Comparison of Lung Ultrasound to X-ray for Diagnosis of Pulmonary Complications after Cardiac Surgery in Children
| Autor: | Pragati Shrestha, Apurb Sharma, Smriti Mahaju Bajracharya |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Lung ultrasonography Pleural effusion Atelectasis 03 medical and health sciences 0302 clinical medicine Postoperative Complications 030225 pediatrics Positive predicative value Medicine Humans Prospective Studies Child Lung Ultrasonography business.industry X-Rays Ultrasound Pulmonary Complication Infant Thoracic Surgery 030208 emergency & critical care medicine General Medicine medicine.disease Cardiac surgery Lung ultrasound Child Preschool Female Radiology business Respiratory Insufficiency |
| Zdroj: | Journal of Nepal Health Research Council. 18(1) |
| ISSN: | 1999-6217 |
| Popis: | Background: The purpose of this study was to compare diagnostic performance of lung ultrasound in comparison to chest X-ray to detect pulmonary complication after cardiac surgery in children.Methods: A prospective observational study was conducted in tertiary center of Nepal. 141 consecutive paediatric patients aged less than 14 years scheduled for cardiac surgery were enrolled during the 6 months period. Ultrasound was done on the first post-operative day of cardiac surgery and compared to chest X-ray done on the same day to detect pleural effusion, consolidation, atelectasis and pneumothorax.Results: Sensitivity, specificity, positive and negative predictive values and diagnostic accuracy were calculated using standard formulas. lung ultrasonography had overall sensitivity of 60 %, specificity of 72.4%, positive predictive value of 31.9% and negative predictive value of 89.3% and diagnostic accuracy of 70.2% for diagnosing consolidation. Similarly, lung ultrasonography had overall sensitivity of 90%, specificity of 82.6%, positive predictive value of 46.1% and negative predictive value of 98% and diagnostic accuracy of 83.6 % for diagnosing pleural effusion. For atelectasis, ultrasonography had sensitivity of 50%, specificity of 76.9%, positive predictive value of 30.7% and negative predictive value of 88.2% and diagnostic accuracy of 72.3%. No pneumothoraxes were detected during our study period. Conclusions: Lung ultrasound is an alternative non-invasive technique which is able to diagnose pulmonary complications after cardiac surgery with acceptable diagnostic accuracy with no proven complications but with decreasing exposure to ionizing radiation and possibly cost.Keywords: Cardiac surgery; children; lung ultrasound; pulmonary complications |
| Databáze: | OpenAIRE |
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