Lung ultrasonography in evaluation of neonatal respiratory distress syndrome

El-Malah, Hosam E. G. Mohammed; Seif, Hany M. A.; Mahmoud, Mohammad Koriem; Ali, Ahmed M.

doi:10.1016/j.ejrnm.2015.01.005

Cited by 29 publications

(27 citation statements)

References 25 publications

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“…LUS has recently been recommended as a diagnostic procedure in the diagnosis and monitoring of NRDS in clinical practice [5]. The advantages of an ultrasound examination over CXR, such as its non-ionizing, convenient and repeatable nature, in the diagnosis of NRDS in neonates were shown by a number of publications [9,[11][12][13][14][15]. Two ultrasonography approaches (transthoracic and transabdominal) were used to detect NRDS and both had high sensitivity and relatively high specificity [12,16].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic value of lung ultrasound for neonatal respiratory distress syndrome: a meta-analysis and systematic review

Wang

Liu³

2020

Med Ultrason

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Aim: Neonatal respiratory distress syndrome (NRDS) is one of the most common and severe diseases in neonatal intensive care units worldwide. Increasing evidence suggests that lung ultrasound (LUS) may be a reliable diagnostic tool for neonatal respiratory distress syndrome. The aim of study was to evaluate the diagnostic accuracy of LUS for NRDS with a systematic review and meta-analysis. Material and methods: We searched for articles in EMBASE, PubMed and Cochrane Central from inception until 17 August 2019. The selected studies were diagnostic accuracy studies that reported the utility of LUS in the diagnosis of NRDS. Two researchers independently extracted data and assessed quality using the QUADAS-2 tool. Then, we created a bivariate mixed effects model to calculate the sensitivity and specificity of LUS in diagnosing NRDS. A summary receiver operator characteristic (SROC) curve was constructed to summarize the performance characteristics of LUS. Results: Nine studies involving 703 infants were included in the review. LUS had a pooled sensitivity of 0.99 (CI: 0.92-1.00) and a specificity of 0.95 (CI: 0.87-0.98). The areas under the curve for LUS was 0.99 (0.98-1.0). Meta-regression revealed that LUS had a significant diagnostic accuracy for NRDS. Conclusion: LUS is a promising method that is easily carried out, inexpensive, nonionizing and repeatable and can be performed at the bedside. Current evidence supports LUS as a useful imaging alternative for the diagnosis of NRDS.

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Section: Introductionmentioning

confidence: 99%

Diagnostic value of lung ultrasound for neonatal respiratory distress syndrome: a meta-analysis and systematic review

Wang

Liu³

2020

Med Ultrason

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“…In our study it was found that lung ultrasound had sensitivity 100% and specificity 93.33% as compared to El-Malah et al were it was found that lung ultrasonography had sensitivity 98% and specificity 92% in detection of pulmonary manifestations of RDS. 4 In our study 59 neonates were enrolled in study as compared to 55 in Cattarossi et al and 100 in Liu et al 1,2 Therefore, a sample size of 59 would be statistically appropriate to derive any conclusion.…”

Section: Discussionmentioning

confidence: 85%

Lung ultrasound as modality in diagnosis of respiratory distress syndrome in newborn infants

Ahmad

Parihar

Bhat

et al. 2020

Int J Contemp Pediatr

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Background: The aim of this study was to evaluate the value of lung ultrasound in the diagnosis of respiratory distress syndrome (RDS) in newborn infants.Methods: From April 2019 to March 2020, all newborns admitted in neonatal intensive care unit within 72 hours of life having suspection of RDS on the basis of clinical features were enrolled in study. A total of 59 newborns were included in our study irrespective of gestational age and birth weight.Results: According to the findings of chest X-ray, there were 10 cases of grade I RDS, 16 grade II cases, 12 grade III cases, and 6 grade IV cases. Lung ultrasound was performed at bedside by a single expert. The ultrasound indexes observed in this study included pleural line, A-line, B-line, lung consolidation, air bronchograms, bilateral white lung, interstitial syndrome, lung sliding, lung pulse, comet tail artifacts etc. In our study it was found that ultrasound sonography (USG) chest has a sensitivity of 100% and specificity of 93.33% in diagnosing RDS which is consistent with other studies. In our study it was found that USG chest has a positive predictive value of 97.78%, negative predictive value of 100% and diagnostic accuracy of 98.31% for diagnosis of RDS.Conclusion: This study indicates that using an ultrasound to diagnose neonatal RDS is accurate and reliable tool. A lung ultrasound has many advantages over other techniques. Ultrasound is non-ionizing, low-cost, easy to operate, and can be performed at bedside, can be repeated several times in a day making this technique ideal for use in NICU.

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“…Table 4 explained the specificity proportion and the 95% CI for I 2 of each study. The proportion of Ahuja et al, 18 Bober et al, 19 El-Malah et al, 20 Lovrenski, 21 Copetti et al, 22 Liu et al, 23 and Vergine et al, 24 and were 88%, 73%, 94%, 100%, 100%, 92%, 100%, respectively. Then, it can be concluded that the total proportion of specivicity revealed 94.8%.…”

Section: Resultsmentioning

confidence: 97%

“…Some of studies from Embase and The Cochrane Library were also found in PubMed. The oldest article included was published in 2006 by Bober et al 19 The most recent study was written by El-Malah et al 20 and published in 2015. The largest sample size was found in Bober et al 19 (131 subjects) and the smallest sample size was found in Lovrenski 21 study (47 subjects).…”

Section: Resultsmentioning

confidence: 99%

Lung ultrasound in diagnosing neonatal respiratory distress syndrome: a meta-analysis

Ferdian¹,

Wahid²,

Samad³

et al. 2019

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Background Neonatal respiratory distress syndrome (NRDS) is commonly diagnosed by clinical sign and symptoms, blood gas analysis, and chest x-ray. In the past, lung ultrasound (LUS) was not standard for NRDS examination. Many studies show that ultrasound diagnostic tool for NRDS is accurate, reliable, low cost, easy to use, and safe because due to no ionizing radiation. Objective To determine the sensitivity and specificity of LUS in diagnosing NRDS. Methods This meta-analysis study was conducted LUS as a diagnostic tool for NRDS. Inclusion criteria were all studies from PubMed, Embase, and The Cochrane Library, without any limitation on published journals, as well as using keywords or search terms of ultrasound, neonatal, and respiratory distress syndrome. Statistical analysis was undertaken using MedCalc® version 18.2 software. Results Seven studies with a total of 580 patients met the inclusion criteria. Proportional meta-analysis obtained random effects models, with total sensitivity of LUS was 97.2% (95% CI for I2 74.24 to 92.88; P<0.0001) and specificity of LUS was 94.8% (95% CI for I2 88.60 to 98.03; P<0.00001). Conclusion Lung ultrasound should be considered as a diagnostic tool for NRDS because it is high in sensitivity and specificity, inexpensive, safe, as well as limited radiation exposure.

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Lung ultrasonography in evaluation of neonatal respiratory distress syndrome

Cited by 29 publications

References 25 publications

Diagnostic value of lung ultrasound for neonatal respiratory distress syndrome: a meta-analysis and systematic review

Diagnostic value of lung ultrasound for neonatal respiratory distress syndrome: a meta-analysis and systematic review

Lung ultrasound as modality in diagnosis of respiratory distress syndrome in newborn infants

Lung ultrasound in diagnosing neonatal respiratory distress syndrome: a meta-analysis

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