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Point-of-care ultrasound could be an effective alternative to radiology-performed imaging in the diagnosis of intussusception and pneumonia in children
  1. Jessica Catherine McIlwham1,
  2. Rebecca Dalrymple1,
  3. Natalie Bee2
  1. 1General Paediatrics, Royal Hospital for Children Glasgow, Glasgow, UK
  2. 2Emergency Medicine, Royal Hospital for Children Glasgow, Glasgow, Glasgow, UK
  1. Correspondence to Dr Jessica Catherine McIlwham, General Paediatrics, Royal Hospital for Children Glasgow, Glasgow G51 4TF, UK; jessica.mcilwham{at}nhs.net

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Pneumonia

Lung ultrasound was an effective technique in diagnosing childhood pneumonia when conducted by experienced sonographers

Reviewing paper: Tsou PY, Chen KP, Wang YH, Fishe J, Gillon J, Lee CC et al. Diagnostic accuracy of lung ultrasound performed by novice vs advanced sonographers for pneumonia in children: A systematic review and meta‐analysis. Acad Emerg Med 2019;26:1074–1088.

Study question

How accurate is ultrasound in the diagnosis of pneumonia? How accurate is the result when comparing sonographers with varying levels of experience?

Study design: systematic review and meta-analysis; 25 studies analysed encompassing 3353 patients; 18 prospective cohort studies, 5 retrospective cohort studies, 1 randomised controlled trial (RCT) and 1 case–control study.

Patients: paediatric patients presenting with symptoms of pneumonia; this included those with ‘rales’, tachypnoea, dyspnoea, cough, decreased breath sounds or fever.

Intervention: lung ultrasound versus standard means of diagnosing pneumonia. Standard means varied between studies, ranging from clinical diagnosis only in 2 studies to a combination of clinical diagnosis and imaging in 6 studies; 20 used chest x-ray (CXR) alone and 1 used CT chest alone. The level of ultrasound training ranged from 1 hour to 7 days in the novice group; expert ultrasonographers had over 7 days–25 …

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Footnotes

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  • Contributors The authors thank the contributors to this paper.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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