Can the Thoracic Replace the Conventional Radiography for the Diagnosis of Acute Pneumonia in Children?
Trial Snapshot
- Phase
- Not Applicable
- Status
- Withdrawn
- Sponsor
- Locations
- 1
- Primary Endpoint
- coincidence between the ultrasound image and conventional radiography
Study Overview
Brief Summary
The Thoracic ultrasound is a safer and sensitive technique than conventional radiography because it detects less than 1 cm pneumonic consolidations and minimal pleural effusions. The main objective is to evaluate the efficacy of thoracic ultrasound performed by unskilled personnel in the emergency service prdiatricas to diagnose pneumonia in children.
Detailed Description
Diagnostic test evaluation.The sample collected sequentially until an exact size . Given the safety of the technique, which involves no risk to patient management and the possibility of generating a type II error by premature study discontinuation , we have no plans to make any interim analyzes .
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Diagnostic
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 3 Months to 14 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •fever above 38 degrees
- •tachypnea
- •Difficulty breathing
- •Side tip pain
- •pathological auscultation
Exclusion Criteria
- •< 3 months> 14 years
- •Background of Prematurity
- •Rewalizados imaging studies in the last 7 days
- •Any chronic respiratory process
- •congenital heart diseases
- •hemodynamic instability
- •Diagnosis of pneumonia in the last 3 months
- •Refusal of relatives to participate in the study
Arms & Interventions
Candidates patients chest X-ray without pneumonia
thoracic sonography CXR Clinical control 48h
Intervention: CXR (Other)
Candidates patients chest X-ray without pneumonia
thoracic sonography CXR Clinical control 48h
Intervention: Thoracic ultrasound (Other)
Candidates patients chest X-ray with pneumonia
thoracic sonography CXR Clinical control 48h
Intervention: Thoracic ultrasound (Other)
Candidates patients chest X-ray with pneumonia
thoracic sonography CXR Clinical control 48h
Intervention: CXR (Other)
Outcomes
Primary Outcomes
coincidence between the ultrasound image and conventional radiography
Time Frame: 1 day
images compatible with pneumonic consolidations in sonography and radiography . Coincidence between evaluators
Secondary Outcomes
- additional workload(1 day)
Investigators
Montse Granados
Hospital Universitari General de Catalunya
Hospital Universitari General de Catalunya