• Am J Emerg Med · Feb 2014

    Comparative Study

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

    • Jean-Eudes Bourcier, Julie Paquet, Mickael Seinger, Emeric Gallard, Jean-Philippe Redonnet, Fouad Cheddadi, Didier Garnier, Jean-Marie Bourgeois, and Thomas Geeraerts.
    • Emergency, Anesthesiology and Critical Care Department, Lourdes Hospital, Lourdes, France. Electronic address: je.bourcier@gmail.com.
    • Am J Emerg Med. 2014 Feb 1;32(2):115-8.

    ObjectiveThe 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 MethodsThis 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.ResultsWe 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).ConclusionThese results exhort to promote the use of thoracic ultrasound in the first-line diagnosis of pneumonia.© 2013 Elsevier Inc. All rights reserved.

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