Point-of-Care Thoracic Ultrasound in Children with Bronchiolitis

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dc.contributor.authorKrishna, Deepthien_US
dc.contributor.authorKhera, Daisyen_US
dc.contributor.authorToteja, Nishaen_US
dc.contributor.authorSureka, Biniten_US
dc.contributor.authorChoudhary, Bharaten_US
dc.contributor.authorGanakumar, Vijay Mallayyaen_US
dc.contributor.authorSingh, Kuldeepen_US
dc.date.accessioned2023-08-19T04:53:36Z
dc.date.available2023-08-19T04:53:36Z
dc.date.issued2022-11
dc.description.abstractObjective To characterize thoracic (lung and diaphragm) ultrasound fndings in children<2 y with bronchiolitis, evaluate correlation between lung ultrasound severity score (USS) and bronchiolitis severity score (BSS), and study the interobserver agreement of USS between study pediatrician and radiologist. Methods In this prospective observational study, thoracic ultrasound was performed on children with bronchiolitis by the study pediatrician and USS score was assigned. A radiologist blinded to all clinical information, performed an independent thoracic ultrasound. Demographics, clinical course, and other relevant details were recorded. Results Fifty-three children were enrolled; 29/53 patients (54.7%) were classifed as mild bronchiolitis and 24/53 (45.2%) had moderate bronchiolitis as per clinical score; 13.2% (7/53) patients had both anterior and posterior subpleural consolidation and went on to require higher respiratory support either in the form of continuous positive airway pressure in 71.4% (5/7), oxygen for>24 h in 14.2% (1/7), or heated humidifed high-fow nasal cannula in 14.2% (1/7). These results were statistically signifcant (p<0.001). A statistically signifcant correlation was found between the USS and type and duration of respiratory support (p value 0.002) and with the mean duration of hospital stay (p value<0.001). There was signifcant correlation between the BSS and USS (p<0.001). There was a very good agreement between the ultrasound fndings of study pediatrician and radiologist (kappa 0.83). Conclusion The fndings of lung ultrasound (LUS) are not specifc for bronchiolitis. However, LUS can be used as a good prognostic tool in patients with bronchiolitis.en_US
dc.identifier.affiliationsDepartment of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan 342005, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, Indiaen_US
dc.identifier.citationKrishna Deepthi, Khera Daisy, Toteja Nisha, Sureka Binit, Choudhary Bharat, Ganakumar Vijay Mallayya, Singh Kuldeep. Point-of-Care Thoracic Ultrasound in Children with Bronchiolitis. Indian Journal of Pediatrics. 2022 Nov; 89(11): 1079–1085en_US
dc.identifier.issn0973-7693
dc.identifier.issn0019-5456
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223734
dc.languageenen_US
dc.publisherDr. K C Chaudhuri Foundationen_US
dc.relation.issuenumber11en_US
dc.relation.volume89en_US
dc.source.urihttps://doi.org/10.1007/s12098-022-04117-zen_US
dc.subjectBronchiolitisen_US
dc.subjectLung ultrasounden_US
dc.subjectDiaphragm ultrasounden_US
dc.subjectChildrenen_US
dc.titlePoint-of-Care Thoracic Ultrasound in Children with Bronchiolitisen_US
dc.typeJournal Articleen_US
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