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Am J Emerg Med. 2014 Feb;32(2):115-8. doi: 10.1016/j.ajem.2013.10.003. Epub 2013 Oct 9.

Performance comparison of lung ultrasound and chest x-ray for the diagnosis of pneumonia in the ED.

Author information

1
Emergency, Anesthesiology and Critical Care Department, Lourdes Hospital, Lourdes, France. Electronic address: je.bourcier@gmail.com.
2
Emergency, Anesthesiology and Critical Care Department, Lourdes Hospital, Lourdes, France.
3
CFFE (Centre Francophone de Formation en Echographie) and, Centre Médical Delta, Nîmes, France.
4
Anesthesiology and Critical Care Department, Toulouse University Hospital, University Toulouse 3 Paul Sabatier, Toulouse, France.

Abstract

OBJECTIVE:

The aim of our study was to assess the potential of bedside lung ultrasound examination by the attending emergency physician in the diagnosis of acute pneumonia.

MATERIAL AND METHODS:

This observational single-center study was conducted between January 2010 and June 2012 in the emergency unit of a general hospital, and analyzed 144 adult patients. The ultrasound examination was performed by one of five trained emergency physicians, and a chest radiograph interpreted by a radiologist. The primary end point was the diagnosis of hospital discharge.

RESULTS:

We found a sensitivity of 0.95 for the ultrasound examination against 0.6 for radiography (P < .05). The negative predictive value was 0.67 against 0.25 for radiography (P < .05).

CONCLUSION:

These results exhort to promote the use of thoracic ultrasound in the first-line diagnosis of pneumonia.

PMID:
24184011
DOI:
10.1016/j.ajem.2013.10.003
[Indexed for MEDLINE]

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