Hayri Levent Yilmaz1, Ahmet Kağan Özkaya2, Sinem Sarı Gökay3, Özlem Tolu Kendir4, Hande Şenol5. 1. Department of Pediatric Emergency, Faculty of Medicine, Cukurova University, Adana, Turkey. Electronic address: hly@superonline.com. 2. Department of Pediatrics and Division of Pediatric Emergency, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. Electronic address: kaganozkaya@yahoo.com. 3. Department of Pediatric Emergency, Faculty of Medicine, Cukurova University, Adana, Turkey. Electronic address: sinemsr@yahoo.com. 4. Department of Pediatric Emergency, Faculty of Medicine, Cukurova University, Adana, Turkey. Electronic address: Otolu80@yahoo.com. 5. Department of Biostatistics, Faculty of Medicine, Pamukkale University, Denizli, Turkey. Electronic address: handesenol@gmail.com.
Abstract
OBJECTIVES: To present lung ultrasound findings in children assessed with suspected pneumonia in the emergency department and to show the benefit of lung ultrasound in diagnosing pneumonia in comparison with chest X-rays. METHODS: This observational prospective study was performed in the pediatric emergency department of a single center. Point of care lung ultrasound was performed on each child by an independent sonographer blinded to the patient's clinical and chest X-ray findings. Community acquired pneumonia was established as a final diagnosis by two clinicians based on the recommendations in the British Thoracic Society guideline. RESULTS: One hundred sixty children with a mean age of 3.3±4years and a median age of 1.4years (min-max 0.08-17.5years) were investigated. Final diagnosis in 149 children was community-acquired pneumonia. Lung ultrasound findings were compatible with pneumonia in 142 (95.3%) of these 149 children, while chest X-ray findings were compatible with pneumonia in 132 (88.5%). Pneumonia was confirmed with lung ultrasound in 15 of the 17 patients (11.4%) not evaluated as compatible with pneumonia at chest X-ray. While pneumonia could not be confirmed with lung ultrasound in seven (4.6%) patients, findings compatible with pneumonia were not determined at chest X-ray in two of these patients. When lung ultrasound and chest X-ray were compared as diagnostic tools, a significant difference was observed between them (p=0.041). CONCLUSIONS: This study shows that lung ultrasound is at least as useful as chest X-ray in diagnosing children with community-acquired pneumonia.
OBJECTIVES: To present lung ultrasound findings in children assessed with suspected pneumonia in the emergency department and to show the benefit of lung ultrasound in diagnosing pneumonia in comparison with chest X-rays. METHODS: This observational prospective study was performed in the pediatric emergency department of a single center. Point of care lung ultrasound was performed on each child by an independent sonographer blinded to the patient's clinical and chest X-ray findings. Community acquired pneumonia was established as a final diagnosis by two clinicians based on the recommendations in the British Thoracic Society guideline. RESULTS: One hundred sixty children with a mean age of 3.3±4years and a median age of 1.4years (min-max 0.08-17.5years) were investigated. Final diagnosis in 149 children was community-acquired pneumonia. Lung ultrasound findings were compatible with pneumonia in 142 (95.3%) of these 149 children, while chest X-ray findings were compatible with pneumonia in 132 (88.5%). Pneumonia was confirmed with lung ultrasound in 15 of the 17 patients (11.4%) not evaluated as compatible with pneumonia at chest X-ray. While pneumonia could not be confirmed with lung ultrasound in seven (4.6%) patients, findings compatible with pneumonia were not determined at chest X-ray in two of these patients. When lung ultrasound and chest X-ray were compared as diagnostic tools, a significant difference was observed between them (p=0.041). CONCLUSIONS: This study shows that lung ultrasound is at least as useful as chest X-ray in diagnosing children with community-acquired pneumonia.
Authors: Joanna Jaworska; Anna Komorowska-Piotrowska; Andrzej Pomiećko; Jakub Wiśniewski; Mariusz Woźniak; Błażej Littwin; Magdalena Kryger; Piotr Kwaśniewicz; Józef Szczyrski; Katarzyna Kulińska-Szukalska; Natalia Buda; Zbigniew Doniec; Wojciech Kosiak Journal: Diagnostics (Basel) Date: 2020-11-11
Authors: Anna Maria Musolino; Paolo Tomà; Cristina De Rose; Eugenio Pitaro; Elena Boccuzzi; Rita De Santis; Rosa Morello; Maria Chiara Supino; Alberto Villani; Piero Valentini; Danilo Buonsenso Journal: Front Physiol Date: 2022-01-06 Impact factor: 4.566