
