Ultrasound pneumonia dimensions in children and inflammation

Ciuca, I.M.; Marc, Monica; Mircov, Flavian Nicolae; Dediu, Mihaela; Pop, Liviu

doi:10.1183/13993003.congress-2020.1154

Cited by 2 publications

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“…We noticed in a previous study that the sonographic consolidation dimension (measured on the largest consolidation surface) correlated with the serum CRP levels 31 . Therefore, the idea of finding a noninvasive reliable parameter for the evaluation of inflammation and monitoring of pediatric pneumonia arose.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric pneumonia (PedPne) lung ultrasound score and inflammatory markers: A pilot study

Ciucă

Dediu

Pop

2021

Pediatric Pulmonology

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Introduction Pneumonia is the principal cause of death among children worldwide. Lung ultrasound (LUS) is a reliable tool for the diagnosis and assessment of community‐acquired pneumonia in children. Furthermore, objective parameters, including the pneumonia LUS score, might be useful for pneumonia monitoring. Thus, our aim was to present a newly developed LUS score for pediatric pneumonia (PedPne) and evaluate its relationship with commonly assessed inflammatory markers. Methods Children referred to the Pediatric Pneumology Clinic between September 2017 and February 2018 with suspected pneumonia were screened for eligibility for inclusion in the study and informed consent was obtained. In addition to clinical assessment, LUS was performed during consultation, and inflammatory biomarkers, including C‐reactive protein level, erythrocyte sedimentation rate (ESR), and leukocyte count, were measured in all inpatients. An LUS score for pneumonia and pleurisy in children (pediatric pneumonia lung ultrasound score [PedPne LUS]) was subsequently developed. Chest radiography (CXR) was also performed according to local guidelines for pneumonia diagnosis. Spearman's correlation test was used to evaluate the correlation between the PedPne score and inflammatory markers. Results A total of 217 patients were screened, of which 64 patients diagnosed with consolidated pneumonia were included in this study. The median PedPne LUS score of the included patients was 8.02, which was consistent with the consolidations detected on LUS and confirmed by CXR. A very strong positive correlation was found between the LUS PedPne score and C‐reactive protein and ESR, and a good correlation was found with the leukocyte count. Conclusion The LUS pneumonia score is a reliable parameter for the evaluation of pneumonia, and shows a strong correlation with inflammatory biomarkers. The PedPne LUS score is a potential noninvasive surrogate parameter of inflammation in pediatric pneumonia.

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Section: Discussionmentioning

confidence: 99%

“…A favorable evolution of pneumonia is characterized by remission of clinical signs, decreased inflammatory markers, and reduction in the size of consolidations observed in imaging studies 21,31 . Regarding biochemical evaluation, blood samples are obtained from both hospitalized patients and outpatients with mild pediatric pneumonia.…”

Section: Introductionmentioning

confidence: 99%

Pediatric pneumonia (PedPne) lung ultrasound score and inflammatory markers: A pilot study

Ciucă

Dediu

Pop

2021

Pediatric Pulmonology

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“…Additionally, the sonographic consolidation dimension (measured on the largest consolidation surface) correlates with the serum C-reactive protein level. Despite the limited number of patients (n=49), one study suggested ultrasound as a tool for monitoring hospitalised infants and children [ 60 ]. In accordance with published literature, the presented abstracts further indicate that ultrasound may replace chest radiography as the first-line imaging modality in children with suspected pneumonia [ 61 ].…”

Section: Group 1403: Ultrasoundmentioning

confidence: 99%

ERS International Congress 2020: highlights from the Clinical Techniques, Imaging and Endoscopy assembly

et al. 2021

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The European Respiratory Society (ERS) congress in the year 2020, a year dominated by the SARS-CoV-2 pandemic, was the first virtual congress that was ever planned with an innovative and interactive congress programme upfront. It was a large, novel platform for scientific discussion and presentations of cutting-edge innovative developments. This manuscript summarises a selection of the scientific highlights from the “Clinical techniques, imaging and endoscopy” Assembly 14. In addition to presentations on the important role of bronchoscopy, imaging and ultrasound techniques in the field of SARS-CoV-2 infection, novel diagnostic approaches and innovative therapeutic strategies in patients with lung cancer, interstitial lung disease, obstructive airway disorders and infectious diseases were also discussed.

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Ultrasound pneumonia dimensions in children and inflammation

Cited by 2 publications

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Pediatric pneumonia (PedPne) lung ultrasound score and inflammatory markers: A pilot study

Pediatric pneumonia (PedPne) lung ultrasound score and inflammatory markers: A pilot study

ERS International Congress 2020: highlights from the Clinical Techniques, Imaging and Endoscopy assembly

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