ArticleMedicine2016
Lung ultrasound and chest x-ray for detecting pneumonia in an acute geriatric ward.
Article in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 112 citations in OpenAlex.
- Point-of-care lung ultrasound in detecting pneumonia: A systematic review.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2024Pooled it
- Recommendations for Lung Ultrasound in Internal Medicine.Diagnostics (Basel, Switzerland) · 2020Guideline
- Pooled it
- Lung disease in crisponi/cold-induced sweating syndrome type 1: expanding the clinical phenotype spectrum.European journal of pediatrics · 2026Article
- Acute medical care resource utilization of frail older patients presenting at the emergency department.European geriatric medicine · 2026Article
- Current use and practices of lung ultrasound in geriatric care: insights from a national survey.Aging clinical and experimental research · 2026Article
- Observational
- Lung ultrasound in pneumonia: a guide for effective implementation.Internal and emergency medicine · 2025Review
- Integrated Lung, Diaphragm and Lower Limb Muscular Ultrasound: Clinical Correlations in Geriatric Patients with Acute Respiratory Illness.Diagnostics (Basel, Switzerland) · 2025Article
- Comparing Ultrasound, Chest X-Ray, and CT Scan for Pneumonia Detection.Medical devices (Auckland, N.Z.) · 2025Review
- Deep Learning for Pneumonia Detection in Chest X-ray Images: A Comprehensive Survey.Journal of imaging · 2024Review
- Article
- [Geriatric ultrasound : Prospective evaluation of ultrasound as extended screening in acute geriatric patients].Zeitschrift fur Gerontologie und Geriatrie · 2023Article
- Advancing healthcare through thoracic ultrasound research in older patients.Aging clinical and experimental research · 2023Review
- The Role of Ultrasound in the Diagnosis of Pulmonary Infection Caused by Intracellular, Fungal Pathogens and Mycobacteria: A Systematic Review.Diagnostics (Basel, Switzerland) · 2023Review
- B-mode ultrasound and contrast-enhanced ultrasound for evaluation of pneumonia: A pictorial essay.Australasian journal of ultrasound in medicine · 2023Review
- Lung Ultrasound in Coronary Care Unit, an Important Diagnostic Tool for Concomitant Pneumonia.Diagnostics (Basel, Switzerland) · 2022Article
- Aspiration pneumonia in children with neurological disorders: a new indication for lung ultrasound? A case series.Journal of ultrasound · 2022Article
- Article
- A Pilot Study of the Efficacy and Economical Sustainability of Acute Coronavirus Disease 2019 Patient Management in an Outpatient Setting.Frontiers in medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOur aim was to compare the accuracy of lung ultrasound (LUS) and standard chest x-ray (CXR) for diagnosing pneumonia in older patients with acute respiratory symptoms (dyspnea, cough, hemoptysis, and atypical chest pain) admitted to an acute-care geriatric ward.
methodsWe enrolled 169 (80 M, 89 F) multimorbid patients aged 83.0 ± 9.2 years from January 1 to October 31, 2015. Each participant underwent CXR and bedside LUS within 6 hours from ward admission. LUS was performed by skilled clinicians, blinded to CXR results and clinical history. The final diagnosis (pneumonia vs no-pneumonia) was established by another clinician reviewing clinical and laboratory data independent of LUS results and possibly prescribing chest contrast-enhanced CT. Diagnostic parameters of CXR and LUS were compared with McNemar test on the whole cohort and after stratification for Rockwood Clinical Frailty Scale.
resultsDiagnostic accuracy for pneumonia (96 patients) was significantly higher in LUS (0.90, 95% confidence interval [CI] 0.83-0.96) compared with CXR (0.67, 95%CI 0.60-0.74, P < 0.001). LUS had a better sensitivity (0.92, 95%CI 0.86-0.97 vs 0.47, 95%CI 0.37-0.57) and negative predictive value (0.95, 95% CI 0.83-0.96 vs 0.57, 95%CI 0.48-0.56). In those patients with frailty (n = 87 with Rockwood Clinical Frailty Scale ≥5), LUS maintained a high diagnostic accuracy, but CXR did not (P = 0.0003). Interobserver agreement for LUS, calculated in a subsample of 29 patients, was high (k = 0.90).
conclusionsIn multimorbid patients admitted to an acute geriatric ward, LUS was more accurate than CXR for the diagnosis of pneumonia, particularly in those with frailty. A wider use of LUS should be implemented in this setting.
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Registered trials
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