ஆரோக்கியமான வயதான ஆராய்ச்சி
திறந்த அணுகல்

சுருக்கம்

Evaluating the diagnostic value of emergency portable ultrasound in the diagnosis of pneumonia

Leila Azizkhani

Introduction: Pneumonia is a severe and common infectious disease that is associated with a high rate of morbidity and mortality. Lung ultrasound has recently become a common device in emergency rooms, and it is a quick and easy way to diagnose pneumonia. The aim of this study was to see how effective emergency bedside ultrasound is at diagnosing pneumonia.

Materials and Methods: In the years 2017-2018, 146 patients over the age of 18 were referred to the emergency department of Kowsar Hospital in Sanandaj and this study is based on that. Many of the patients had portable ultrasound and radiography. A sonologist took ultrasound photos in the presence of an emergency medicine specialist and an emergency medicine nurse. CT scans were used as a gold standard to compare the outcomes of chest radiographs and portable ultrasounds in these patients. In the diagnosis of pneumonia, the sensitivity, precision, positive and negative predictive value of ultrasound versus radiography is measured.

Results: A total of 146 patients, with an average age of 64.2 years, were studied in this study. Fever was present in 65 percent of patients, sputum was present in 63 percent of patients, pathologic auscultation was present in 58.9% of patients, the cough was present in 52.7 percent of patients, and shortness of breath was present in 52.1 percent of patients. The ultrasound test’s sensitivity, specificity, positive predictive value, and negative predictive value were 44.4 percent, 100 percent, 100 percent, and 0 percent, respectively, while the radiographic test’s sensitivity, specificity, positive predictive value, and negative predictive value were 25.92 percent, 100 percent, 100 percent, and 0 percent, respectively.

Conclusion: Because of its availability and effectiveness, ultrasound may be a successful alternative to chest radiography and chest CT scan in the diagnosis of pneumonia, according to the results of this report.