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A modified lung ultrasound score to evaluate short-term clinical outcomes of bronchopulmonary dysplasia
Lung ultrasound (LUS) is a useful tool for assessing the severity of lung disease, without radiation exposure. However, there is little data on the practicality of LUS in assessing the severity of bronchopulmonary dysplasia (BPD) and evaluating short-term clinical outcomes. We adapted a LUS score to...
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Published in: | BMC pulmonary medicine 2022-03, Vol.22 (1), p.95-95, Article 95 |
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creator | Sun, Ying-Hua Du, Yang Shen, Jie-Ru Ai, Dan-Yang Huang, Xiang-Yuan Diao, Si-Hao Lin, Sam Bill Zhang, Rong Yuan, Lin Yang, Yi-Pei He, Li-Li Qin, Xiao-Jiao Zhou, Jian-Guo Chen, Chao |
description | Lung ultrasound (LUS) is a useful tool for assessing the severity of lung disease, without radiation exposure. However, there is little data on the practicality of LUS in assessing the severity of bronchopulmonary dysplasia (BPD) and evaluating short-term clinical outcomes. We adapted a LUS score to evaluate BPD severity and assess the reliability of mLUS score correlated with short-term clinical outcomes.
Prospective diagnostic accuracy study was designed to enroll preterm infants with gestational age |
doi_str_mv | 10.1186/s12890-022-01885-4 |
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Prospective diagnostic accuracy study was designed to enroll preterm infants with gestational age < 34 weeks. Lung ultrasonography was performed at 36 weeks postmenstrual age. The diagnostic and predictive values of new modified lung ultrasound (mLUS) scores based on eight standard sections were compared with classic lung ultrasound (cLUS) scores.
A total of 128 infants were enrolled in this cohort, including 30 without BPD; 31 with mild BPD; 23 with moderate BPD and 44 with severe BPD. The mLUS score was significantly correlated with the short-term clinical outcomes, superior to cLUS score. The mLUS score well correlated with moderate and severe BPD (AUC = 0.813, 95% CI 0.739-0.888) and severe BPD (AUC = 0.801, 95% CI 0.728-0.875), which were superior to cLUS score. The ROC analysis of mLUS score to evaluate the other short-term outcomes also showed significant superiority to cLUS score. The optimal cutoff points for mLUS score were 14 for moderate and severe BPD and 16 for severe BPD.
The mLUS score correlates significantly with short-term clinical outcomes and well evaluates these outcomes in preterm infants.</description><identifier>ISSN: 1471-2466</identifier><identifier>EISSN: 1471-2466</identifier><identifier>DOI: 10.1186/s12890-022-01885-4</identifier><identifier>PMID: 35305612</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Bronchopulmonary dysplasia ; Diagnosis ; Diagnosis, Ultrasonic ; Infants (Premature) ; Lung ultrasound ; Medical examination ; Patient outcomes ; Pediatric research ; Premature</subject><ispartof>BMC pulmonary medicine, 2022-03, Vol.22 (1), p.95-95, Article 95</ispartof><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2022 BioMed Central Ltd.</rights><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-8d5dca8bfb532f04b430af500e9408e4ce1e822da405b54f02e2cfc15c23c4c43</citedby><cites>FETCH-LOGICAL-c535t-8d5dca8bfb532f04b430af500e9408e4ce1e822da405b54f02e2cfc15c23c4c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933905/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933905/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35305612$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sun, Ying-Hua</creatorcontrib><creatorcontrib>Du, Yang</creatorcontrib><creatorcontrib>Shen, Jie-Ru</creatorcontrib><creatorcontrib>Ai, Dan-Yang</creatorcontrib><creatorcontrib>Huang, Xiang-Yuan</creatorcontrib><creatorcontrib>Diao, Si-Hao</creatorcontrib><creatorcontrib>Lin, Sam Bill</creatorcontrib><creatorcontrib>Zhang, Rong</creatorcontrib><creatorcontrib>Yuan, Lin</creatorcontrib><creatorcontrib>Yang, Yi-Pei</creatorcontrib><creatorcontrib>He, Li-Li</creatorcontrib><creatorcontrib>Qin, Xiao-Jiao</creatorcontrib><creatorcontrib>Zhou, Jian-Guo</creatorcontrib><creatorcontrib>Chen, Chao</creatorcontrib><title>A modified lung ultrasound score to evaluate short-term clinical outcomes of bronchopulmonary dysplasia</title><title>BMC pulmonary medicine</title><addtitle>BMC Pulm Med</addtitle><description>Lung ultrasound (LUS) is a useful tool for assessing the severity of lung disease, without radiation exposure. However, there is little data on the practicality of LUS in assessing the severity of bronchopulmonary dysplasia (BPD) and evaluating short-term clinical outcomes. We adapted a LUS score to evaluate BPD severity and assess the reliability of mLUS score correlated with short-term clinical outcomes.
