{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:00:51Z","timestamp":1782860451608,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,1,11]],"date-time":"2021-01-11T00:00:00Z","timestamp":1610323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lung ultrasound (LUS) has received considerable interest in the clinical evaluation of patients with COVID\u201019. Previously described LUS manifestations for COVID\u201019 include B\u2010lines, consolidations, and pleural thickening. The interrater reliability (IRR) of these findings for COVID\u201019 is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study was conducted between March and June 2020. Nine physicians (hospitalists:\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a04; emergency medicine:\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a05) from 3 medical centers independently evaluated\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a020 LUS scans (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0180 independent observations) collected from patients with COVID\u201019, diagnosed via RT\u2010PCR. These studies were randomly selected from an image database consisting of COVID\u201019 patients evaluated in the emergency department with portable ultrasound devices. Physicians were blinded to any patient information or previous LUS interpretation. Kappa values (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      ) were used to calculate IRR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was substantial IRR on the following items: normal LUS scan (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.79 [95% CI: 0.72\u20130.87]), presence of B\u2010lines (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.79 [95% CI: 0.72\u20130.87]), \u22653 B\u2010lines observed (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.72 [95% CI: 0.64\u20130.79]). Moderate IRR was observed for the presence of any consolidation (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.57 [95% CI: 0.50\u20130.64]), subpleural consolidation (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.49 [95% CI: 0.42\u20130.56]), and presence of effusion (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.49 [95% CI: 0.41\u20130.56]). Fair IRR was observed for pleural thickening (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.23 [95% CI: 0.15\u20130.30]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Many LUS manifestations for COVID\u201019 appear to have moderate to substantial IRR across providers from multiple specialties utilizing differing portable devices.<\/jats:p>\n                    <jats:p>The most reliable LUS findings with COVID\u201019 may include the presence\/count of B\u2010lines or determining if a scan is normal. Clinical protocols for LUS with COVID\u201019 may require additional observers for the confirmation of less reliable findings such as consolidations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.15620","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T23:49:24Z","timestamp":1610668164000},"page":"2369-2376","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Interobserver Agreement of Lung Ultrasound Findings of\n                    <scp>COVID<\/scp>\n                    \u201019"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4631-3307","authenticated-orcid":false,"given":"Andre","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Medicine Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingjie","family":"Weng","sequence":"additional","affiliation":[{"name":"Quantitative Sciences Unit Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Graglia","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukyung","family":"Chung","sequence":"additional","affiliation":[{"name":"Quantitative Sciences Unit Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youyou","family":"Duanmu","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhan","family":"Lalani","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7349-3473","authenticated-orcid":false,"given":"Kavita","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viveta","family":"Lobo","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Nahn","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kugler","sequence":"additional","affiliation":[{"name":"Department of Medicine Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0909487"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2017.12.006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2013.08.002"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.87a.ccc019"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3454"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","unstructured":"KumarAD ChungS DuanmuY GragliaS LalaniF GandhiK et al.Lung ultrasound findings in patients hospitalized with Covid\u201019 [Internet]. 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