Lungensonografie bei kleinen Frühgeborenen

Schwarz, Simone; Brevis, Francisco; Feldkamp, Axel

doi:10.1055/s-0038-1670450

Cited by 1 publication

(2 citation statements)

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“…There are many modifications of the original Brat's scale, with changes in both the pulmonary areas studied and the definitions of the individual point values. 33 Our grading system is one of the few used in neonatology. 34 However, for all the grading scales that are in use, a correlation in the same direction between the total score and the systemic oxygenation indicators was consistently demonstrated.…”

Section: Discussionmentioning

confidence: 99%

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Prognostic Relevance of the Lung Ultrasound Score: A Multioutcome Study in Infants with Respiratory Distress Syndrome

Szymański,

Puskarz-Gąsowska,

Hożejowski

et al. 2023

Am J Perinatol

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Objective There is growing evidence for the usefulness of the lung ultrasound score (LUS) in neonatal intensive care. We evaluated whether the LUS is predictive of outcomes in infants with respiratory distress syndrome (RDS). Study Design Neonates less than 34 weeks of gestational age were eligible for this prospective, multicenter cohort study. The outcomes of interest were the need for mechanical ventilation (MV) at <72 hours of life, the need for surfactant (SF), successful weaning from continuous positive airway pressure (CPAP), extubation readiness, and bronchopulmonary dysplasia. Lung scans were taken at 0 to 6 hours of life (Day 1), on Days 2, 3, and 7, and before CPAP withdrawal or extubation. Sonograms were scored (range 0–16) by a blinded expert sonographer. The area under the receiver operating characteristic curve (AUC) was used to estimate the prediction accuracy of the LUS. Results A total of 647 scans were obtained from 155 newborns with a median gestational age of 32 weeks. On Day 1, a cutoff LUS of 6 had a sensitivity (Se) of 88% and a specificity (Sp) of 79% to predict the need for SF (AUC = 0.86), while a cutoff LUS of 7 predicted the need for MV at <72 hours of life (Se = 89%, Sp = 65%, AUC = 0.80). LUS acquired prior to weaning off CPAP was an excellent predictor of successful CPAP withdrawal, with a cutoff level of 1 (Se = 67%, Sp = 100%, AUC = 0.86). Conclusion The LUS has significant predictive ability for important outcomes in neonatal RDS. Key Points

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Section: Discussionmentioning

confidence: 99%

“…34 However, for all the grading scales that are in use, a correlation in the same direction between the total score and the systemic oxygenation indicators was consistently demonstrated. 33 The drawback is that the use of different scoring methods make it challenging to determine cutoff values in meta-analyses.…”

Section: Discussionmentioning

confidence: 99%