Elsa A van Wassenaer, Angelika Kindermann, Tim G J de Meij, Johan E van Limbergen, Geert R D'Haens, Marc A Benninga, Bart G P Koot
{"title":"点护理超声提供了有用的信息,儿童克罗恩病访问门诊诊所。","authors":"Elsa A van Wassenaer, Angelika Kindermann, Tim G J de Meij, Johan E van Limbergen, Geert R D'Haens, Marc A Benninga, Bart G P Koot","doi":"10.1002/jpn3.70120","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Point-of-care ultrasound (POCUS) is increasingly used in clinical practice. However, it's additional value next to conventional markers of disease activity has not been studied in paediatric Crohn's disease (CD). This study aimed to assess the clinical added value of POCUS in children with CD.</p><p><strong>Methods: </strong>Consecutive children with CD visiting the outpatient clinic were prospectively enrolled and underwent POCUS in addition to faecal calprotectin (FC) test and mucosal inflammation noninvasive index for paediatric Crohn's disease (MINI-index) assessment. Both tests were categorised into normal, uncertain and abnormal. Paediatric gastroenterologists decided on clinical management before and after POCUS disclosure. Predictive value of POCUS for clinical flares within 4 months was assessed. Outcomes were the proportion (95% CI) of patients where POCUS result was discordant from FC and MINI-index, proportion of patients where POCUS changed clinical management, and predictive values of POCUS for clinical disease flares.</p><p><strong>Results: </strong>We included 76 patients (median age: 16 years, 34 (45%) female, median disease duration: 2 years). In 7 (9% (4%-18%)), and 2 (3% (0%-9%)) patients, the POCUS resulted in a less severe classification and in 43 (57% (45%-70%)), and 44 (58% (46%-69%)), in a more severe classification of disease severity compared to FC and MINI-index, respectively. Clinical management was adjusted in 46 (58%) cases after POCUS result disclosure. The positive and negative predictive value for clinical flares within 4 months of an abnormal POCUS were 71 (57%-82)% and 74 (64%-83)%, respectively.</p><p><strong>Conclusions: </strong>POCUS seems a valuable noninvasive monitoring tool for children with CD. Our results support the application of POCUS in the clinical management of these children.</p>","PeriodicalId":16694,"journal":{"name":"Journal of Pediatric Gastroenterology and Nutrition","volume":" ","pages":"562-569"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409054/pdf/","citationCount":"0","resultStr":"{\"title\":\"Point-of-care ultrasound provides useful information in children with Crohn's disease visiting the outpatient clinic.\",\"authors\":\"Elsa A van Wassenaer, Angelika Kindermann, Tim G J de Meij, Johan E van Limbergen, Geert R D'Haens, Marc A Benninga, Bart G P Koot\",\"doi\":\"10.1002/jpn3.70120\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Point-of-care ultrasound (POCUS) is increasingly used in clinical practice. However, it's additional value next to conventional markers of disease activity has not been studied in paediatric Crohn's disease (CD). This study aimed to assess the clinical added value of POCUS in children with CD.</p><p><strong>Methods: </strong>Consecutive children with CD visiting the outpatient clinic were prospectively enrolled and underwent POCUS in addition to faecal calprotectin (FC) test and mucosal inflammation noninvasive index for paediatric Crohn's disease (MINI-index) assessment. Both tests were categorised into normal, uncertain and abnormal. Paediatric gastroenterologists decided on clinical management before and after POCUS disclosure. Predictive value of POCUS for clinical flares within 4 months was assessed. Outcomes were the proportion (95% CI) of patients where POCUS result was discordant from FC and MINI-index, proportion of patients where POCUS changed clinical management, and predictive values of POCUS for clinical disease flares.</p><p><strong>Results: </strong>We included 76 patients (median age: 16 years, 34 (45%) female, median disease duration: 2 years). In 7 (9% (4%-18%)), and 2 (3% (0%-9%)) patients, the POCUS resulted in a less severe classification and in 43 (57% (45%-70%)), and 44 (58% (46%-69%)), in a more severe classification of disease severity compared to FC and MINI-index, respectively. Clinical management was adjusted in 46 (58%) cases after POCUS result disclosure. The positive and negative predictive value for clinical flares within 4 months of an abnormal POCUS were 71 (57%-82)% and 74 (64%-83)%, respectively.</p><p><strong>Conclusions: </strong>POCUS seems a valuable noninvasive monitoring tool for children with CD. Our results support the application of POCUS in the clinical management of these children.</p>\",\"PeriodicalId\":16694,\"journal\":{\"name\":\"Journal of Pediatric Gastroenterology and Nutrition\",\"volume\":\" \",\"pages\":\"562-569\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409054/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Gastroenterology and Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jpn3.70120\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/22 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Gastroenterology and Nutrition","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jpn3.70120","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/22 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Point-of-care ultrasound provides useful information in children with Crohn's disease visiting the outpatient clinic.
Objectives: Point-of-care ultrasound (POCUS) is increasingly used in clinical practice. However, it's additional value next to conventional markers of disease activity has not been studied in paediatric Crohn's disease (CD). This study aimed to assess the clinical added value of POCUS in children with CD.
Methods: Consecutive children with CD visiting the outpatient clinic were prospectively enrolled and underwent POCUS in addition to faecal calprotectin (FC) test and mucosal inflammation noninvasive index for paediatric Crohn's disease (MINI-index) assessment. Both tests were categorised into normal, uncertain and abnormal. Paediatric gastroenterologists decided on clinical management before and after POCUS disclosure. Predictive value of POCUS for clinical flares within 4 months was assessed. Outcomes were the proportion (95% CI) of patients where POCUS result was discordant from FC and MINI-index, proportion of patients where POCUS changed clinical management, and predictive values of POCUS for clinical disease flares.
Results: We included 76 patients (median age: 16 years, 34 (45%) female, median disease duration: 2 years). In 7 (9% (4%-18%)), and 2 (3% (0%-9%)) patients, the POCUS resulted in a less severe classification and in 43 (57% (45%-70%)), and 44 (58% (46%-69%)), in a more severe classification of disease severity compared to FC and MINI-index, respectively. Clinical management was adjusted in 46 (58%) cases after POCUS result disclosure. The positive and negative predictive value for clinical flares within 4 months of an abnormal POCUS were 71 (57%-82)% and 74 (64%-83)%, respectively.
Conclusions: POCUS seems a valuable noninvasive monitoring tool for children with CD. Our results support the application of POCUS in the clinical management of these children.
期刊介绍:
The Journal of Pediatric Gastroenterology and Nutrition (JPGN) provides a forum for original papers and reviews dealing with pediatric gastroenterology and nutrition, including normal and abnormal functions of the alimentary tract and its associated organs, including the salivary glands, pancreas, gallbladder, and liver. Particular emphasis is on development and its relation to infant and childhood nutrition.