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Association between lung ultrasound score and endotracheal intubation in patient with pneumonia in emergency department. |
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| รหัสดีโอไอ | |
| Creator | Ronnapop Jaluspikultip. |
| Title | Association between lung ultrasound score and endotracheal intubation in patient with pneumonia in emergency department. |
| Contributor | Tanyaporn Nakornchai, Apichaya Monsomboon, Rathachai Kaewlai, Nattakarn Prapruetkit, Tipa Chakorn, Chok Limsuwat, Sattha Riyapa, Usapan Surabenjawong, Wansiri Chaisirin. |
| Publisher | P.A. LIVING CO., LTD. |
| Publication Year | 2566 |
| Journal Title | Thai Journal of Emergency Medicine |
| Journal Vol. | 5 |
| Journal No. | 1 |
| Page no. | 51-65 |
| Keyword | community-acquired pneumonia, lung ultrasound, lung ultrasound score, emergency department. |
| URL Website | https://he02.tci-thaijo.org/index.php/TJEM/index |
| Website title | Thai jounal of Emergency Meddicine. |
| ISSN | 2697-4924 |
| Abstract | Introduction Community-acquired pneumonia is a common and high-mortality condition. A new trend of lung ultrasound has been recently utilized for diagnosis of pneumonia due to minimal radiation exposure and bedside convenience. Lung ultrasound score has been known for its capabilities for assessing severity, mortality, and length of hospital stay in several conditions. However, it has not been investigated in patients presenting with commun ity-acquired pneumonia. Therefore, we aimed to evaluate the association between lung ultrasound scores and 72-hour endotracheal intubation. Methods A pilot observational study was conducted in an emergency department from March 2022 to April 2023. We enrolled all patients who were at least 18 years old with a diagnosis of community-acquired pneumonia and excluded patients with pregnancy, receiving mechanical ventilation at emergency department arrival, COVID-19 infection, and do-not-resuscitate orders. All eligible patients underwent a 12-region lung ultrasound and were rated a calculated ultrasound score of 0-3 in each region. The sum of lung ultrasound scores in each region was analyzed to determine the association between lung ultrasound scores and 72-hour endotracheal intubation. Results A total of 20 patients were analyzed. We observed that the increased lung ultrasound score was associated with 72-hour endotracheal intubation (p = 0.02). The receiver operator characteristic analysis indicated an area under the curve of 0.83 (95% CI, 0.6-1.0). In addition, the optimal cut-off value of the lung ultrasound score value for predicting 72-hour endotracheal intubation was 19, which demonstrated the highest sensitivity of 75% (95%CI, 34.9-96.8), a specificity of 83.3% (95%CI, 51.6-97.9), a positive predictive value of 75% (95%CI, 44.3-91.9), and a negative predictive value of 83.3% (95%CI, 59.5-94.5). Conclusions An increased lung ultrasound score was associated with 72-hour endotracheal intubation. Since it was conducted as a pilot study, further research is required to validate its outcome. |
