The Associations Between Lung Ultrasonography Scores in the First Day of Life and Clinical Outcomes.
clinical outcomes
lung ultrasound score
newborn
noninvasive ventilation failure
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
revised:
08
02
2021
received:
26
11
2020
accepted:
29
03
2021
pubmed:
20
4
2021
medline:
18
1
2022
entrez:
19
4
2021
Statut:
ppublish
Résumé
To investigate the role of lung ultrasonography (LU) in predicting noninvasive ventilation (NIV) failure and the relationship between lung ultrasonography scores (LUS) with clinical outcomes in neonatal respiratory failure (NRF). A prospective, cross-sectional study was conducted in newborns with NRF who needed NIV and were evaluated by LU. The first LUS (LUS1) was calculated at 2-6 hours and the second (LUS2) at 12-24 hours of life. The patients were divided into NIV failure and NIV non-failure groups. The relationship between LUS and clinical outcomes was evaluated. Among 157 neonates, the median (interquartile range) of gestational week and birth weight were 37 weeks (34-39), and 2890 grams (2045-3435), respectively. The reasons for NRF were transient tachypnea of the newborn (n = 92, 58.6%), congenital pneumonia (n = 58, 36.9%), and respiratory distress syndrome (n = 7, 4.5%). The rate of NIV failure was 17.8% (n = 28). Both LUS1 and LUS2 were significantly higher in neonates with NIV failure compared to neonates with NIV non-failure (P = .001). A cutoff value of LUS1 ≥ 4 predicted NIV failure with 96% sensitivity and 63% specificity. There were positive correlations between LUS and PEEP values, IMV and total MV days, carbon dioxide values, length of hospital stay, and antibiotic days (ρ Lung ultrasound scores were higher in neonates with NIV failure than with NIV non-failure group, and strongly correlated with end-expiratory pressure values. Lung ultrasound scores were found to be related with some of the clinical outcomes of the NRF, and this suggested that LUS could provide information about the prognosis of NRF.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
417-425Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021 American Institute of Ultrasound in Medicine.
Références
Corsini I, Parri N, Gozzini E, et al. Lung ultrasound for the differential diagnosis of respiratory distress in neonates. Neonatology 2019; 115:77-84.
Rachuri H, Oleti TP, Murki S, Subramanian S, Nethagani J. Diagnostic performance of point of care ultrasonography in identifying the etiology of respiratory distress in neonates. Indian J Pediatr 2017; 84:267-270.
Miall L, Wallis S. The management of respiratory distress in the moderately preterm newborn infant. Arch Dis Child Educ Pract Ed 2011; 96:128-135.
Liu J, Chen XX, Li XW, Chen SW, Wang Y, Fu W. Lung ultrasonography to diagnose transient tachypnea of the newborn. Chest 2016; 149:1269-1275.
Lemyre B, Laughon M, Bose C, Davis PG. Early nasal intermittent positive pressure ventilation (NIPPV) versus early nasal continuous positive airway pressure (NCPAP) for preterm infants. Cochrane Database Syst Rev 2016; 12:CD005384. https://doi.org/10.1002/14651858.CD005384.pub2.
Dumpa V, Bhandari V. Surfactant, steroids and non-invasive ventilation in the prevention of BPD. Semin Perinatol 2018; 42:444-452.
Hiles M, Culpan AM, Watts C, Munyombwe T, Wolstenhulme S. Neonatal respiratory distress syndrome: chest X-ray or lung ultrasound? A systematic review. Ultrasound 2017; 25:80-91.
Liu J, Lovrenski J, Ye Hlaing A, Kurepa D. Neonatal lung diseases: lung ultrasound or chest x-ray. J Matern Fetal Neonatal Med 2019; 34:1177-1182.
Razak A, Faden M. Neonatal lung ultrasonography to evaluate need for surfactant or mechanical ventilation: a systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed 2020; 105:164-171.
Gregorio-Hernández R, Arriaga-Redondo M, Pérez-Pérez A, Ramos-Navarro C, Sánchez-Luna M. Lung ultrasound in preterm infants with respiratory distress: experience in a neonatal intensive care unit. Eur J Pediatr 2020; 179:81-89.
Islam M, Levitus M, Eisen L, Shiloh AL, Fein D. Lung ultrasound for the diagnosis and Management of Acute Respiratory Failure. Lung 2020; 198:1-11.
Copetti R, Cattarossi L. The 'double lung point': an ultrasound sign diagnostic of transient tachypnea of the newborn. Neonatology 2007; 91:203-209.
Copetti R, Cattaossi L, Macagno F, Violino M, Furlan R. Lung ultrasound in respiratory distress syndrome: a useful tool for early diagnosis. Neonatology 2008; 94:52-59.
Raimondi F, Migliaro F, Sodano A, et al. Use of neonatal chest ultrasound to predict noninvasive ventilation failure. Pediatrics 2014; 134:1089-1094.
Dargaville PA, Aiyappan A, De Paoli AG, et al. Continuous positive airway pressure failure in preterm infants: incidence, predictors and consequences. Neonatology 2013; 104:8-14.
Brat R, Yousef N, Klifa R, Reynaud S, Shankar Aquilera S, De Luca D. Lung ultrasonography score to evaluate Oxygenization and surfactant need in neonates treated with continuous positive airway pressure. JAMA Pediatr 2015; 169:e151797.
Liu J. The lung ultrasound score cannot accurately evaluate the severity of neonatal lung disease. J Ultrasound Med 2020; 39:1015-1020.
Oygür N, Önal EE, Zenciroğlu A. National guidelines for delivery room management. Turk Pediatri Ars 2018; 53:S3-S17.
Perlman JM, Wyllie J, Kattwinkel J, et al. Part 7: neonatal resuscitation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation 2015; 132:S204-S241.
Sweet DG, Carnielli V, Greisen G, et al. European consensus guidelines on the Management of Respiratory Distress Syndrome - 2019 update. Neonatology 2019; 115:432-450.
Richardson DK, Corcoran JD, Escobar GJ, Lee SK. SNAP-II and SNAPPE-II: simplified newborn illness severity and mortality risk scores. J Pediatr 2001; 138:92-100.
Rodríguez-Fanjul J, Balcells C, Aldecoa-Bilbao V, Moreno J, Iriondo M. Lung ultrasound as a predictor of mechanical ventilation in neonates older than 32 weeks. Neonatology 2016; 110:198-203.
Raimondi F, Migliaro F, Sodano A, et al. Can neonatal lung ultrasound monitor fluid clearance and predict the need of respiratory support? Crit Care 2012; 16:R220.
De Martino L, Yousef N, Ben-Ammar R, Raimondi F, Shankar-Aquilera S, De Luca D. Lung ultrasound score predicts surfactant need in extremely preterm neonates. Pediatrics 2018; 142:e20180463.
Federici M, Federici PV, Feleppa F, et al. Pulmonary ultrasonography in the follow-up of respiratory distress syndrome on preterm newborns, Reduction of X-ray exposure. J Ultrasound 2011; 14:78-83.
King A, Blank D, Bhatia R, Marzbanrad F, Malhotra A. Tools to assess lung aeration in neonates with respiratory distress syndrome. Acta Paediatr 2020; 109:667-678.
Corsini I, Parri N, Ficial B, Dani C. Lung ultrasound in the neonatal intensive care unit: review of the literature and future perspectives. Pediatr Pulmonol 2020; 55:1550-1562.
Perri A, Riccardi R, Iannotta R, et al. Lung ultrasonography score versus chest X-ray score to predict surfactant administration in newborns with respiratory distress syndrome. Pediatr Pulmonol 2018; 53:1231-1236.