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

Objectives 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...

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Bibliographic Details
Published in:Journal of ultrasound in medicine 2019-02, Vol.38 (2), p.407-414
Main Authors: Harel‐Sterling, Maya, Diallo, Mamadou, Santhirakumaran, Sabeena, Maxim, Timea, Tessaro, Mark
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Cohort Studies
Community-Acquired Infections - diagnostic imaging
Emergency Service, Hospital
Female
Health Resources - statistics & numerical data
Humans
Infant
Lung - diagnostic imaging
lung ultrasonography
Male
pediatric emergency
pneumonia
Pneumonia - diagnostic imaging
Point-of-Care Systems - economics
Point-of-Care Systems - statistics & numerical data
point‐of‐care ultrasonography
Radiography, Thoracic - economics
Radiography, Thoracic - statistics & numerical data
resource use
Retrospective Studies
Ultrasonography - economics
Ultrasonography - statistics & numerical data
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Summary:Objectives 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. Methods 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. Results 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 
ISSN:0278-4297
1550-9613
DOI:10.1002/jum.14703