LUNG ULTRASONOGRAPHY DECREASES RADIATION EXPOSURE

NCT04722016 — Completed, 104 participants, Hacettepe University

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RegistryNCT04722016, acronym LUDRE
StatusCompleted
Study typeObservational
Enrollment104 (Actual)
SponsorHacettepe University (Other)
ConditionsNewborn Rds, Transient Tachypnea of the Newborn, Pneumonia
Datesstart 2019-01-01, primary completion 2020-06-01, completion 2020-06-01, first posted 2021-01-25, last updated 2021-01-26
Locations1 site in Turkey (Türkiye)

Related Papers Related Patents Related Grants Related Experts
All trials for Newborn Rds All trials for Transient Tachypnea of the Newborn

-Summary

We aimed to decrease in the number of chest X-rays in newborns with respiratory distress, with the use of lung ultrasonography.

From January 2019 to June 2020, 104 newborn infants with respiratory distress enrolled in this study. We used bed side ultrasound as the first line tecnique for lung imaging. X-ray were taken in cases with increasing respiratory distress in spite of treatment according to diagnosis depending on USG findings. We calculated decreased number of chest X-ray for every patient and evaluated the estimated decrease in radiation exposure.

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+Detailed description

Background:

Chest X-ray is commonly used as first line imaging method to diagnose the reason of respiratory distress in NICUs. Lung ultrasound is a new diagnostic tool for lung imaging, and this method has been used more common recently in NICUs.

Objectives:

We aimed to determine the decrease in the number of chest X-rays in newborns with respiratory distress, with the use of lung ultrasonography.

Methods:

From January 2019 to June 2020, 104 newborn infants with respiratory distress enrolled in this study. We used bed side ultrasound as the first line tecnique for lung imaging. X-ray were taken in cases with increasing respiratory distress in spite of treatment according to diagnosis depending on USG findings. We calculated decreased number of chest X-ray for every patient and evaluated the estimated decrease in radiation exposure.

+Outcome measures

Primary outcomes

  • Reduced radiation exposure [18 months]: We aimed to decrease in the number of chest X-rays in newborns with respiratory distress, with the use of lung ultrasonography.

+Eligibility

Sex: All, ages: any to 2 Days

Inclusion Criteria:

* Term or preterm neonates with respiratory distress that started within the first 24 h after birth were included if they showed at admission signs of respiratory distress defined as: tachypnea (respiratory rate >60 breaths/min), intercostal/subcostal retractions, grunting, or FiO2 requirement >0.21.

Exclusion Criteria:

* Patients with a diagnosis of major malformations or chromosomal abnormalities, inherited metabolic diseases, congenital muscle disease-hypotonicity, hypoxic ischemic encephalopathy were not enrolled.

+Locations (1)

FacilityCityCountryStatus
Hacettepe UniversityAnkaraTurkey (Türkiye)

+Publications

  • Escourrou G, De Luca D. Lung ultrasound decreased radiation exposure in preterm infants in a neonatal intensive care unit. Acta Paediatr. 2016 May;105(5):e237-9. doi: 10.1111/apa.13369. No abstract available. PMID 26880491
  • Results publication: Tandircioglu UA, Yigit S, Oguz B, Kayki G, Celik HT, Yurdakok M. Lung ultrasonography decreases radiation exposure in newborns with respiratory distress: a retrospective cohort study. Eur J Pediatr. 2022 Mar;181(3):1029-1035. doi: 10.1007/s00431-021-04296-5. Epub 2021 Oct 23. PMID 34687334