Evaluation efficacy of lung ultrasound score in severity and prognosis of severe pneumonia in children

ZHANG Le; XU Yuanyuan; SHENG Yao; JIN Danqun

doi:10.7619/jcmp.20234145

Journal of Clinical Medicine in Practice > 2024 > 28(6): 60-64. > DOI: 10.7619/jcmp.20234145

ZHANG Le, XU Yuanyuan, SHENG Yao, JIN Danqun. Evaluation efficacy of lung ultrasound score in severity and prognosis of severe pneumonia in children[J]. Journal of Clinical Medicine in Practice, 2024, 28(6): 60-64. DOI: 10.7619/jcmp.20234145

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Evaluation efficacy of lung ultrasound score in severity and prognosis of severe pneumonia in children

Department of Critical Care Medicine, Anhui Provincial Children's Hospital, Hefei, Anhui, 230000

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Received Date: December 19, 2023
Revised Date: February 26, 2024
Available Online: April 01, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the evaluation effect of lung ultrasound (LUS) score on the severity and prognosis of severe pneumonia in children.
Methods
A total of 120 children with severe pneumonia admitted to the intensive care unit (ICU) of Anhui Provincial Children's Hospital from January 2020 to May 2023 were included in the study. Lung ultrasound examination, clinical pulmonary infection score (CPIS), pediatric critical illness score (PCIS), and oxygenation index (OI) were analyzed before and after treatment, and the levels of various indicators in children were compared. According to OI value, the children were divided into low-risk group (OI≥300, 84 cases) and high-risk group (OI < 300, 36 cases). Based on the analysis of the prognosis of the children, they were divided into survival group and death group. Pearson correlation analysis was used to analyze the correlation between LUS score and CPIS score, PCIS score, and OI. Receiver operating characteristic (ROC) curves were drawn to calculate the area under the curve, sensitivity, and specificity of LUS score in evaluating the prognosis of children.
Results
After treatment, both LUS score and CPIS score of 120 cases were lower than before treatment, while PCIS score and OI were higher than before treatment (P < 0.05). Before treatment, the LUS score and CPIS score in the low-risk group were lower than those in the high-risk group, while the PCIS score and OI were higher than those in the high-risk group (P < 0.05). Among the 120 children, 87 survived(survival group) and 33 died(death group). Before treatment, the LUS score and CPIS score in the survival group were lower than those in the death group, while the PCIS score and OI were higher than those in the death group (P < 0.05). LUS score was positively correlated with CPIS score and negatively correlated with PCIS score and OI (P < 0.05). The area under the curve of LUS score in evaluating the prognosis of children was 0.899, with sensitivity and specificity of 0.758 and 0.863, respectively.
Conclusion
Lung ultrasound score plays a guiding role in the evaluation of severity and prognosis of severe pneumonia in children, with high sensitivity and specificity in prognosis evaluation.
- lung ultrasound examination,
- lung ultrasound score,
- children,
- severe pneumonia,
- severity of illness,
- prognosis

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References (21)

References

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Evaluation efficacy of lung ultrasound score in severity and prognosis of severe pneumonia in children