One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot Study

(1) Background: Millions of people worldwide were infected with COVID-19. After the acute phase of the disease, many suffer from prolonged symptoms, the post-COVID syndrome, especially the phenotype with lung residuals. Many open questions regarding lung ultrasound (LUS) have to be answered. One ess...

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Main Authors: Martin Altersberger, Anna Grafeneder, Yerin Cho, Roland Winkler, Ralf Harun Zwick, Gebhard Mathis, Martin Genger
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/1/70
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author Martin Altersberger
Anna Grafeneder
Yerin Cho
Roland Winkler
Ralf Harun Zwick
Gebhard Mathis
Martin Genger
author_facet Martin Altersberger
Anna Grafeneder
Yerin Cho
Roland Winkler
Ralf Harun Zwick
Gebhard Mathis
Martin Genger
author_sort Martin Altersberger
collection DOAJ
description (1) Background: Millions of people worldwide were infected with COVID-19. After the acute phase of the disease, many suffer from prolonged symptoms, the post-COVID syndrome, especially the phenotype with lung residuals. Many open questions regarding lung ultrasound (LUS) have to be answered. One essential question is the means for optimal following-up of patients with post-COVID-19 residuals with LUS; (2) Methods: A retrospective data analysis of patients after acute COVID-19 infection diagnosed with post-COVID syndrome in the state hospital of Steyr and the rehabilitation center of Hochegg was performed. LUS examinations following a 12-zone scanning protocol were performed, and the LUS score quantified comet tail artifacts. A total of 16 patients were evaluated twice with LUS from May 2020 until June 2021. (3) Results: All patients’ reverberation artifacts were reduced over time. The initial LUS score of 17.75 (SD 4.84) points was decreased over the duration of the second rehabilitation to 8,2 (SD 5.94). The difference in the Wilcoxon test was significant (<i>p</i> < 0.001); (4) Conclusions: Lung ultrasound was a valuable tool in the follow-up of post-COVID-syndrome with lung residuals in the first wave of COVID-19. A reduction in reverberation artifacts was demonstrated. Further studies about the clinical significance have to follow.
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spelling doaj.art-3dd3f6d612a94fe99ba035af274fe2e12023-11-16T15:08:25ZengMDPI AGDiagnostics2075-44182022-12-011317010.3390/diagnostics13010070One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot StudyMartin Altersberger0Anna Grafeneder1Yerin Cho2Roland Winkler3Ralf Harun Zwick4Gebhard Mathis5Martin Genger6Department of Cardiology, Nephrology and Intensive Care Medicine, State Hospital Steyr, 4400 Steyr, AustriaDepartment of Cardiology, Nephrology and Intensive Care Medicine, State Hospital Steyr, 4400 Steyr, AustriaDepartment of Cardiology, Nephrology and Intensive Care Medicine, State Hospital Steyr, 4400 Steyr, AustriaRehabilitation Center Hochegg for Cardiovascular and Respiratory Diseases, 2840 Grimmenstein, AustriaTherme Wien Med, 1100 Vienna, AustriaPraxis of Internal Medicine, 6830 Rankweil, AustriaDepartment of Cardiology, Nephrology and Intensive Care Medicine, State Hospital Steyr, 4400 Steyr, Austria(1) Background: Millions of people worldwide were infected with COVID-19. After the acute phase of the disease, many suffer from prolonged symptoms, the post-COVID syndrome, especially the phenotype with lung residuals. Many open questions regarding lung ultrasound (LUS) have to be answered. One essential question is the means for optimal following-up of patients with post-COVID-19 residuals with LUS; (2) Methods: A retrospective data analysis of patients after acute COVID-19 infection diagnosed with post-COVID syndrome in the state hospital of Steyr and the rehabilitation center of Hochegg was performed. LUS examinations following a 12-zone scanning protocol were performed, and the LUS score quantified comet tail artifacts. A total of 16 patients were evaluated twice with LUS from May 2020 until June 2021. (3) Results: All patients’ reverberation artifacts were reduced over time. The initial LUS score of 17.75 (SD 4.84) points was decreased over the duration of the second rehabilitation to 8,2 (SD 5.94). The difference in the Wilcoxon test was significant (<i>p</i> < 0.001); (4) Conclusions: Lung ultrasound was a valuable tool in the follow-up of post-COVID-syndrome with lung residuals in the first wave of COVID-19. A reduction in reverberation artifacts was demonstrated. Further studies about the clinical significance have to follow.https://www.mdpi.com/2075-4418/13/1/70post-COVID-syndromelung ultrasoundCOVID-19LUS
spellingShingle Martin Altersberger
Anna Grafeneder
Yerin Cho
Roland Winkler
Ralf Harun Zwick
Gebhard Mathis
Martin Genger
One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot Study
Diagnostics
post-COVID-syndrome
lung ultrasound
COVID-19
LUS
title One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot Study
title_full One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot Study
title_fullStr One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot Study
title_full_unstemmed One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot Study
title_short One-Year Follow-Up Lung Ultrasound of Post-COVID Syndrome—A Pilot Study
title_sort one year follow up lung ultrasound of post covid syndrome a pilot study
topic post-COVID-syndrome
lung ultrasound
COVID-19
LUS
url https://www.mdpi.com/2075-4418/13/1/70
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