Thoracic ultrasound accuracy for the investigation of initial neonatal respiratory distress

Grimaldi, Céline; Michel, Fabrice; Brévaut-Malaty, Véronique; Hassid, Sergio; Nicaise, C.; Puech, Basile; Thomachot, Laurent; Vialet, Renaud; Tosello, Barthélémy; Panuel, M.

doi:10.1016/j.arcped.2019.09.009

Cited by 9 publications

(9 citation statements)

References 28 publications

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“…A total of 617 patients were included in this review. Four studies 4 15 16 17 were prospective cohort studies, and two studies 13 18 were case-control studies. In the cohort studies, TTN was the exposure and other etiologies of RD were the nonexposures.…”

Section: Resultsmentioning

confidence: 99%

“…Ultrasound diagnostic criteria for TTN varied in the six studies included in the review. “Normal pleural line and pleural sliding, associated with predominant B-lines in both lungs (including “double lung point [DLP]),” or bilateral presence of numerous noncompact B-lines indicating interstitial engorgement” has been used as diagnostic criteria in three studies 13 16 17 ; “normal, thickened, or blurry pleural line, and double lung point or numerous noncompact B-lines,” 4 “interstitial syndrome with either diffuse noncompact B-lines or DLP,” 15 “DLP” 18 have been used as diagnostic criteria in other three studies respectively. All studies used the DLP as one of the lung ultrasound diagnostic criteria for TTN.…”

Section: Discussionmentioning

confidence: 99%

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Accuracy and Reliability of Lung Ultrasound to Diagnose Transient Tachypnoea of the Newborn: Evidence from a Meta-analysis and Systematic Review

Wang

2020

Am J Perinatol

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Objective Transient tachypnoea of the newborn (TTN) is one of the most common causes of neonatal respiratory distress (RD) during the newborn period. Chest radiography (CXR) is commonly used to rule out the diagnosis, but TTN is often misdiagnosed as neonatal respiratory distress syndrome (NRDS) on the basis of CXR alone. Increasing evidence suggests that lung ultrasound (LUS) may be a reliable diagnostic tool for transient tachypnoea of the newborn. However, studies of the diagnostic efficiency of LUS are still lacking. This study was aimed to evaluate the accuracy and reliability of LUS for diagnosing TTN by conducting a systematic review and meta-analysis. Study Design We searched for articles in the Embase, PubMed, and Cochrane Library databases from inception until May 31, 2020. The selected studies were diagnostic accuracy studies that reported the utility of LUS in the diagnosis of TTN. Two researchers independently extracted data and assessed quality using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool. Then, we created a bivariate model of mixed effects to calculate the sensitivity and specificity of LUS in diagnosing TTN. A summary receiver operator characteristic (SROC) curve was constructed to summarize the performance characteristics of LUS. Results Six studies involving 617 newborns were included in the review. LUS had a pooled sensitivity of 0.98 (confidence interval [CI]: 0.92–1.00) and a specificity of 0.99 (CI: 0.91–1.00). The area under the curve for LUS was 1.00 (0.98–1.0). Meta-regression revealed that LUS had a significant diagnostic accuracy for TTN. Conclusion The performance of ultrasound for the detection of TTN was excellent. Considering the various advantages of LUS compared with chest radiographs in diagnosing TTN, this study supports the routine use of LUS for the detection of TTN. Key Points

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Accuracy and Reliability of Lung Ultrasound to Diagnose Transient Tachypnoea of the Newborn: Evidence from a Meta-analysis and Systematic Review

Wang

2020

Am J Perinatol

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“…Of the remaining 79 studies, 57 were excluded after browsing the titles or abstracts. Ultimately, seven studies [5,8,[14][15][16][17][18] were included for data extraction and analysis. The flow chart for study selection is presented in Fig 1.…”

Section: Study Selectionmentioning

confidence: 99%

“…The studies were published from 2007 to 2019. Two of the studies were performed in China [15,16], two in Italy [8,14], one in India [17], one in Egypt [5], and one in France [18].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Diagnostic performance of lung ultrasound for transient tachypnea of the newborn: A meta-analysis

Sun

Wei

et al. 2021

PLoS ONE

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Several recent studies demonstrated that lung ultrasound could achieve desired diagnostic accuracy for transient tachypnea of the neonate (TTN). However, the diagnostic performance of lung ultrasound for TTN has not been systematically studied to date. This meta-analysis aimed to investigate the performance of lung ultrasound in diagnosing TTN. The relevant literature was searched in PubMed, Medline, the Cochrane Library, and Embase databases without any restriction in terms of language and time until January 31, 2021. Studies that assessed the diagnostic performance of lung ultrasound for TTN were included. Seven studies with 1514 participants were summarized. The lung ultrasound provided more accurate performance for diagnosing TTN with pooled sensitivity and specificity of 0.67 [95% confidence interval (CI) = 0.63–0.71] and 0.97 (95% CI = 0.95–0.98), respectively. A higher summarized area under the summary receiver operating characteristic curve was observed as 0.9906. Lower sensitivity and area under the curve (AUC) of B-lines for TTN were observed as 0.330 (95% CI = 0.27–0.38) and 0.5000, respectively. Lung ultrasound provided highly accurate AUC, sensitivity, and specificity in detecting TTN. Large-scale studies are warranted in the future to confirm these results.

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Combined use of double Doppler Tei index and lung ultrasound for predicting pulmonary hypertension and corpulmonale in neonates with respiratory distress

Nabati

Parsaee

2023

J of Clinical Ultrasound

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Thoracic ultrasound accuracy for the investigation of initial neonatal respiratory distress

Cited by 9 publications

References 28 publications

Accuracy and Reliability of Lung Ultrasound to Diagnose Transient Tachypnoea of the Newborn: Evidence from a Meta-analysis and Systematic Review

Accuracy and Reliability of Lung Ultrasound to Diagnose Transient Tachypnoea of the Newborn: Evidence from a Meta-analysis and Systematic Review

Diagnostic performance of lung ultrasound for transient tachypnea of the newborn: A meta-analysis

Combined use of double Doppler Tei index and lung ultrasound for predicting pulmonary hypertension and corpulmonale in neonates with respiratory distress

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