Performance comparison of lung ultrasound and chest x-ray for the diagnosis of pneumonia in the ED
| Autor: | Mickael Seinger, Jean-Eudes Bourcier, Jean-Marie Bourgeois, Jean-Philippe Redonnet, Fouad Cheddadi, Thomas Geeraerts, Emeric Gallard, Didier Garnier, Julie Paquet |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Radiography Point-of-Care Systems Sensitivity and Specificity Hospital discharge medicine Humans Lung Aged Ultrasonography medicine.diagnostic_test business.industry Ultrasound General Medicine Pneumonia medicine.disease Lung ultrasound Performance comparison Emergency Medicine Observational study Female Radiography Thoracic Radiology Chest radiograph business Emergency Service Hospital Tomography X-Ray Computed |
| Zdroj: | The American journal of emergency medicine. 32(2) |
| ISSN: | 1532-8171 |
| Popis: | 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.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.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).These results exhort to promote the use of thoracic ultrasound in the first-line diagnosis of pneumonia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect