RESUMEN
BACKGROUND: The aim of this meta-analysis was to evaluate the diagnostic value of lung ultrasound (LUS) in comparison to chest radiography (CXR) in children with pneumonia. METHODS: Computer-based retrieval was performed on PubMed and EMBASE. Quality was evaluated according to the quality assessment of diagnostic accuracy studies-2, and Meta-Disc was adopted to perform meta-analysis. Heterogeneity was assessed using Q and I statistics. The pooled sensitivity, specificity, and diagnostic odds ratio (DOR) with 95% confidence intervals (CIs) as the primary outcomes were calculated for each index test. RESULTS: Twenty two studies with a total of 2470 patients met the inclusion criteria. Our results showed that the pooled sensitivity, specificity, and DOR for children with pneumonia diagnosed by LUS were 0.95 (95% CI: 0.94 to 0.96), 0.90 (95% CI: 0.87 to 0.92), and 137.49 (95% CI: 60.21 to 313.98), respectively. The pooled sensitivity, specificity, and DOR for pediatric pneumonia diagnosed by CXR was 0.91 (95% CI: 0.90 to 0.93), 1.00 (95% CI: 0.99 to 1.00), and 369.66 (95% CI: 137.14 to 996.47), respectively. Four clinical signs, including pulmonary consolidation, positive air bronchogram, abnormal pleural line, and pleural effusion were most frequently observed using LUS in the screening of children with pneumonia. CONCLUSIONS: The available evidence suggests that LUS is a reliable, valuable, and alternative method to CXR for the diagnosis of pediatric pneumonia.
Asunto(s)
Neumonía/diagnóstico , Radiografía Torácica/métodos , Ultrasonografía/métodos , Adolescente , Factores de Edad , Broncografía/métodos , Broncografía/normas , Niño , Preescolar , Humanos , Lactante , Pulmón/diagnóstico por imagen , Derrame Pleural/patología , Neumonía/diagnóstico por imagen , Neumonía/patología , Radiografía Torácica/normas , Sensibilidad y Especificidad , Factores Sexuales , Ultrasonografía/normasAsunto(s)
Vigilancia de la Población/métodos , Respiración Artificial/efectos adversos , Lesión Pulmonar Inducida por Ventilación Mecánica/diagnóstico , Broncografía/métodos , Broncografía/normas , Centers for Disease Control and Prevention, U.S. , Diagnóstico Diferencial , Humanos , Hipoxia , Neumonía Asociada al Ventilador/diagnóstico , Neumonía Asociada al Ventilador/fisiopatología , Estados Unidos , Lesión Pulmonar Inducida por Ventilación Mecánica/clasificación , Lesión Pulmonar Inducida por Ventilación Mecánica/fisiopatologíaRESUMEN
Radiologic examination of the chest in patients with or suspected of bronchial carcinoma remains to play a key role in tumour detection and the subsequent management of these patients. As no uniformity exists about the type(s) of radiologic investigation of the chest, an inquiry was held among the radiologic departments of all major hospitals in the Netherlands in 1980. The results are discussed.
