Comparison Between Lung Ultrasonography and Chest X-Ray in The Diagnosis of Respiratory Distress Syndrome in Preterm Neonates in Dr. Soetomo General Hospital Surabaya, Indonesia

Abstract

Background: Respiratory Distress Syndrome (RDS) is one of the most common cause of respiratory emergency and death in preterm neonates, due to lung immaturity. Chest X-rays take time to implement and interpret. Pulmonary ultrasonography has been developed as a diagnostic modality for neonatal respiratory distress syndrome. The objective of this study is to analyze the comparison of chest X-ray examination and lung ultrasound in the diagnosis of respiratory distress syndrome in preterm neonates. Study design: This study was conducted from July until September 2019. Lung ultrasound was performed on 33 preterm neonates with gestational age ≤ 34 weeks. The x-ray instrument used was the Sirius star mobile x-ray unit, and the ultrasound device used was the GE V-Scan dual probe. Statistical analysis test was carried out using the McNemar and Kappa test. Results: Subjects with mean gestation age of 29.64 weeks and birth weight of 1,230 grams. The A-line abnormality was seen in 4 samples. Accompanied by a double lung point image and alveolarinterstitial syndrome. There was no lung pulse or pleura effusion in all samples. The Mc Nemar statistical test value stated that there was no significant difference between the two instruments, with a significant Kappa result of p<0.05 and a value of 0.633. Conclusion: Lung ultrasound can be used as a more rational approach to diagnosing and treating Respiratory Distress Syndrome (RDS).