Air bronchogram integrated lung ultrasound score to monitor community-acquired pneumonia in a pilot pediatric population

R. Inchingolo*, R. Copetti, A. Smargiassi, R. E. Gerardi, E. G. Conte, G. M. Corbo, A. Gatto, C. Pierandrei, L. Capossela, Ilaria Lazzareschi, P. Valentini, L. Demi

*Autore corrispondente per questo lavoro

Risultato della ricerca: Contributo in rivistaArticolo

Abstract

Aims: Chest ultrasound is a non-invasive method for evaluating children with suspected community-acquired pneumonia (CAP). We evaluated the prognostic role of change of ultrasonographic (US) air bronchogram in management of CAP in terms of: rate of complicated CAP, change of empiric antibiotic therapy, relationship to defervescence time, and length of hospitalization. Methods: Patients with CAP and radiographic evidence of lung consolidation were prospectively enrolled. Chest US examinations were performed within 12 h from admission and after 48 h. A new grading system (USINCHILD score) based on presence and features of air bronchogram was adopted. Results: Thirty six patients were stratified into two groups according to the presence of an increase of at least 1 grade of US score (Δ US grade), expression of an improvement of lung consolidation. Δ US grade after 48 h ≥ 1 was associated with an increased risk of complicated CAP (p value 0.027) and a longer defervescence time (p value 0.036). Moreover, Δ US grade ≥ 1 was predictive of a short hospitalization (p value 0.008). Conclusions: USINCHILD score could be an innovative biotechnology tool for the management of pediatric CAP. Trial registration number and date of registration: NCT03556488, June 14, 2018. Graphic abstract: [Figure not available: see fulltext.]
Lingua originaleInglese
pagine (da-a)N/A-N/A
RivistaJournal of Ultrasound
Numero di pubblicazioneJan 6
DOI
Stato di pubblicazionePubblicato - 2021

All Science Journal Classification (ASJC) codes

  • Medicina Interna
  • Radiologia, Medicina Nucleare e Diagnostica per Immagini

Keywords

  • Air bronchogram
  • Children
  • Imaging
  • Pneumonia
  • Score
  • Ultrasound

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