Evidence map›Paper›PMID 26689098›Full record

ArticleThe British journal of radiology2016

First-line diagnosis of paediatric pneumonia in emergency: lung ultrasound (LUS) in addition to chest-X-ray (CXR) and its role in follow-up.

Stefania Ianniello, Claudia Lucia Piccolo, Grazia L Buquicchio, Margherita Trinci, Vittorio Miele

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The British journal of radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03744169 (Use of Point-of-care Lung Ultrasound to Diagnose the Etiology of Acute Respiratory Failure in a Pediatric Intensive Care Unit.), which is not on this map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
3.7field-weighted citation impact, top 7% 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.

NCT03744169 completednot on this mapstarted 2018, after this paper: background citation

Use of Point-of-care Lung Ultrasound to Diagnose the Etiology of Acute Respiratory Failure in a Pediatric Intensive Care Unit.

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2018 to 2020Enrolled88ConditionsPediatric Respiratory Diseases, Respiratory FailureArmsLung ultrasound, Clinical exam, Chest x-ray
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Characterisation of COVID-19 Pandemic in Paediatric Age Group: A Systematic Review and Meta-Analysis.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Review
  8. Article
  9. Review
  10. Point-of-Care Ultrasound for Earlier Detection of Pediatric Pneumonia.Clinical practice and cases in emergency medicine · 2024
    Article
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Review
  16. Chest Computed Tomography (CT) as a Predictor of Clinical Course in Coronavirus Disease.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
  17. Article
  18. Review
  19. Article
  20. Review
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

5 authors at 1 institution in 1 country.

Stefania IannielloDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Claudia Lucia PiccoloDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Grazia L BuquicchioDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Margherita TrinciDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Vittorio MieleDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
IRCCS San Camillo Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe role of lung ultrasound (LUS) integrated with chest X-ray (CXR) for the first-line diagnosis of paediatric pneumonia; to define its role during the follow-up to exclude complications.

methodsWe performed a retrospective review of a cohort including 84 consecutive children (age range: 3-16 years; mean age: 6 years; 44 males, 40 females) with clinical signs of cough and fever. All the patients underwent CXR at admission integrated with LUS. Those positive at LUS were followed up with LUS until the complete resolution of the disease.

resultsCXR showed 47/84 pneumonic findings. LUS showed 60/84 pneumonic findings; 34/60 pneumonic findings had a typical pattern of lung consolidation; 26/60 pneumonic findings showed association of multiple B-lines, findings consistent with interstitial involvement, and small and hidden consolidations not achievable by CXR. One case was negative at LUS because of retroscapular location. 60 patients were followed up with LUS; 28/60 patients showed a complete regression of the disease; 23/60 patients had a significant decrease in size of consolidation; 9/60 patients showed disease stability or insignificant decrease in size, thus requiring adjunctive LUS examinations.

conclusionLUS, integrated with CXR, revealed to be an accurate first-line technique to identify small pneumonic consolidations, especially for "CXR-occult" findings, and for early diagnosis of pleural effusion; furthermore, LUS follow-up allows complications to be verified and additional radiation exposures to be avoided. ADVANCES IN KNOWLEDGE: The effective role of LUS in the diagnosis and follow-up of lung consolidations and pleural effusions in paediatric patients in an emergency setting.

Indexed as

Emergency Medical ServicesAdolescentChildChild, PreschoolCohort StudiesFemaleFollow-Up StudiesHumansLungMalePneumoniaRadiographyReproducibility of ResultsRetrospective StudiesUltrasonography

Identifiers

PMID26689098
PMCPMC4985480
OpenAlexW2247289869

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.