Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Lung Ultrasound to Detect Pneumothorax in Children Evaluated for Acute Chest Pain in the Emergency Department: An Observational Pilot Study

Barbara Scialanga
,
Danilo Buonsenso
* ,
Mqariachiara Supino
ORCID logo ,
Simona Scateni
,
Piero Valentini
,
Paolo Schingo
,
Elena Boccuzzi
,
Alessia Mesturino
,
Valentina Ferro
,
Antonio Chiaretti
,
Annamaria Musolino
Version 1 : Received: 8 January 2021 / Approved: 8 January 2021 / Online: 8 January 2021 (13:21:27 CET)

How to cite: Scialanga, B.; Buonsenso, D.; Supino, M.; Scateni, S.; Valentini, P.; Schingo, P.; Boccuzzi, E.; Mesturino, A.; Ferro, V.; Chiaretti, A.; Musolino, A. Lung Ultrasound to Detect Pneumothorax in Children Evaluated for Acute Chest Pain in the Emergency Department: An Observational Pilot Study. Preprints 2021, 2021010159. https://doi.org/10.20944/preprints202101.0159.v1. Scialanga, B.; Buonsenso, D.; Supino, M.; Scateni, S.; Valentini, P.; Schingo, P.; Boccuzzi, E.; Mesturino, A.; Ferro, V.; Chiaretti, A.; Musolino, A. Lung Ultrasound to Detect Pneumothorax in Children Evaluated for Acute Chest Pain in the Emergency Department: An Observational Pilot Study. Preprints 2021, 2021010159. https://doi.org/10.20944/preprints202101.0159.v1.

Abstract

Objectives- We prospectively analyzed children with acute chest pain and clinical suspicion of pneumothorax (PNX) evaluated at the pediatric Emergency Department. Methods- After clinical examination and before Chest X-Ray, children underwent LUS to evaluate the presence of PNX. We enrolled 70 children, 13 (18,57%) received a final diagnosis of PNX. Results- In all 13 (100%) patients LUS showed the “bar-code sign”, the absence of lung sliding and the absence of B lines while in 12 (92,3%) there was the lung point, giving a diagnosis of PNX. All cases had PNX features on CXR. The “bar-code sign”, the absence of lung sliding and the absence of B lines had a sensitivity of 100% and a specificity of 100%. The “bar-code sign” had a positive predictive value of 100% and a negative predictive value of 100% for the detection of PNX. Conclusions- LUS is highly accurate in detecting or excluding pneumothorax in children with acute chest pain evaluated in the pediatric emergency department.

Keywords

lung ultrasound ; children ; pneumothorax

Subject

Medicine and Pharmacology, Medicine and Pharmacology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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