Diagnostic Accuracy of Chest x-Ray and Ultrasonography in Detection of Community Acquired Pneumonia; a Brief Report
Archives of Academic Emergency Medicine,
Vol. 3 No. 3 (2015),
1 August 2015
,
Page 114-116
https://doi.org/10.22037/aaem.v3i3.280
Abstract
Introduction: Chest x-ray (CXR) is the simplest diagnostic tool of Community Acquired Pneumonia (CAP), but it has some limitation. Therefore, the aim of this study is comparing the diagnostic accuracy of CXR and chest ultrasonography (CUS) in detection of CAP. Methods: In the present study, a consecutive sample of suspected patients with CAP was underwent CUS, CXR, and chest computed tomography (CT) scan. Diagnostic accuracy of CUS and CXR was assessed by calculating the sensitivity, specificity, predictive values, and likelihood ratios using SPSS 20 statistical software. Results: 30 patients with CAP were enrolled (93.3% male with mean age of 63.8 ± 18.3 years). Sensitivity of CUS and CXR in detection of CAP were 100.0% (95% Cl: 85.4-100.0) and 93.1% (95% Cl: 75.8-98.8), respectively. Specificity of CXR was 0.0 (95% Cl: 0.0-94.5), while the CUS specificity was not calculable. Conclusion: Findings of the present study demonstrated on the higher diagnostic accuracy of CUS versus CXR in detection of pneumonia.- Pneumonia
- ultrasonography
- emergency department
- radiography
- thoracic
- tomography
- x-ray computed
How to Cite
References
Spellberg B. Community-acquired pneumonia. N Engl J Med. 2014;370(19):1861-2.
File Jr TM. Streptococcus pneumoniae and community-acquired pneumonia: A cause for concern. Am J Med Supp. 2004;117(3):39-50.
Solomon CG, Wunderink RG, Waterer GW. Community-Acquired Pneumonia. N Engl J Med. 2014;370(6):543-51.
Ellis A, Kinasewitz G, Matousek S. Morbidity And Mortality Of Severe Sepsis Patients With Community Acquired Vs. Health Care Associated Pneumonia. Am J Respir Crit Care Med. 2014;189:A3130.
Llinares P, Menéndez R, Mujal A, Navas E, Barberán J. Guidelines for the management of community-acquired pneumonia in the elderly patient. Rev Esp Quimioter. 2014;27(1):69-86.
Shojaee M, Faridaalaee G, Yousefifard M, et al. New scoring system for intra-abdominal injury diagnosis after blunt trauma. Chin J Traumatol. 2014;17(1):19-24.
Heydari F, Esmailian M, Dehghanniri M. Diagnostic Accuracy of Ultrasonography in the Initial Evaluation of Patients with Penetrating Chest Trauma. Emergency. 2014;2(2):77-80.
Mandell LA, Wunderink RG, Anzueto A, et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007;44(Supplement 2):S27-S72.
Mathis G, Gehmacher O. Lung and pleural ultrasound. Praxis. 2001;90(16):681-6. [German].
Barillari A, Fioretti M. Lung ultrasound: a new tool for the emergency physician. Intern Emerg Med. 2010;5(4):335-40.
Lichtenstein DA. Ultrasound in the management of thoracic disease. Crit Care Med. 2007;35(5):S250-S61.
Neesse A, Jerrentrup A, Hoffmann S, et al. Prehospital chest emergency sonography trial in Germany: a prospective study. Eur J Emerg Med. 2012;19(3):161-6.
- Abstract Viewed: 336 times
- PDF Downloaded: 3363 times
- HTML Downloaded: 45 times