A training plan to implement lung ultrasound for diagnosing pneumonia in children
Guitart Pardellans, Carmina (Institut de Recerca Sant Joan de Déu)
Esteban, Esther (Universitat de Barcelona. Institut de Recerca de la Biodiversitat (IRBio))
Becerra Hervas, Judit (Hospital Sant Joan de Déu (Esplugues de Llobregat, Catalunya))
Rodriguez Fanjul, Javier (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Cambra, Francisco José (Institut de Recerca Sant Joan de Déu)
Balaguer, Mònica (Hospital Sant Joan de Déu (Esplugues de Llobregat, Catalunya))
Jordán García, Iolanda (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Universitat Autònoma de Barcelona

Data:	2021
Resum:	Lung ultrasound (LUS) for critical patients requires trained operators to perform them, though little information exists on the level of training required for independent practice. The aims were to implement a training plan for diagnosing pneumonia using LUS and to analyze the inter-observer agreement between senior radiologists (SRs) and pediatric intensive care physicians (PICPs). Prospective longitudinal and interventional study conducted in the Pediatric Intensive Care Unit of a tertiary hospital. Following a theoretical and practical training plan regarding diagnosing pneumonia using LUS, the concordance between SRs and the PICPs on their LUS reports was analyzed. Nine PICPs were trained and tested on both theoretical and practical LUS knowledge. The mean exam mark was 13. 5/15. To evaluate inter-observer agreement, a total of 483 LUS were performed. For interstitial syndrome, the global Kappa coefficient (K) was 0. 51 (95% CI 0. 43-0. 58). Regarding the presence of consolidation, K was 0. 67 (95% CI 0. 53-0. 78), and for the consolidation pattern, K was 0. 82 (95% CI 0. 79-0. 85), showing almost perfect agreement. Our training plan allowed PICPs to independently perform LUS and might improve pneumonia diagnosis. We found a high inter-observer agreement between PICPs and SRs in detecting the presence and type of consolidation on LUS.
Ajuts:	Ministerio de Economía y Competitividad PI16/01040
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Pediatric Research, Vol. 92 (december 2021) , p. 1115-1121, ISSN 1530-0447

DOI: 10.1038/s41390-021-01928-2
PMID: 34969992

7 p, 1.1 MB

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