Prospective diagnostic accuracy study was designed to enroll preterm infants with gestational age < 34 weeks. Lung ultrasonography was performed at 36 weeks postmenstrual age. The diagnostic and predictive values of new modified lung ultrasound (mLUS) scores based on eight standard sections were compared with classic lung ultrasound (cLUS) scores.
A total of 128 infants were enrolled in this cohort, including 30 without BPD; 31 with mild BPD; 23 with moderate BPD and 44 with severe BPD. The mLUS score was significantly correlated with the short-term clinical outcomes, superior to cLUS score. The mLUS score well correlated with moderate and severe BPD (AUC = 0.813, 95% CI 0.739-0.888) and severe BPD (AUC = 0.801, 95% CI 0.728-0.875), which were superior to cLUS score. The ROC analysis of mLUS score to evaluate the other short-term outcomes also showed significant superiority to cLUS score. The optimal cutoff points for mLUS score were 14 for moderate and severe BPD and 16 for severe BPD.
The mLUS score correlates significantly with short-term clinical outcomes and well evaluates these outcomes in preterm infants.</description><subject>Bronchopulmonary dysplasia</subject><subject>Diagnosis</subject><subject>Diagnosis, Ultrasonic</subject><subject>Infants (Premature)</subject><subject>Lung ultrasound</subject><subject>Medical examination</subject><subject>Patient outcomes</subject><subject>Pediatric research</subject><subject>Premature</subject><issn>1471-2466</issn><issn>1471-2466</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptkk1rFTEUhgdRbK3-ARcScONmar5vZiNcih-Fghtdh0xycm9KJrkmM4X-e3M7tfSCZJFw8r4P5xzerntP8CUhSn6uhKoB95jSHhOlRM9fdOeEb0hPuZQvn73Puje13mJMNkqw190ZEwwLSeh5t9uiKbvgAzgUl7RDS5yLqXlJDlWbC6A5I7gzcTEzoLrPZe5nKBOyMaRgTUR5mW2eoKLs0Vhysvt8WOKUkyn3yN3XQzQ1mLfdK29ihXeP90X3-9vXX1c_-puf36-vtje9FUzMvXLCWaNGPwpGPeYjZ9h4gTEMHCvgFggoSp3hWIyCe0yBWm-JsJRZbjm76K5XrsvmVh9KmFobOpugHwq57LQpc7ARNKYSxobFTDaj98qYUQ4bRz2TxjLXWF9W1mEZJ3AWUltNPIGe_qSw17t8p9XA2IBFA3x6BJT8Z4E66ylUCzGaBHmpmkpOBCFEqCb9uEp3prUWks-NaI9yvZXDIDhXTDbV5X9U7TiYgs0JfGj1EwNdDbbkWgv4p-4J1scQ6TVEbRlUP4RIH3f44fncT5Z_qWF_AbEkxE8</recordid><startdate>20220319</startdate><enddate>20220319</enddate><creator>Sun, Ying-Hua</creator><creator>Du, Yang</creator><creator>Shen, Jie-Ru</creator><creator>Ai, Dan-Yang</creator><creator>Huang, Xiang-Yuan</creator><creator>Diao, Si-Hao</creator><creator>Lin, Sam Bill</creator><creator>Zhang, Rong</creator><creator>Yuan, Lin</creator><creator>Yang, Yi-Pei</creator><creator>He, Li-Li</creator><creator>Qin, Xiao-Jiao</creator><creator>Zhou, Jian-Guo</creator><creator>Chen, Chao</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20220319</creationdate><title>A modified lung ultrasound score to evaluate short-term clinical outcomes of bronchopulmonary dysplasia</title><author>Sun, Ying-Hua ; Du, Yang ; Shen, Jie-Ru ; Ai, Dan-Yang ; Huang, Xiang-Yuan ; Diao, Si-Hao ; Lin, Sam Bill ; Zhang, Rong ; Yuan, Lin ; Yang, Yi-Pei ; He, Li-Li ; Qin, Xiao-Jiao ; Zhou, Jian-Guo ; Chen, Chao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-8d5dca8bfb532f04b430af500e9408e4ce1e822da405b54f02e2cfc15c23c4c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bronchopulmonary dysplasia</topic><topic>Diagnosis</topic><topic>Diagnosis, Ultrasonic</topic><topic>Infants (Premature)</topic><topic>Lung ultrasound</topic><topic>Medical examination</topic><topic>Patient outcomes</topic><topic>Pediatric