Lung Ultrasound Score in Neonatal RDS: Agreement between Sonography Expert and Neonatologists with Varying Levels of Experience
Abstract
:1. Introduction
2. Materials and Methods
2.1. Procedures and Participants
2.2. Statistical Analyses
3. Results
Interrater Agreement Measures
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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n = 155 | |
---|---|
Gestational age (weeks), median (IQR) | 32 (30–33) |
Gestational age categories, n (%) | |
24–28 weeks | 22 (14) |
29–32 weeks | 78 (50) |
33–34 weeks | 55 (36) |
Birth weight (g), mean ± SD | 1660 ± 495 |
Sex (male), n (%) | 93 (60) |
Cesarean section, n (%) | 123 (79) |
5 min Apgar, median (IQR) | 8 (4–10) |
Lung Ultrasound Score (LUS), median (IQR) | |
0–6 h from birth | 5 (2–8) |
Day 2 | 1 (0–6) |
Day 3 | 1 (0–5) |
Day 7 | 1 (0–2) |
Sonographers’ Classification | ||
---|---|---|
Experienced n = 7 | Inexperienced n = 14 | |
Total number of scans evaluated | 310 | 319 |
Professional qualifications, n (%) | ||
Consultant neonatologist | 5 (71) | 5 (36) |
Resident in neonatal medicine | 2 (29) | 9 (64) |
Overall experience in ultrasonography, n (%) | ||
<1 year | 0 (0) | 2 (14) |
1–3 years | 0 (0) | 7 (50) |
3–5 years | 2 (29) | 5 (36) |
>5 years | 5 (71) | 0 (0) |
Experience in lung ultrasound, n (%) | ||
<1 year | 0 (0) | 6 (43) |
1–3 years | 6 (86) | 6 (43) |
3–4 years | 0 (0) | 2 (14) |
≥5 years | 1 (14) | 0 (0) |
Course on lung ultrasound completed, n (%) | 6 (86) | 8 (57) |
Certified instructor of the Polish Ultrasound Society, n (%) | 1 (14) | 0 (0) |
Scored Area | No. of Scans | No. of Concordant Scores | Percent Absolute Agreement | Weighted Cohen’s Kappa | Interclass Correlation Coefficient | ||
---|---|---|---|---|---|---|---|
Value | 95% CI | Value | 95% CI | ||||
Experienced sonographer | |||||||
Left anterior | 310 | 258 | 83.2 | 0.86 | 0.82–0.90 | – | – |
Right anterior | 310 | 265 | 85.5 | 0.87 | 0.82–0.90 | – | – |
Left posterior | 310 | 265 | 85.5 | 0.92 | 0.90–0.95 | – | – |
Right posterior | 310 | 253 | 81.6 | 0.88 | 0.84–0.92 | – | – |
Total LUS score | 310 | 212 | 68.4 | – | – | 0.92 | 0.90–0.94 |
Inexperienced sonographer | |||||||
Left anterior | 319 | 281 | 88.1 | 0.93 | 0.90–0.95 | – | – |
Right anterior | 319 | 279 | 87.5 | 0.88 | 0.82–0.92 | – | – |
Left posterior | 319 | 282 | 88.4 | 0.93 | 0.91–0.95 | – | – |
Right posterior | 319 | 273 | 85.6 | 0.90 | 0.86–0.94 | – | – |
Total LUS score | 319 | 232 | 72.7 | – | – | 0.93 | 0.92–0.94 |
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Puskarz-Gąsowska, J.; Kruczek, P.; Hożejowski, R.; Stefańska, M.; Błaż, W.; Sadowska-Krawczenko, I.; Majewska, U.; Bokiniec, R., on behalf of the PLUS Study Group. Lung Ultrasound Score in Neonatal RDS: Agreement between Sonography Expert and Neonatologists with Varying Levels of Experience. Healthcare 2024, 12, 1450. https://doi.org/10.3390/healthcare12141450
Puskarz-Gąsowska J, Kruczek P, Hożejowski R, Stefańska M, Błaż W, Sadowska-Krawczenko I, Majewska U, Bokiniec R on behalf of the PLUS Study Group. Lung Ultrasound Score in Neonatal RDS: Agreement between Sonography Expert and Neonatologists with Varying Levels of Experience. Healthcare. 2024; 12(14):1450. https://doi.org/10.3390/healthcare12141450
Chicago/Turabian StylePuskarz-Gąsowska, Joanna, Piotr Kruczek, Roman Hożejowski, Małgorzata Stefańska, Witold Błaż, Iwona Sadowska-Krawczenko, Urszula Majewska, and Renata Bokiniec on behalf of the PLUS Study Group. 2024. "Lung Ultrasound Score in Neonatal RDS: Agreement between Sonography Expert and Neonatologists with Varying Levels of Experience" Healthcare 12, no. 14: 1450. https://doi.org/10.3390/healthcare12141450
APA StylePuskarz-Gąsowska, J., Kruczek, P., Hożejowski, R., Stefańska, M., Błaż, W., Sadowska-Krawczenko, I., Majewska, U., & Bokiniec, R., on behalf of the PLUS Study Group. (2024). Lung Ultrasound Score in Neonatal RDS: Agreement between Sonography Expert and Neonatologists with Varying Levels of Experience. Healthcare, 12(14), 1450. https://doi.org/10.3390/healthcare12141450