Jean-Eudes Bourcier1, Julie Paquet2, Mickael Seinger2, Emeric Gallard2, Jean-Philippe Redonnet2, Fouad Cheddadi2, Didier Garnier2, Jean-Marie Bourgeois3, Thomas Geeraerts4. 1. Emergency, Anesthesiology and Critical Care Department, Lourdes Hospital, Lourdes, France. Electronic address: je.bourcier@gmail.com. 2. Emergency, Anesthesiology and Critical Care Department, Lourdes Hospital, Lourdes, France. 3. CFFE (Centre Francophone de Formation en Echographie) and, Centre Médical Delta, Nîmes, France. 4. Anesthesiology and Critical Care Department, Toulouse University Hospital, University Toulouse 3 Paul Sabatier, Toulouse, France.
Abstract
OBJECTIVE: The aim of our study was to assess the potential of bedside lung ultrasound examination by the attending emergency physician in the diagnosis of acute pneumonia. MATERIAL AND METHODS: This observational single-center study was conducted between January 2010 and June 2012 in the emergency unit of a general hospital, and analyzed 144 adult patients. The ultrasound examination was performed by one of five trained emergency physicians, and a chest radiograph interpreted by a radiologist. The primary end point was the diagnosis of hospital discharge. RESULTS: We found a sensitivity of 0.95 for the ultrasound examination against 0.6 for radiography (P < .05). The negative predictive value was 0.67 against 0.25 for radiography (P < .05). CONCLUSION: These results exhort to promote the use of thoracic ultrasound in the first-line diagnosis of pneumonia.
OBJECTIVE: The aim of our study was to assess the potential of bedside lung ultrasound examination by the attending emergency physician in the diagnosis of acute pneumonia. MATERIAL AND METHODS: This observational single-center study was conducted between January 2010 and June 2012 in the emergency unit of a general hospital, and analyzed 144 adult patients. The ultrasound examination was performed by one of five trained emergency physicians, and a chest radiograph interpreted by a radiologist. The primary end point was the diagnosis of hospital discharge. RESULTS: We found a sensitivity of 0.95 for the ultrasound examination against 0.6 for radiography (P < .05). The negative predictive value was 0.67 against 0.25 for radiography (P < .05). CONCLUSION: These results exhort to promote the use of thoracic ultrasound in the first-line diagnosis of pneumonia.
Authors: F Mearelli; D Orso; N Fiotti; N Altamura; A Breglia; M De Nardo; I Paoli; M Zanetti; C Casarsa; G Biolo Journal: Infection Date: 2014-08-11 Impact factor: 3.553
Authors: Francisco Javier Rodríguez-Contreras; Antonio Calvo-Cebrián; Juncal Díaz-Lázaro; Miguel Cruz-Arnés; Fernando León-Vázquez; María Del Carmen Lobón-Agúndez; Francisco Javier Palau-Cuevas; Paloma Henares-García; Fernando Gavilán-Martínez; Sandra Fernández-Plaza; Carmelo Prieto-Zancudo Journal: Ann Fam Med Date: 2022 May-Jun Impact factor: 5.707