Most Read Articles
Roshini Claire Anthony, 3 days ago

For coffee drinkers, drinking filtered coffee may be tied to a lower mortality risk, including cardiovascular disease (CVD)-related mortality, a study from Norway suggested.

5 days ago
Eating behaviours have been shown to moderate the relationship between cumulated risk factors in the first 1,000 days and adiposity outcomes at 6 years of age, which underscores modifiable behavioural targets for interventions, reports a study.
Stephen Padilla, 4 days ago
Use of noninvasive ventilation (NIV), similar to invasive mechanical ventilation (IMV), appears to lessen mortality but may increase the risk for transmission of the novel coronavirus disease (COVID-19) in healthcare workers, suggest the results of a study.
Tristan Manalac, 25 May 2020
Minimally invasive pancreatectomy (MIP) offers a feasible alternative to open pancreatectomy (OP) for the treatment of pancreatic neuroendocrine neoplasms (PNEN), according to a recent Singapore study has found.

Lung ultrasound urged in diagnostic algorithm of respiratory diseases

15 May 2020

Routine use of lung ultrasound (LUS) is recommended in the diagnostic algorithm of respiratory diseases in a real-life setting, according to a multicentre prospective study.

The investigators enrolled 509 consecutive patients admitted for respiratory-related symptoms to both emergency and general medicine wards over a period of 2 years. Participants were evaluated using LUS and chest radiography (CXR).

Expert operators who were blinded to the medical history and laboratory data of patients conducted the LUS. Computed tomography (CT) of the chest was performed in case of discordance between the LUS and CXR, suspected lung cancer and an inconclusive diagnosis. A CT diagnosis was considered the gold standard.

A significant difference in sensitivity and specificity was observed between LUS and CXR as shown by receiver operating characteristic curve analyses (LUS-AUROC, 0.853; specificity, 81.6 percent; sensitivity, 93.9 percent vs CXR AUROC, 0.763; specificity, 57.4 percent; sensitivity, 96.3 percent; p=0.001).

In the final diagnosis, the investigators identified 240 cases (47.2 percent) of pneumonia, 44 patients with cancer (8.6 percent), 20 with chronic obstructive pulmonary disease (3.9 percent), 24 with heart failure (4.7 percent) and others (6.1 percent).

A CT scan was performed in 108 patients (21.2 percent) with any lung pathology, with a positive diagnosis in 96 cases (88.9 percent). Of note, CXR and LUS found no abnormality in 24 (25 percent) and five (5.2 percent) cases, respectively.

LUS was consistent with the final diagnosis (p<0.0001). Additionally, a low percentage of false positives (5.9 percent) were reported in healthy patients.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 3 days ago

For coffee drinkers, drinking filtered coffee may be tied to a lower mortality risk, including cardiovascular disease (CVD)-related mortality, a study from Norway suggested.

5 days ago
Eating behaviours have been shown to moderate the relationship between cumulated risk factors in the first 1,000 days and adiposity outcomes at 6 years of age, which underscores modifiable behavioural targets for interventions, reports a study.
Stephen Padilla, 4 days ago
Use of noninvasive ventilation (NIV), similar to invasive mechanical ventilation (IMV), appears to lessen mortality but may increase the risk for transmission of the novel coronavirus disease (COVID-19) in healthcare workers, suggest the results of a study.
Tristan Manalac, 25 May 2020
Minimally invasive pancreatectomy (MIP) offers a feasible alternative to open pancreatectomy (OP) for the treatment of pancreatic neuroendocrine neoplasms (PNEN), according to a recent Singapore study has found.