ArticleInternational journal of environmental research and public health2021
Higher Accuracy of Lung Ultrasound over Chest X-ray for Early Diagnosis of COVID-19 Pneumonia.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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The trial behind it
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Who cites it
21 citing papers in PubMed, 31 citations in OpenAlex.
- Comparison of positive pressure extubation with traditional extubation in critically ill patients - a randomised control study.Anaesthesiology intensive therapy · 2023Trial
- Lung ultrasound performed by primary care physicians as a predictive and diagnostic tool in COVID-19 patients.NPJ primary care respiratory medicine · 2026Observational
- 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
- Lung ultrasound is cost-effective for early diagnosis of COVID-19 pneumonia in primary care.BMC pulmonary medicine · 2025Article
- Accuracy of point-of-care ultrasound examination of the lung in primary care performed by general practitioners: a cross-sectional study.BMC primary care · 2025Observational
- Comparing Ultrasound, Chest X-Ray, and CT Scan for Pneumonia Detection.Medical devices (Auckland, N.Z.) · 2025Review
- Clinical and ultrasound characteristics in patients with sars-cov-2 pneumonia, associated with hospitalization prognosis. e-covid project.BMC pulmonary medicine · 2024Article
- Rurality and COVID-19 Outcomes: Unraveling the Impact of Nursing Home Residency Using Bayesian Analysis.Journal of clinical medicine · 2024Article
- Impact of Lung Ultrasound along with C-Reactive Protein Point-of-Care Testing on Clinical Decision-Making and Perceived Usefulness in Routine Healthcare for Patients with Lower Respiratory Tract Infections: Protocol for Analytical Observational Study.Journal of clinical medicine · 2024Article
- Point-of-Care Ultrasound for Earlier Detection of Pediatric Pneumonia.Clinical practice and cases in emergency medicine · 2024Article
- Point-of-care lung ultrasound predicts hyperferritinemia and hospitalization, but not elevated troponin in SARS-CoV-2 viral pneumonitis in children.Scientific reports · 2024Article
- Population Older than 69 Had Similar Fatality Rates Independently If They Were Admitted in Nursing Homes or Lived in the Community: A Retrospective Observational Study during COVID-19 First Wave.Geriatrics (Basel, Switzerland) · 2023Article
- Repeated Lung Ultrasound versus Chest X-ray-Which One Predicts Better Clinical Outcome in COVID-19?Tomography (Ann Arbor, Mich.) · 2023Article
- COVID-19 pneumonia: lessons learned, challenges, and preparing for the future.Diagnostic and interventional radiology (Ankara, Turkey) · 2022Article
- The quality, safety, feasibility, and interpretive accuracy of echocardiographic and lung ultrasound assessment of COVID-19 patients using a hand-held ultrasound.Echocardiography (Mount Kisco, N.Y.) · 2022Article
- Artificial Intelligence-Based Detection of Pneumonia in Chest Radiographs.Diagnostics (Basel, Switzerland) · 2022Article
- Observational
- A Pilot Study of the Efficacy and Economical Sustainability of Acute Coronavirus Disease 2019 Patient Management in an Outpatient Setting.Frontiers in medicine · 2022Article
- Diagnostic Modalities in Critical Care: Point-of-Care Approach.Diagnostics (Basel, Switzerland) · 2021Review
- The Risk of Hospitalization in COVID-19 Patients Can Be Predicted by Lung Ultrasound in Primary Care.International journal of environmental research and public health · 2021Observational
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic rapidly strained healthcare systems worldwide. The reference standard for diagnosis is a positive reverse transcription polymerase chain reaction (RT-PCR) test, but results are not immediate and sensibility is variable.
aimTo evaluate the diagnostic accuracy of lung ultrasound compared to chest X-ray for COVID-19 pneumonia. DESIGN AND
settingA retrospective analysis of symptomatic patients admitted into one primary care centre in Spain between March and September 2020.
methodPatients' chest X-rays and lung ultrasounds were categorized as normal or pathologic. RT-PCR confirmed COVID-19 infection. Pathologic lung ultrasound images were further categorized as showing either local or diffuse interstitial disease. McNemar and Fisher tests were used to compare diagnostic accuracy.
resultsMost of the 212 patients presented fever at admission, either as a standalone symptom (37.74% of patients) or together with others (72.17% of patients). The positive predictive value of the lung ultrasound was 90% for the diffuse interstitial pattern and 46.92% for local pattern. The lung ultrasound had a significantly higher sensitivity (82.75%) (
conclusionThe lung ultrasound is more accurate than the chest X-ray for identifying patients with COVID-19 pneumonia and it is especially useful for those presenting diffuse interstitial disease.
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