research</topic><topic>Premature</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Ying-Hua</creatorcontrib><creatorcontrib>Du, Yang</creatorcontrib><creatorcontrib>Shen, Jie-Ru</creatorcontrib><creatorcontrib>Ai, Dan-Yang</creatorcontrib><creatorcontrib>Huang, Xiang-Yuan</creatorcontrib><creatorcontrib>Diao, Si-Hao</creatorcontrib><creatorcontrib>Lin, Sam Bill</creatorcontrib><creatorcontrib>Zhang, Rong</creatorcontrib><creatorcontrib>Yuan, Lin</creatorcontrib><creatorcontrib>Yang, Yi-Pei</creatorcontrib><creatorcontrib>He, Li-Li</creatorcontrib><creatorcontrib>Qin, Xiao-Jiao</creatorcontrib><creatorcontrib>Zhou, Jian-Guo</creatorcontrib><creatorcontrib>Chen, Chao</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMC pulmonary medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Ying-Hua</au><au>Du, Yang</au><au>Shen, Jie-Ru</au><au>Ai, Dan-Yang</au><au>Huang, Xiang-Yuan</au><au>Diao, Si-Hao</au><au>Lin, Sam Bill</au><au>Zhang, Rong</au><au>Yuan, Lin</au><au>Yang, Yi-Pei</au><au>He, Li-Li</au><au>Qin, Xiao-Jiao</au><au>Zhou, Jian-Guo</au><au>Chen, Chao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A modified lung ultrasound score to evaluate short-term clinical outcomes of bronchopulmonary dysplasia</atitle><jtitle>BMC pulmonary medicine</jtitle><addtitle>BMC Pulm Med</addtitle><date>2022-03-19</date><risdate>2022</risdate><volume>22</volume><issue>1</issue><spage>95</spage><epage>95</epage><pages>95-95</pages><artnum>95</artnum><issn>1471-2466</issn><eissn>1471-2466</eissn><abstract>Lung ultrasound (LUS) is a useful tool for assessing the severity of lung disease, without radiation exposure. However, there is little data on the practicality of LUS in assessing the severity of bronchopulmonary dysplasia (BPD) and evaluating short-term clinical outcomes. We adapted a LUS score to evaluate BPD severity and assess the reliability of mLUS score correlated with short-term clinical outcomes.
Prospective diagnostic accuracy study was designed to enroll preterm infants with gestational age < 34 weeks. Lung ultrasonography was performed at 36 weeks postmenstrual age. The diagnostic and predictive values of new modified lung ultrasound (mLUS) scores based on eight standard sections were compared with classic lung ultrasound (cLUS) scores.
A total of 128 infants were enrolled in this cohort, including 30 without BPD; 31 with mild BPD; 23 with moderate BPD and 44 with severe BPD. The mLUS score was significantly correlated with the short-term clinical outcomes, superior to cLUS score. The mLUS score well correlated with moderate and severe BPD (AUC = 0.813, 95% CI 0.739-0.888) and severe BPD (AUC = 0.801, 95% CI 0.728-0.875), which were superior to cLUS score. The ROC analysis of mLUS score to evaluate the other short-term outcomes also showed significant superiority to cLUS score. The optimal cutoff points for mLUS score were 14 for moderate and severe BPD and 16 for severe BPD.
The mLUS score correlates significantly with short-term clinical outcomes and well evaluates these outcomes in preterm infants.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>35305612</pmid><doi>10.1186/s12890-022-01885-4</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Bronchopulmonary dysplasia Diagnosis Diagnosis, Ultrasonic Infants (Premature) Lung ultrasound Medical examination Patient outcomes Pediatric research Premature |
title | A modified lung ultrasound score to evaluate short-term clinical outcomes of bronchopulmonary dysplasia |
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