Validity of Lung Ultrasound: Is an Image Worth More Than a Thousand Sounds?

LUS lung auscultation ultrasound

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
25 May 2021
Historique:
received: 23 04 2021
revised: 19 05 2021
accepted: 21 05 2021
entrez: 2 6 2021
pubmed: 3 6 2021
medline: 3 6 2021
Statut: epublish

Résumé

There is debate as to whether lung-ultrasound (LUS) can replace lung-auscultation (LA) in the assessment of respiratory diseases. The diagnostic validity, safety, and reliability of LA and LUS were analyzed in patients admitted in a pulmonary ward due to decompensated obstructive airway diseases, decompensated interstitial diseases, and pulmonary infections, in a prospective study. Standard formulas were used to calculate the diagnostic sensitivity, specificity, and accuracy. The interobserver agreement with respect to the LA and LUS findings was evaluated based on the Kappa coefficient (ᴋ). A total of 115 patients were studied. LUS was more sensitive than the LA in evaluating pulmonary infections (93.59% vs. 77.02%; There is a greater interobserver agreement in the interpretation of LUS-findings compared to that of LA-noises, their combined use improves diagnostic performance in all diseases examined.

Identifiants

pubmed: 34070387
pii: jcm10112292
doi: 10.3390/jcm10112292
pmc: PMC8197462
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Cristina Ramos-Hernández (C)

Hospital Alvaro Cunqueiro, Department of Pneumology, Neumo Vigo I + i, Institute of Health Research Galicia South (IISGS), 36312 Vigo, Spain.

Maribel Botana-Rial (M)

Hospital Alvaro Cunqueiro, Department of Pneumology, Neumo Vigo I + i, Institute of Health Research Galicia South (IISGS), 36312 Vigo, Spain.

Marta Núñez-Fernández (M)

Hospital Alvaro Cunqueiro, Department of Pneumology, Neumo Vigo I + i, Institute of Health Research Galicia South (IISGS), 36312 Vigo, Spain.

Irene Lojo-Rodríguez (I)

Hospital Alvaro Cunqueiro, Department of Pneumology, Neumo Vigo I + i, Institute of Health Research Galicia South (IISGS), 36312 Vigo, Spain.

Cecilia Mouronte-Roibas (C)

Hospital Alvaro Cunqueiro, Department of Pneumology, Neumo Vigo I + i, Institute of Health Research Galicia South (IISGS), 36312 Vigo, Spain.

Ángel Salgado-Barreira (Á)

Methodology and Statistics Unit, Galicia Sur Health Research Institute (IISGS), 36312 Vigo, Spain.

Alberto Ruano-Raviña (A)

Department of Preventive and Public Health, Faculty of Medicine, University of Santiago de Compostela, 15705 Santiago de Compostela, Spain.
Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiología y Salud Pública, CIBERESP), 28029 Madrid, Spain.
Instituto de Investigaciones Sanitarias de Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain.

Alberto Fernández-Villar (A)

Hospital Alvaro Cunqueiro, Department of Pneumology, Neumo Vigo I + i, Institute of Health Research Galicia South (IISGS), 36312 Vigo, Spain.

Classifications MeSH