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Data · dataset · 2020

Lung ultrasound to detect pneumothorax in children evaluated for acute chest pain in the emergency department: a prospective study

Listed in Digital Commons Data UniCatt and Teesside University Research Data Repository — shown once because both records carry DOI 10.17632/8wccmn3sgm.2

We addressed the accuracy of Lung Ultrasound (LUS) to detect pneumothorax in children with acute chest pain evaluated in the pediatric Emergency Department (pED).

Description

Methods

We prospectively analyzed patients from 5 to 17 years of age with acute chest pain and clinical suspicion of pneumothorax (PNX) evaluated at a tertiary level pediatric hospital. After clinical examination and before Chest X-Ray (CXR), children underwent LUS to evaluate the presence of PNX. Results We enrolled 77 children, 44 (57,1 %) male, with median age of 10 years and 3 months (IQR 6 years and 9 months - 14 years and 2 months).

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Thirty (39%) children had interstitial lung disease; 20/77 (26%) had pneumonia with or without pleural effusions; 7/77 (9,1%) had thoracic trauma; 7/77 (9,1%) had a final diagnosis of myo/pericarditis and 13 (16,9%) received a final diagnosis of PNX. In all 13 patients LUS showed the “bar-code sign” while in 12 (92,3%) there was the lung point, giving a diagnosis of PNX. All cases were confirmed by CXR.

The lung point had a sensitivity of 92,3% and a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 98,4 % for the detection of PNX. The “bar-code sign” had a sensitivity of 100% and a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 100% for the detection of PNX. Conclusions LUS is highly accurate in detecting or excluding pneumothorax in children with acute chest pain evaluated in the pediatric emergency department.

Importantly, both lung-point and M-mode need to be performed when PNX is suspected.

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Catalogue records · 2

Topics

Inferred from text
Disease 75%
Provenance · 2 source records, 8 field assertions
SourceKeyLast seenRaw
Digital Commons Data UniCattoai:unicatt.digitalcommonsdata.com/8wccmn3sgm.22 d agoJSON v1
Teesside University Research Data Repositoryoai:data.mendeley.com/8wccmn3sgm.215 h agoJSON v1
FieldAssertionExtractorEvidence
access_levelsource · unicatt digitalcommonsdata comconnector:unicatt_digitalcommonsdata_com@1.0.0
concepts[disease].local:disease:diseaseenrichment · unicatt digitalcommonsdata comkeyword-concept-rules@1.0.0title+description (75%)
concepts[field].local:field:earth-environmentalmapping · unicatt digitalcommonsdata comconnector:unicatt_digitalcommonsdata_com@1.0.0
concepts[field].local:field:earth-environmentalmapping · researchdata tees ac ukconnector:researchdata_tees_ac_uk@1.0.0
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licensesource · unicatt digitalcommonsdata comconnector:unicatt_digitalcommonsdata_com@1.0.0/metadata/dc/rights
publication_datesource · unicatt digitalcommonsdata comconnector:unicatt_digitalcommonsdata_com@1.0.0
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