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Journal article
Comparison of chest radiograph and lung ultrasound in children with acute respiratory failure
Journal of ultrasound
25 Sep 2023
PMID: 37747593
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose Chest x-ray (CXR) is the standard imaging used to evaluate children in acute respiratory distress and failure. Our objective was to compare the lung-imaging techniques of CXR and lung ultrasound (LUS) in the evaluation of children with acute respiratory failure (ARF) to quantify agreement and to determine which technique identified a higher frequency of pulmonary abnormalities.Methods This was a secondary analysis of a prospective observational study evaluating the sensitivity and specificity of LUS in children with ARF from 12/2018 to 02/2020 completed at the University of Wisconsin-Madison (USA). Children > 37.0 weeks corrected gestational age and = 18 years of age admitted to the PICU with ARF were evaluated with LUS. We compared CXR and LUS completed within 6 h of each other. Kappa statistics (k) adjusted for maximum attainable agreement (k/k(max)) were used to quantify agreement between imaging techniques and descriptive statistics were used to describe the frequency of abnormalities.Results Eighty-eight children had LUS completed, 32 with concomitant imaging completed within 6 h are included. There was fair agreement between LUS and CXR derived diagnoses with 58% agreement (k/k(max) = 0.36). Evaluation of imaging patterns included: normal, 57% agreement (k = 0.032); interstitial pattern, 47% agreement (k = 0.003); and consolidation, 65% agreement (k = 0.29). CXR identified more imaging abnormalities than LUS.Conclusions There is fair agreement between CXR and LUS-derived diagnoses in children with ARF. Given this, clinicians should consider the benefits and limitations of specific imaging modalities when evaluating children with ARF. Additional studies are necessary to further define the role of LUS in pediatric ARF given the small sample size of our study.
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Details
- Title
- Comparison of chest radiograph and lung ultrasound in children with acute respiratory failure
- Creators
- Ryan L. Desanti - St. Christopher's Hospital for ChildrenKara G. Gill - University of Wisconsin–MadisonJonathan O. Swanson - University of Wisconsin–MadisonPierre D. Kory - Aurora St. Luke's Medical CenterJessica Schmidt - University of Wisconsin–MadisonEileen A. Cowan - University of Wisconsin–MadisonMichael R. Lasarev - University of Wisconsin–MadisonAwni M. Al-Subu - College Station Medical Center
- Publication Details
- Journal of ultrasound
- Publisher
- SPRINGER INT PUBL AG
- Number of pages
- 10
- Grant note
- UL1TR002373 / Clinical and Translational Science Award (CTSA) program through the NIH National Center for Advancing Translational Sciences (NCATS); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:001073511500001
- Scopus ID
- 2-s2.0-85172158585
- Other Identifier
- 991021463446304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Radiology, Nuclear Medicine & Medical Imaging