Emergency Department Resource Use in Pediatric Pneumonia: Point-of-Care Lung Ultrasonography versus Chest Radiography

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Maya Harel-SterlingMark Tessaro

Abstract

Point-of-care lung ultrasonography (US) is an alternative to chest radiography for imaging of suspected community-acquired pneumonia (CAP) in children. We compared pediatric emergency department (ED) time metrics between children who received point-of-care lung US versus chest radiography. Secondary objectives were comparisons of health system costs and other resources in these imaging groups. This work was a retrospective matched cohort study of children aged 0 to 18 years in an academic urban pediatric ED who were imaged for suspected CAP with either point-of-care lung US or chest radiography. A total of 202 patients (101 in each group) were included in the study. The point-of-care lung US group spent a mean of 75.9 (SE, 14.3) minutes less from physician assessment to discharge (P < .0001) and 60.9 (SE, 18.1) minutes less in the overall ED length of stay (P = .0008). Physician billings and facility fees were both significantly lower (P < .0001) in the point-of-care lung US group, for a mean health systems savings of CAN$187.1 (SE, CAN$21.9). In children undergoing imaging for suspected CAP in our pediatric ED, point-of-care lung US by pediatric emergency medicine physicians was associated with decreased time and cost compared...Continue Reading

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Citations

Apr 3, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Nir FriedmanMark O Tessaro
Jul 18, 2019·European Journal of Pediatrics·Tiago Henrique de SouzaMarcelo Barciela Brandão
Jan 1, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Benjamin KinnearValeriy Chorny
Aug 9, 2020·Pediatric Quality & Safety·Eric ScheierUri Balla
Aug 12, 2020·Jornal de pediatria·Manuel Sobrino ToroAntonio José Ledo Alves da Cunha
Mar 29, 2021·Resuscitation·Patrick Van de VoordeIan Maconochie
Jun 8, 2021·Notfall & Rettungsmedizin·Patrick Van de VoordeIan Maconochie
Dec 30, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Antonella AmendoleaUNKNOWN Gruppo di studio Pediatrico AdET

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