Effectiveness of Bedside Lung Ultrasound for Clinical Follow-Up of Primary Spontaneous Pneumothorax Patients Treated With Tube Thoracostomy

Ultrasound Quarterly
Arif KaragözEmine Kadioğlu

Abstract

Primary spontaneous pneumothorax (PSP) is a common cause of presentation to emergency departments and subsequent hospitalization. Patients with large PSP are treated with tube thoracostomy (TT) and followed up with x-rays. In this study, we investigated the efficiency of bedside ultrasound and compared it with x-ray imaging for the clinical follow-up of PSP patients treated with TT.This is a prospective observational study. After ethical committee approval and written informed consent were obtained, patients who were treated with TT because of PSP were screened. In the follow-up of these patients, a bedside lung ultrasound (BLUS) was performed before every chest x-ray by an emergency physician experienced in performing BLUSs. The performance of BLUSs in detecting free air in the pleural cavity was compared statistically with that of x-rays.Sixty-two patients were enrolled in the study. In total, 166 BLUSs and x-rays were compared. The sensitivity of BLUS was 95.65% (85.20-99.50), specificity was 100% (79.40-100.00), positive predictive value was 100% (92-100), negative predictive value was 88.90% (65.30-98.60), and the area under the curve was 0.99 (0.974-1.000; P = 0.001) for detecting air in the pleural cavity. These results ...Continue Reading

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Citations

Dec 21, 2019·Interactive Cardiovascular and Thoracic Surgery·Paolo MendogniEmanuele Russo
Aug 23, 2020·Diagnostics·Natalia BudaTudor P Toma
Nov 28, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Alexandre Zanchenko FonsecaMarcelo Augusto Fontenelle Ribeiro
Sep 26, 2020·Ultrasound Quarterly·Arif KaragözErden Erol Ünlüer

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