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Table 1 Characteristics of the included studies

From: Lung ultrasound score and in-hospital mortality of adults with acute respiratory distress syndrome: a meta-analysis

Study

Country

Design

Diagnosis

No. of patients included

Etiology

Infective etiology (%)

Mean age (years)

Men (%)

Timing of LUS

Methods for LUS analysis

Follow-up duration

No. of patients died

Outcomes reported

Variables matched or adjusted

Ding 2014

China

RC

Adults with ARDS on MV

29

Severe pneumonia, sepsis-related, or CTD with pulmonary infection

100

64.4

58.6

At ICU admission

16 regions, score: 0 ~ 48

28 days

9

Difference of LUS score

None

Zhao 2015

China

RC

Adults with ARDS on MV

21

Severe pneumonia, aspiration, sepsis, after CPR, or traumatic

76.2

78

67

Within 24 h after ICU admission

12 regions, score: 0 ~ 36

During ICU

13

Difference of LUS score

Age

Li 2015

China

PC

Adults with ARDS

62

NR

NR

67

43.6

At ICU admission

12 regions, score: 0 ~ 36

During ICU

27

Difference of LUS score

Age, sex, etiology, and disease severity

Wang 2016

China

PC

Adults with ARDS on MV

45

Severe pneumonia or septic shock

100

65

71.1

At ICU admission

16 regions, score: 0 ~ 48

28 days

12

Difference of LUS score

Age

Xie 2019

China

PC

Adults with ARDS on MV

83

NR

NR

60.3

63.9

At ICU admission

12 regions, score: 0 ~ 36

28 days

32

Difference of LUS score

Age, sex, BMI, and comorbidities

Lv 2019

China

RC

Adults with ARDS

112

NR

NR

60.3

63.9

At ICU admission

16 regions, score: 0 ~ 48

30 days

39

RR for death between high versus low LUS score (cutoff: median)

None

Zhang 2020

China

RC

Adults with ARDS

46

Severe pneumonia or septic shock

100

73.3

56.5

At ICU admission

12 regions, score: 0 ~ 36

During ICU

14

Difference of LUS score

Age, sex, LVEF, and HR

Yu 2020

China

PC

Adults with ARDS

116

Severe pneumonia, sepsis-related, or trauma-related

77.6

55.4

63.8

At admission

12 regions, score: 0 ~ 36

28 days

39

Difference of LUS score, and RR for death between high versus low LUS score (cutoff: median)

Age, sex, BMI, etiology, and comorbidities

Xie 2021

China

PC

Adults with ARDS on MV

121

NR

NR

62.8

60.3

At admission

12 regions, score: 0 ~ 36

28 days

46

Difference of LUS score

Age, sex, BMI, and comorbidities

Chaudhuri 2021

India

PC

Adults with ARDS

100

Severe pneumonia, sepsis-related, or other critical illness related

NR

51.2

63

At admission

12 regions, score: 0 ~ 36

During ICU

21

RR for death between high versus low LUS score (cutoff: median)

Age, sex, APACHE II score, SOFA score, PaO2/FiO2, and albumin

Lazzeri 2021

Italy

PC

Adults with COVID-related ARDS

47

COVID-19

100

63

82.9

At ICU admission

12 regions, score: 0 ~ 36

During ICU

13

Difference of LUS score, and RR for death between high versus low LUS score (cutoff: median)

Age, sex, and SPAP

Guo 2022

China

RC

Adults with ARDS

98

NR

NR

54.8

54.1

At ICU admission

12 regions, score: 0 ~ 36

During ICU

22

Difference of LUS score, and RR for death between high versus low LUS score (cutoff: ROC-carve analysis derived)

Age, sex, APACHE II score, and PaO2/FiO2

Zheng 2023

China

PC

Adults with ARDS

142

NR

NR

62.7

57

At ICU admission

12 regions, score: 0 ~ 36

28 days

56

Difference of LUS score, and RR for death between high versus low LUS score (cutoff: ROC-curve analysis derived)

Age, sex, and etiology

  1. LUS, lung ultrasound; retrospective cohort; PC, prospective cohort; ARDS, acute respiratory distress syndrome; MV, mechanical ventilation; CTD, connective tissue disease; CPR, cardiopulmonary resuscitation; COVID-19, coronavirus disease 2019; NR, not reported; ICU, intensive care unit; RR, risk ratio; ROC, receiver operating characteristic; BMI, body mass index; LVEF, left ventricular ejection fraction; HR, heart rate; APACHE II, Acute Physiology and Chronic Health Evaluation II; SOFA, Sequential Organ-Failure Assessment; SPAP, simplified acute physiologic score;