Eminence-Based Versus Evidence-Based Imaging of Lung Infection (Pneumonia) in Children - Diagnostic Accuracy of Lung Ultrasound.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Pulmonology Pub Date : 2025-03-01 Epub Date: 2024-11-27 DOI:10.1002/ppul.27372

Shyam Sunder B Venkatakrishna, Laith R Sultan, Kristina McShea, Jennifer Lege-Matsuura, Antrea Zouvani, Karen I Ramirez Suarez, Levy C Onyango, Pierre Goussard, Hansel J Otero, Savvas Andronikou

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引用次数: 0

Abstract

Purpose: Lung ultrasound (LUS) has been widely used for detecting pneumonia in children. Although LUS offers multiple advantages, its diagnostic accuracy compared to an imaging gold standard, e.g., computed tomography (CT) is in question. We evaluated the existing literature comparing the use of LUS for diagnosing pneumonia in children to CT.

Methods: PubMed, EMBASE and Scopus databases were searched for relevant studies published from inception to June 13, 2024, using controlled vocabulary (MESH, EMTREE) with keywords.

Results: The initial search identified 1065 articles. After the removal of duplicates (n = 350), the abstracts and titles of 715 studies were screened. 34 relevant studies were reviewed in detail for eligibility and shortlisted to 19 studies. Only 5 usable studies were identified. Of the five studies, three were published in journals that are not indexed in MEDLINE. The study with largest sample size (949 children) reported a sensitivity of LUS of 0.906 with 0.661 accuracy in comparison to chest CT.

Conclusion: There was very limited and relatively low-quality current evidence regarding the accuracy of LUS in comparison to CT for diagnosing pneumonia in children.

查看原文本刊更多论文

儿童肺部感染（肺炎）的循证医学影像与循证医学影像--肺部超声波的诊断准确性。

目的：肺部超声（LUS）已被广泛用于检测儿童肺炎。虽然 LUS 具有多种优势，但与计算机断层扫描（CT）等影像学金标准相比，其诊断准确性仍存在疑问。我们对现有文献进行了评估，将 LUS 用于诊断儿童肺炎与 CT 进行了比较：方法：使用受控词汇（MESH、EMTREE）和关键词，在 PubMed、EMBASE 和 Scopus 数据库中检索从开始到 2024 年 6 月 13 日发表的相关研究：结果：初步检索发现了 1065 篇文章。去除重复文章（350 篇）后，筛选出 715 篇研究的摘要和标题。对 34 项相关研究的资格进行了详细审查，筛选出 19 项研究。最后只确定了 5 项可用的研究。在这 5 项研究中，有 3 项发表在未被 MEDLINE 索引的期刊上。样本量最大的研究（949 名儿童）报告称，与胸部 CT 相比，LUS 的灵敏度为 0.906，准确度为 0.661：关于 LUS 与 CT 相比诊断儿童肺炎的准确性，目前的证据非常有限，且质量相对较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Pulmonology 医学-呼吸系统

CiteScore

6.00

自引率

12.90%

发文量

468

审稿时长

3-8 weeks

期刊介绍： Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.