Comparison of CLAUS and POCURM in the etiological diagnosis of acute respiratory distress
10.3969/j.issn.1673-9701.2025.08.006
- VernacularTitle:CLAUS与POCURM在急性呼吸困难病因诊断中的对比研究
- Author:
Feilong XIAO
1
;
Jianghua CHENG
1
;
Yingwei DING
1
;
Yun MAO
1
Author Information
1. 金华市中心医院急诊科,浙江金华 321000
- Publication Type:Journal Article
- Keywords:
Acute respiratory distress;
Emergency room critical illness;
Point-of-care ultrasound rapid management
- From:
China Modern Doctor
2025;63(8):21-23,32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of cardiopulmonary and additional ultrasound(CLAUS)protocol and point-of-care ultrasound rapid management(POCURM)protocol in etiological diagnosis of acute respiratory distress in critically ill patients in the emergency room.Methods A total of 242 patients with acute respiratory distress admitted to Jinhua City Central Hospital from January 2022 to January 2024 were selected as the research subjects.According to the final diagnosis after discharge,they were divided into cardiogenic group(n=144)and pulmonary group(n=98).Compare the CLAUS findings of two groups and accuracy of two protocols in diagnosing etiology of acute respiratory distress.Results The history of heart disease in cardiogenic group was higher than that in pulmonary group,and difference was statistically significant(P＜0.05).The lung disease history of patients in cardiogenic group was lower than that in pulmonary group,and difference was statistically significant(P＜0.05).The proportion of pleural smoothness/slight thickening,sliding presence/slight weakening,left heart dysfunction,right heart dysfunction,and B-line pulmonary ultrasound scores in cardiogenic group were higher than those in pulmonary group,and differences were statistically significant(P＜0.05).The sensitivity,specificity of POCURM protocol for diagnosing acute respiratory distress were 90.28％,91.84％.The sensitivity,specificity of CLAUS protocol for diagnosing acute respiratory distress were 96.53％,97.96％.Conclusion CLAUS regimen can effectively diagnose specific causes of acute respiratory distress in patients,with higher accuracy than POCURM regimen.
