Lung ultrasound in preterm infants with respiratory distress: experience in a neonatal intensive care unit

被引：0
作者：
Rebeca Gregorio-Hernández
María Arriaga-Redondo
Alba Pérez-Pérez
Cristina Ramos-Navarro
Manuel Sánchez-Luna
机构：
[1] Virgen de la Salud Hospital,Neonatology Department
[2] Gregorio Marañón University Hospital,Neonatology Department
来源：
European Journal of Pediatrics | 2020年 / 179卷
关键词：
Lung ultrasound; Sonography; Preterm infants; Respiratory distress; Surfactant treatment;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Lung ultrasound (LUS) has been described as a useful tool in early prognosis of several respiratory diseases of the newborn, especially preterm infant newborns (PTNB) with respiratory distress syndrome (RDS), but still, it is not a standard of care in many neonatal units. We have conducted a descriptive, prospective study in a tertiary neonatal unit during 1 year. PTNB less than 35 weeks with respiratory distress at birth on non-invasive ventilation were recruited. A LUS was performed in the first 12 h of life and scored from 6 to 18 points (6 areas, 1 to 3 points each). They were followed until discharge. Main outcomes: need for surfactant treatment. Sixty-four preterm infants, median gestational age 29 weeks. Median LUS score in surfactant group was significantly higher than in no surfactant group (p < 0.0001). LUS ROC curve for surfactant treatment shows AUC 0.97 (IC 95% 0.92–1). LUS Odds ratio for surfactant treatment 3.17 (IC 95% 1.36–7.35).
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页码：81 / 89
页数：8
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