Evidence map›Paper›PMID 26345533›Full record

ArticleInternal and emergency medicine2015

Lung ultrasound for diagnosis of pneumonia in emergency department.

Antonio Pagano, Fabio Giuliano Numis, Giuseppe Visone, Concetta Pirozzi, Mario Masarone, Marinella Olibet, Rodolfo Nasti, Fernando Schiraldi, Fiorella Paladino

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In one paragraph

Article in Internal and emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Antonio PaganoEmergency department, Cardarelli Hospital, Neaples, Italy. antoniopag@fastwebnet.it.
Fabio Giuliano NumisEmergency department, San Paolo Hospital, Neaples, Italy.
Giuseppe VisoneEmergency department, Cardarelli Hospital, Neaples, Italy.
Concetta PirozziEmergency department, San Paolo Hospital, Neaples, Italy.
Mario MasaroneDepartment of Medicine and Surgery, University of Salerno, Salerno, Italy.
Marinella OlibetEmergency department, Cardarelli Hospital, Neaples, Italy.
Rodolfo NastiEmergency department, Cardarelli Hospital, Neaples, Italy.
Fernando SchiraldiEmergency department, San Paolo Hospital, Neaples, Italy.
Fiorella PaladinoEmergency department, Cardarelli Hospital, Neaples, Italy.
Ospedale San Paolo · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung ultrasound (LUS) in the emergency department (ED) has shown a significant role in the diagnostic workup of pulmonary edema, pneumothorax and pleural effusions. The aim of this study is to assess the reliability of LUS for the diagnosis of acute pneumonia compared to chest X-ray (CXR) study. The study was conducted from September 2013 to March 2015. 107 patients were admitted to the ED with a clinical appearance of pneumonia. All the patients underwent a CXR study, read by a radiologist, and an LUS, performed by a trained ED physician on duty. Among the 105 patients, 68 were given a final diagnosis of pneumonia. We found a sensitivity of 0.985 and a specificity of 0.649 for LUS, and a sensitivity of 0.735 and specificity of 0.595 for CXR. The positive predictive value for LUS was 0.838 against 0.7 for CXR. The negative predictive value of LUS was 0.960 versus 0.550 for CXR. This study has shown sensitivity, positive predictive value and negative predictive value of LUS compared to the CXR study for the diagnosis of acute pneumonia. These results suggest the use of bedside thoracic US first-line diagnostic tool in patients with suspected pneumonia.

Indexed as

Emergency Service, HospitalAdultAgedDiagnosis, DifferentialFemaleHumansLungMaleMiddle AgedPleural EffusionPneumoniaPneumothoraxPoint-of-Care SystemsPulmonary EdemaReproducibility of ResultsUltrasonographyChest X-rayLung ultrasoundPneumonia

Identifiers

PMID26345533
OpenAlexW1630300092

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.