The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Diagnostic use of lung ultrasound compared to chest radiograph for suspected pneumonia in a resource-limited setting
Open accessAbstract
BACKGROUND: Lung ultrasound is an effective tool for diagnosing pneumonia in developed countries. Diagnostic accuracy in resource-limited countries where pneumonia is the leading cause of death is unknown. The objective of this study was to evaluate the sensitivity of bedside lung ultrasound compared to chest X-ray for pneumonia in adults presenting for emergency care in a low-income country. METHODS: Patients presenting to the emergency department with suspected pneumonia were evaluated with bedside lung ultrasound, single posterioranterior chest radiograph, and computed tomography (CT). Using CT as the gold standard, the sensitivity of lung ultrasound was compared to chest X-ray for the diagnosis of pneumonia using McNemar's test for paired samples. Diagnostic characteristics for each test were calculated. RESULTS: Of 62 patients included in the study, 44 (71%) were diagnosed with pneumonia by CT. Lung ultrasound demonstrated a sensitivity of 91% compared to chest X-ray which had a sensitivity of 73% (p = 0.01). Specificity of lung ultrasound and chest X-ray were 61 and 50% respectively. CONCLUSIONS: Bedside lung ultrasound demonstrated better sensitivity than chest X-ray for the diagnosis of pneumonia in Nepal. TRIAL REGISTRATION: ClinicalTrials.gov, registration number NCT02949141 . Registered 31 October 2016.
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“In resource-limited settings, lung ultrasound was more sensitive and specific than chest radiograph to diagnose pneumonia (44).”
From Tele-Ultrasound in Resource-Limited Settings: A Systematic Review (2019) · cites this paper as [44]
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Cites
Computed Tomography — An Increasing Source of Radiation Exposure
Brenner, D. J., & Hall, E. J. (2007) · New England Journal of Medicine · doi:10.1056/nejmra072149 · Cited by 8,738
International evidence-based recommendations for point-of-care lung ultrasound
Volpicelli, G., Elbarbary, M. A., Blaivas, M., Lichtenstein, D. A., Mathis, G., Kirkpatrick, A. W., Melniker, L. A., Gargani, L., Noble, V. E., Via, G., et al. (2012) · Intensive Care Medicine · doi:10.1007/s00134-012-2513-4 · Cited by 2,884
Global epidemiology of tuberculosis
Dye, C. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68384-0 · Cited by 717
Ultrasound diagnosis of alveolar consolidation in the critically ill
Lichtenstein, D. A., Lascols, N., Mezière, G. A., & Gepner, A. (2004) · Intensive Care Medicine · doi:10.1007/s00134-003-2075-6 · Cited by 509
Lung Ultrasound for the Diagnosis of Pneumonia in Children: A Meta-analysis
Pereda, M. A., Chavez, M. A., Hooper-Miele, C. C., Gilman, R. H., Steinhoff, M. C., Ellington, L. E., Gross, M., Price, C. L., Tielsch, J. M., & Checkley, W. (2015) · PEDIATRICS · doi:10.1542/peds.2014-2833 · Cited by 488
Antibiotics for exacerbations of chronic obstructive pulmonary disease
Vollenweider, D. J., Jarrett, H., Steurer-Stey, C. A., García‐Aymerich, J., & Puhan, M. A. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010257 · Cited by 446
Lung Ultrasound in the Diagnosis and Follow-up of Community-Acquired Pneumonia
Reißig, A., Copetti, R., Mathis, G., Mempel, C., Schüler, A., Zechner, P. M., Aliberti, S., Neumann, R., Kroegel, C., & Hoyer, H. (2012) · CHEST Journal · doi:10.1378/chest.12-0364 · Cited by 394
Self, W. H., Courtney, D. M., McNaughton, C. D., Wunderink, R. G., & Kline, J. A. (2012) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2012.08.041 · Cited by 357
Review article: Use of ultrasound in the developing world
Sippel, S., Muruganandan, K. M., Levine, A. C., & Shah, S. P. (2011) · International Journal of Emergency Medicine · doi:10.1186/1865-1380-4-72 · Cited by 353
High‐Resolution Computed Tomography for the Diagnosis of Community‐Acquired Pneumonia
Syrjälä, H., Broas, M., Suramo, I., Ojala, A., & Lahde, S. (1998) · Clinical Infectious Diseases · doi:10.1086/514675 · Cited by 337
Cited by
Sorted by citations
Roy, S., Menapace, W., Oei, S. P., Luijten, B., Fini, E., Saltori, C., Huijben, I. A. M., Chennakeshava, N., Mento, F., Sentelli, A., et al. (2020) · IEEE Transactions on Medical Imaging · doi:10.1109/tmi.2020.2994459 · Cited by 597
Vaughn, V. M., Dickson, R. P., Horowitz, J. K., & Flanders, S. A. (2024) · JAMA · doi:10.1001/jama.2024.14796 · Cited by 226
Tele-Ultrasound in Resource-Limited Settings: A Systematic Review
Britton, N., Miller, M. A., Safadi, S., Siegel, A., Levine, A. R., & McCurdy, M. T. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00244 · Cited by 166
“In resourcelimited settings, lung ultrasound was more sensitive and specific than chest radiograph to diagnose pneumonia (44).”
BackgroundAccelerating Detection of Lung Pathologies with Explainable Ultrasound Image Analysis
Born, J., Wiedemann, N., Cossio, M., Buhre, C., Brändle, G., Leidermann, K., Goulet, J., Aujayeb, A., Moor, M., Rieck, B., et al. (2021) · Applied Sciences · doi:10.3390/app11020672 · Cited by 166
Sørensen, B., & Hunskaar, S. (2019) · The Ultrasound Journal · doi:10.1186/s13089-019-0145-4 · Cited by 164
Metadata
- Authors
- Amatya, Y., Rupp, J., Russell, F. M., Saunders, J., Bales, B., & House, D. R.
- Affiliations
- Patan Academy of Health Sciences (NP)
- Vanderbilt University Medical Center (US)
- Indiana University School of Medicine (US)
- Corresponding author
- House, Darlene R.
- Venue
- International Journal of Emergency Medicine
- Published
- 2018-03-12
- Volume
- 11
- Issue
- 1
- Pages
- 8-8
- ISSN
- 1865-1372 (ISSN-L)
- 1865-1380
- PMC
- PMC5845910
- OpenAlex
- W2802130527
- Cited by
- 137
- References
- 25
- Citations by year
- 2026: 4 · 2025: 17 · 2024: 14 · 2023: 20 · 2022: 22 · 2021: 30 · 2020: 17 · 2019: 8 · 2018: 5
- FWCI
- 12.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Emergency Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
- Keywords
- lung ultrasound, pneumonia diagnosis, chest radiograph, diagnostic accuracy, sensitivity, resource-limited settings, emergency department, computed tomography, low-income countries, Nepal
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