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Accuracy and clinical impact of point-of-care lung ultrasound performed by respiratory physicians

Giuseppe Francesco Sferrazza Papa, Michele Mondoni, Giovanni Volpicelli, Paolo Carlucci, Fabiano Di Marco, Elena Maria Parazzini, Francesca Reali, Giulia Michela Pellegrino, Paola Fracasso, Simone Sferrazza Papa, Livio Colombo, Stefano Centanni
European Respiratory Journal 2016 48: PA3802; DOI: 10.1183/13993003.congress-2016.PA3802
Giuseppe Francesco Sferrazza Papa
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
2Dipartimento di Scienze Neuroriabilitative, Casa di Cura del Policlinico, Milan, Italy
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Michele Mondoni
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Giovanni Volpicelli
3Department of Emergency Medicine, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy
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Paolo Carlucci
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Fabiano Di Marco
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Elena Maria Parazzini
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Francesca Reali
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Giulia Michela Pellegrino
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Paola Fracasso
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Simone Sferrazza Papa
4Department of Pediatrics, University Degli Studi G. d'Annunzio, Chieti-Pescara, Italy
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Livio Colombo
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Stefano Centanni
1Dipartimento Scienze della Salute, Università degli Studi di Milano, Respiratory Unit, San Paolo Hospital, Milan, Italy
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Abstract

Background: Despite theoretical usefulness of point-of-care lung ultrasonography in numerous diseases, indications, impact and accuracy of the technique is unknown.

Methods: A two years prospective observational study was performed by pulmonologists of Italian University Hospital. Technique, clinical indications, consequences of lung ultrasound and barriers to the ultrasound examination were analyzed. Overall accuracy of lung ultrasound was calculated for all the first diagnoses of lung consolidation, interstitial syndrome, and pneumothorax, by comparing the ultrasound pattern with the adjudicated final clinical diagnosis based on a hospital chart review.

Results: 1150 lung ultrasounds were performed. The most common indications were diagnosis and follow-up of pleural effusion in 361 cases (31%), evaluation of lung consolidation (322, 28%), acute heart failure (195, 17%), guide to pleural procedures (117, 10%), pneumothorax (54, 5%) and acute exacerbations of chronic obstructive pulmonary disease (30, 3%). The mean duration time of the examination was 6 ± 4 minutes. Ultrasound correctly identified the final diagnosis in 564/574 cases (98%, IC 95%, 97% - 99%). According to the judgment of the caring clinician, 51% of the exams were clinically relevant.

Conclusions: Lung ultrasound performed at the point-of-care by pulmonologists is a rapid and accurate clinical tool.

  • Imaging
  • Pneumonia
  • Pleura
  • Copyright ©the authors 2016
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Accuracy and clinical impact of point-of-care lung ultrasound performed by respiratory physicians
Giuseppe Francesco Sferrazza Papa, Michele Mondoni, Giovanni Volpicelli, Paolo Carlucci, Fabiano Di Marco, Elena Maria Parazzini, Francesca Reali, Giulia Michela Pellegrino, Paola Fracasso, Simone Sferrazza Papa, Livio Colombo, Stefano Centanni
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3802; DOI: 10.1183/13993003.congress-2016.PA3802

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Accuracy and clinical impact of point-of-care lung ultrasound performed by respiratory physicians
Giuseppe Francesco Sferrazza Papa, Michele Mondoni, Giovanni Volpicelli, Paolo Carlucci, Fabiano Di Marco, Elena Maria Parazzini, Francesca Reali, Giulia Michela Pellegrino, Paola Fracasso, Simone Sferrazza Papa, Livio Colombo, Stefano Centanni
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3802; DOI: 10.1183/13993003.congress-2016.PA3802
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