在新生儿重症监护病房中实施标准化肺部超声协议以诊断呼吸窘迫：一项观察性研究。
Implementation of a standardized lung ultrasound protocol for respiratory distress in a neonatal intensive care unit: an observational study.
机构信息
Chair and Department of Radiology in Zabrze, Medical University of Silesia, Zabrze, Poland.
出版信息
J Perinatol. 2024 Sep;44(9):1264-1268. doi: 10.1038/s41372-024-01900-y. Epub 2024 Feb 15.
OBJECTIVE
To assess the feasibility of implementing a simple point-of-care lung ultrasound (LU) evaluation and reporting protocol in a neonatal intensive care unit (NICU) and its effect on patient management.
STUDY DESIGN
Retrospective observational study of LU examinations performed in a level III NICU. Each examination was performed according to a standardized protocol. An independent radiologist-assessed chest X-ray (CXR) was used to compare the LU diagnosis. The impact on patient management was also evaluated.
RESULT
A total of 206 LU studies in 158 neonates were reviewed. There was significant agreement between LU and CXR diagnoses (84.95%, 95% CI 80.07-89.83%). LU affected patient management in 87.8% of the cases (95% CI 83.33-92.28%).
CONCLUSION
Implementation of a simplified, sign-based protocol for LU in the NICU is feasible. LU is not inferior to CXR studies and supports patient management as an imaging modality.
目的
评估在新生儿重症监护病房（NICU）实施简单的即时床边肺部超声（LU）评估和报告方案的可行性，及其对患者管理的影响。
研究设计
对三级 NICU 进行的 LU 检查进行回顾性观察性研究。每次检查均按照标准化方案进行。使用独立的放射科医生评估的胸部 X 线（CXR）来比较 LU 诊断。还评估了对患者管理的影响。
结果
共回顾了 158 例新生儿的 206 次 LU 研究。LU 和 CXR 诊断之间存在显著一致性（84.95%，95%置信区间 80.07-89.83%）。在 87.8%的情况下（95%置信区间 83.33-92.28%），LU 影响了患者管理。
结论
在 NICU 中实施简化的、基于征象的 LU 方案是可行的。LU 并不逊于 CXR 研究，可作为一种影像学方法支持患者管理。
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