Performance comparison of lung ultrasound and chest x-ray for the diagnosis of pneumonia in the ED
Performance comparison of lung ultrasound and chest x-ray for the diagnosis of pneumonia in the ED
复制标题
DOI：
10.1016/j.ajem.2013.10.003
复制
发表时间：
2014-02-01
影响因子：
3.6
通讯作者：
Geeraerts, Thomas
中科院分区：
文献类型：
--
作者：
Bourcier, Jean-Eudes;Paquet, Julie;Geeraerts, Thomas
目的：我们研究的目的是评估床旁肺部超声检查的潜力，由主治急诊医生在诊断急性pneumonia.Material和方法：这项观察性单中心研究进行了2010年1月至2012年6月在综合医院的急诊室，并分析了144例成人患者。超声检查由五名训练有素的急诊医生之一进行，胸部X光片由放射科医生解释。主要终点是出院诊断。结果：我们发现超声检查的敏感性为0.95，而X线检查的敏感性为0.6（P <0.05）。阴性预测值为0.67，X线胸片阴性预测值为0.25（P <0.05）。(C)2013 Elsevier Inc. All rights reserved.
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. (C) 2013 Elsevier Inc. All rights reserved.