Air bronchogram integrated lung ultrasound score to monitor community-acquired pneumonia in a pilot pediatric population.
Air bronchogram
Children
Imaging
Pneumonia
Score
Ultrasound
Journal
Journal of ultrasound
ISSN: 1876-7931
Titre abrégé: J Ultrasound
Pays: Italy
ID NLM: 101315005
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
04
11
2020
accepted:
26
11
2020
pubmed:
8
1
2021
medline:
5
11
2021
entrez:
7
1
2021
Statut:
ppublish
Résumé
Chest ultrasound is a non-invasive method for evaluating children with suspected community-acquired pneumonia (CAP). We evaluated the prognostic role of change of ultrasonographic (US) air bronchogram in management of CAP in terms of: rate of complicated CAP, change of empiric antibiotic therapy, relationship to defervescence time, and length of hospitalization. Patients with CAP and radiographic evidence of lung consolidation were prospectively enrolled. Chest US examinations were performed within 12 h from admission and after 48 h. A new grading system (USINCHILD score) based on presence and features of air bronchogram was adopted. Thirty six patients were stratified into two groups according to the presence of an increase of at least 1 grade of US score (Δ US grade), expression of an improvement of lung consolidation. Δ US grade after 48 h ≥ 1 was associated with an increased risk of complicated CAP (p value 0.027) and a longer defervescence time (p value 0.036). Moreover, Δ US grade ≥ 1 was predictive of a short hospitalization (p value 0.008). USINCHILD score could be an innovative biotechnology tool for the management of pediatric CAP. NCT03556488, June 14, 2018.
Identifiants
pubmed: 33409860
doi: 10.1007/s40477-020-00547-7
pii: 10.1007/s40477-020-00547-7
pmc: PMC7787130
doi:
Banques de données
ClinicalTrials.gov
['NCT03556488']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
191-200Références
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