Observational studyPediatric pulmonology2021
Performance of lung ultrasound in the diagnosis of pediatric pneumonia in Mozambique and Pakistan.
Observational study in Pediatric pulmonology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- Training in lung ultrasound for the diagnosis of lower respiratory tract infections in children under five years of age in rural healthcare facilities in Guatemala.Journal of global health · 2026Observational
- POCUS Examination of the Mediastinum in Children: A Simplified and Standardized Protocol for Pulmonary Tuberculosis.POCUS journal · 2025Article
- A Train-the-Trainer Point of Care Ultrasound (POCUS) Program for Pediatric Pneumonia in a Low-Resource Setting.POCUS journal · 2025Article
- Evaluation of the diagnostic performance of physician lung ultrasound versus chest radiography for pneumonia diagnosis in a peri-urban South African cohort.Pediatric radiology · 2024Review
- Enhancing Annotation Efficiency with Machine Learning: Automated Partitioning of a Lung Ultrasound Dataset by View.Diagnostics (Basel, Switzerland) · 2022Article
- Chest radiography in children aged 2-59 months enrolled in the Innovative Treatments in Pneumonia (ITIP) project in Lilongwe Malawi: a secondary analysis.BMC pediatrics · 2022Article
- Paediatric pneumonia research priorities in the context of COVID-19: An eDelphi study.Journal of global health · 2022Article
- Serial lung ultrasounds in pediatric pneumonia in Mozambique and Pakistan.Scientific reports · 2021Observational
- Performance of lung ultrasound in the diagnosis of pediatric pneumonia in Mozambique and Pakistan.Pediatric pulmonology · 2021Observational
- Lung ultrasound patterns in paediatric pneumonia in Mozambique and Pakistan.ERJ open research · 2021Article
Corrections and comments
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Authors and funding
18 authors at 9 institutions in 5 countries.
Funding
Abstract
introductionImproved pneumonia diagnostics are needed in low-resource settings (LRS); lung ultrasound (LUS) is a promising diagnostic technology for pneumonia. The objective was to compare LUS versus chest radiograph (CXR), and among LUS interpreters, to compare expert versus limited training with respect to interrater reliability.
methodsWe conducted a prospective, observational study among children with World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) chest-indrawing pneumonia at two district hospitals in Mozambique and Pakistan, and assessed LUS and CXR examinations. The primary endpoint was interrater reliability between LUS and CXR interpreters for pneumonia diagnosis among children with WHO IMCI chest-indrawing pneumonia.
resultsInterrater reliability was excellent for expert LUS interpreters, but poor to moderate for expert CXR interpreters and onsite LUS interpreters with limited training.
conclusionsAmong children with WHO IMCI chest-indrawing pneumonia, expert interpreters may achieve substantially higher interrater reliability for LUS compared to CXR, and LUS showed potential as a preferred reference standard. For point-of-care LUS to be successfully implemented for the diagnosis and management of pneumonia in LRS, the clinical environment and amount of appropriate user training will need to be understood and addressed.
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