Evidence map›Paper›PMID 39272706›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Handheld Ultrasound Devices Used by Newly Certified Operators for Pneumonia in the Emergency Department-A Diagnostic Accuracy Study.

Morten Jongshøj Lorentzen, Anne Heltborg Kristensen, Frida Poppius Kaldan, Mariana Bichuette Cartuliares, Mathias Amdi Hertz, Jens Juel Specht, Stefan Posth, Mats Jacob Hermansson Lindberg, Søren Helbo Skaarup, Meinhard Reinert Hansen and 6 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

16 authors.

Morten Jongshøj LorentzenDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.ORCID 0000-0002-3326-0904
Anne Heltborg KristensenDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.ORCID 0000-0001-6451-2978
Frida Poppius KaldanDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.
Mariana Bichuette CartuliaresDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.ORCID 0000-0003-0923-6960
Mathias Amdi HertzDepartment of Infectious Diseases, Odense University Hospital, 5000 Odense, Denmark.ORCID 0000-0002-8064-7642
Jens Juel SpechtDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.
Stefan PosthDepartment of Clinical Research, University of Southern Denmark, 5000 Odense, Denmark.
Mats Jacob Hermansson LindbergDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.
Søren Helbo SkaarupDepartment of Respiratory Diseases and Allergy, Aarhus University Hospital, 8000 Aarhus, Denmark.
Meinhard Reinert HansenDepartment of Radiology, Odense University Hospital, 5000 Odense, Denmark.
Camilla Stræde SpileDepartment of Radiology, Odense University Hospital, 5000 Odense, Denmark.
Michael Brun AndersenDepartment of Radiology, Copenhagen University Hospital Herlev and Gentofte, 2200 Copenhagen, Denmark.ORCID 0000-0003-4886-5620
Ole GraumannDepartment of Radiology, Aarhus University Hospital, 8000 Aarhus, Denmark.
Christian Backer MogensenDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.
Helene Skjøt-ArkilDepartment of Emergency Medicine, University Hospital of Southern Denmark, 6200 Aabenraa, Denmark.ORCID 0000-0002-2236-6375
Christian B LaursenDepartment of Respiratory Medicine, Odense University Hospital, 5000 Odense, Denmark.

Funding

A.P. Møller og Hustru Chastine Mc-Kinney Møllers Fond N/ARegion of Southern Denmark N/AUniversity of Southern Denmark N/A
6 · The paper itself

Abstract

The diagnostic accuracy of handheld ultrasound (HHUS) devices operated by newly certified operators for pneumonia is unknown. This multicenter diagnostic accuracy study included patients prospectively suspected of pneumonia from February 2021 to February 2022 in four emergency departments. The index test was a 14-zone focused lung ultrasound (FLUS) examination, with consolidation with air bronchograms as diagnostic criteria for pneumonia. FLUS examinations were performed by newly certified operators using HHUS. The reference standard was computed tomography (CT) and expert diagnosis using all medical records. The sensitivity and specificity of FLUS and chest X-ray (CXR) were compared using McNemar's test. Of the 324 scanned patients, 212 (65%) had pneumonia, according to the expert diagnosis. FLUS had a sensitivity of 31% (95% CI 26-36) and a specificity of 82% (95% CI 78-86) compared with the experts' diagnosis. Compared with CT, FLUS had a sensitivity of 32% (95% CI 27-37) and specificity of 81% (95% CI 77-85). CXR had a sensitivity of 66% (95% CI 61-72) and a specificity of 76% (95% CI 71-81) compared with the experts' diagnosis. Compared with CT, CXR had a sensitivity of 69% (95% CI 63-74) and a specificity of 68% (95% CI 62-72). Compared with the experts' diagnosis and CT diagnosis, FLUS performed by newly certified operators using HHUS devices had a significantly lower sensitivity for pneumonia when compared to CXR (

Indexed as

diagnostic accuracyemergency departmenthandheld ultrasoundlung ultrasoundnovicepneumonia

Identifiers

PMID39272706
PMCPMC11394211

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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.