The Effect of Lung Ultrasonography on Prognosis in Patiens with Pneumonia

Abstract

INTRODUCTION: In our study, we aimed to examine the effect of Lung ultrasonography on prognostic factors (parapneumonic effusion, empyema development, etc.) in patients with a diagnosis of pneumonia who were followed up in the Chest Diseases Clinic and Anesthesia Intensive Care Unit. METHODS: Fifty patients with a pre-diagnosis of pneumonia and / or pleural effusion were included in our study between 01.01.2017 - 01.06.2018 in the Chest Diseases Department of Van Yüzüncü Yıl University Medical Faculty and in the Anesthesia Intensive Care Unit. The patients were followed up with lung ultrasonography and the factors affecting the prognosis of these cases were examined. RESULTS: Of the patients included in the study, 16 were female (32%), 34 were male (78%); Their mean age was 60.4 +- 19.4 (15-87). Pleural effusion was detected in 56% of the cases. 28.57% of 28 cases were evaluated as transudate and 71.42% as exudate. Tube thoracoscopy was performed in 4 cases and decortication in 1 case, no patient required fibrinolytic. The mean hospitalization period of the patients was 7.78 +- 5.44 days (min. 2-Max 22). DISCUSSION AND CONCLUSION: As a result of the data obtained in our study, we are of the opinion that lung ultrasonography supports the need for more frequent use in current practice due to its advantages such as high success in interventional procedures, low complication rate, and most importantly, the opportunity to operate at the bedside, especially in intensive care.

Keywords

• lung
• pneumonia
• thorax
• ultrasonography.