Scholarlink

<p>Lung ultrasound (LUS) is an emerging radiation-free diagnostic tool with significant promise for identifying the causes of respiratory symptoms in hospitalized children. We conducted a prospective cohort study of 65 pediatric patients to evaluate the accuracy of LUS in determining the etiology of acute respiratory illness compared to an expert panel’s final clinical diagnosis, and secondarily to chest X-ray (CXR). LUS examinations were performed within 24&#xa0;h of admission by an investigator blinded to CXR results, and the final diagnoses were established by a committee blinded to LUS findings. LUS demonstrated high diagnostic accuracy, correctly identifying the respiratory illness etiology in 92.3% of cases, with near-perfect agreement (κ = 0.86) with the final diagnosis. Sensitivity and specificity were high across etiologies, including bacterial pneumonia, viral infections, and asthma exacerbations. LUS also outperformed CXR in determining the cause of illness. Integrating LUS findings with clinical and laboratory data allowed effective differentiation between bacterial and viral infections, highlighting LUS as a safer and more accurate alternative to CXR. Our findings support the integration of LUS into pediatric respiratory care and warrant further research to validate its utility on a larger scale.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Lung ultrasound for diagnosing etiology of respiratory illnesses in hospitalized children

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月28日

查看全文
  • Ali Ismail,
  • Christian Sadaka,
  • Dima Khreis,
  • Ahmad Hijazi,
  • Zeinab Sweid,
  • Faysal Tabbara,
  • Maysaa Slika,
  • Hawraa Raoof,
  • Nour Adra,
  • Jana Ayash,
  • Rita Sebaaly,
  • Sana Kalaji,
  • Ali Hijazi,
  • Jihane Moukhaiber,
  • Nisrine Ghalayini,
  • Ziyad R. Mahfoud,
  • Marianne Nimah Majdalani,
  • Salman Mroueh

摘要

Lung ultrasound (LUS) is an emerging radiation-free diagnostic tool with significant promise for identifying the causes of respiratory symptoms in hospitalized children. We conducted a prospective cohort study of 65 pediatric patients to evaluate the accuracy of LUS in determining the etiology of acute respiratory illness compared to an expert panel’s final clinical diagnosis, and secondarily to chest X-ray (CXR). LUS examinations were performed within 24 h of admission by an investigator blinded to CXR results, and the final diagnoses were established by a committee blinded to LUS findings. LUS demonstrated high diagnostic accuracy, correctly identifying the respiratory illness etiology in 92.3% of cases, with near-perfect agreement (κ = 0.86) with the final diagnosis. Sensitivity and specificity were high across etiologies, including bacterial pneumonia, viral infections, and asthma exacerbations. LUS also outperformed CXR in determining the cause of illness. Integrating LUS findings with clinical and laboratory data allowed effective differentiation between bacterial and viral infections, highlighting LUS as a safer and more accurate alternative to CXR. Our findings support the integration of LUS into pediatric respiratory care and warrant further research to validate its utility on a larger scale.