Observational studyCardiovascular ultrasound2017
Could the use of bedside lung ultrasound reduce the number of chest x-rays in the intensive care unit?
Observational study in Cardiovascular ultrasound, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 63 papers, 3 of them syntheses that pooled 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.
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.
Use of Point-of-care Lung Ultrasound to Diagnose the Etiology of Acute Respiratory Failure in a Pediatric Intensive Care Unit.
"Correlation Between PaO2/FiO2 and Lung Ultrasound Score in Patients Admitted to an Intensive Care Unit With Interstitial Syndrome: A Prospective Physiological Study"
Who cites it
63 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Cost of Low-Value Imaging Worldwide: A Systematic Review.Applied health economics and health policy · 2024Pooled it
- The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper.World journal of emergency surgery : WJES · 2021Guideline
- Diagnosis Accuracy of Lung Ultrasound for ARF in Critically Ill Patients: A Systematic Review and Meta-Analysis.Frontiers in medicine · 2021Pooled it
- The impact of physiotherapy led lung ultrasound on patient management: A single centre service evaluation.Journal of the Intensive Care Society · 2026Article
- Diagnostic accuracy of lung ultrasound in children with respiratory pathology admitted in a pediatric intensive care unit of a low-resource setting: a single-center experience.Critical care science · 2026Article
- Post-Thoracentesis Ultrasound versus Chest Radiography for the Evaluation of Effusion Evacuation and Lung Reexpansion: A Multicenter Study.Annals of the American Thoracic Society · 2025Article
- Point-of-care lung ultrasound - a rapid and reliable diagnostic tool for emergency physicians treating patients with acute dyspnea in high-volume emergency departments.Emergency radiology · 2025Observational
- Point-of-care ultrasound in nephrology: A private practice viewpoint.World journal of methodology · 2024Review
- Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, and the environment.Intensive care medicine · 2024Article
- [Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit].Anales del sistema sanitario de Navarra · 2024Article
- Impact of routine bedside lung ultrasound implementation on chest x-ray requests for mechanically ventilated children: a before-after uncontrolled quality improvement project.European journal of pediatrics · 2024Article
- Article
- Could lung ultrasound be a valid alternative to ionizing radiation or a complementary diagnostic choice in pediatric respiratory diseases?Translational pediatrics · 2024Article
- Point-of-care ultrasonography spotlight: Could venous excess ultrasound serve as a shared language for internists and intensivists?World journal of critical care medicine · 2024Review
- Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993-2023).The ultrasound journal · 2024Review
- Progress in the Application of Lung Ultrasound for the Evaluation of Neonates with Respiratory Distress Syndrome.Journal of multidisciplinary healthcare · 2024Review
- Seeing through the myths: Practical aspects of diagnostic point-of-care ultrasound in nephrology.World journal of nephrology · 2023Review
- An international survey exploring the adoption and utility of diagnostic lung ultrasound by physiotherapists and respiratory therapists in intensive care.Journal of the Intensive Care Society · 2023Article
- Clinical benefit of AI-assisted lung ultrasound in a resource-limited intensive care unit.Critical care (London, England) · 2023Article
- Pneumothorax detection with thoracic ultrasound as the method of choice in interventional pulmonology - A retrospective single-center analysis and experience.BMC pulmonary medicine · 2023Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLung ultrasound can be used as an alternative to chest radiography (CXR) for the diagnosis and follow-up of various lung diseases in the intensive care unit (ICU). Our aim was to evaluate the influence that introducing a routine daily use of lung ultrasound in critically ill patients may have on the number of CXRs and as a consequence, on medical costs and radiation exposure.
methodsData were collected by conducting a retrospective evaluation of the medical records of adult patients who needed thoracic imaging and were admitted to our academic polyvalent ICU. We compared the number of CXRs and relative costs before and after the introduction of lung ultrasound in our ICU.
resultsA total of 4134 medical records were collected from January 2010 to December 2014. We divided our population into two groups, before (Group A, 1869 patients) and after (Group B, 2265 patients) the introduction of a routine use of LUS in July 2012. Group A performed a higher number of CXRs compared to Group B (1810 vs 961, P = 0.012), at an average of 0.97 vs 0.42 exams per patient. The estimated reduction of costs between Groups A and B obtained after the introduction of LUS, was 57%. No statistically significant difference between the outcome parameters of the two groups was observed.
conclusionsLung ultrasound was effective in reducing the number of CXRs and relative medical costs and radiation exposure in ICU, without affecting patient outcome.
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What OpenQuestion holds
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.