Table 3.
First author Year Country | Patients n (# of LUS exams) | Patient population | Students n (school year) | LUS aim | # zones | Positive one Positive overall | Didactic training; hands-on training | Reference standard | Image adequacy and diagnostic accuracy |
---|---|---|---|---|---|---|---|---|---|
Mai 201324 United States | 27 (5) | Outpatient cardiology and healthy volunteers who were asymptomatic | 3 (not reported) | B-lines | Two | ≥ 3 B-lines B-lines in ≥ 1 lung apices | 0 h; < 1 h brief device orientation | Expert LUS and image review | Image adequacy: 100% Diagnostic accuracy: Sens. 40%, Spec. 100% |
Andersen 201421 Norway | 211 (59) | Inpatients and outpatients | 30 (5) | B-lines, pleural effusion | Two | Not reported | < 1 h; ~8 h (including all POC techniques) | Expert image review | Image adequacy: 93% (95% CI: 84.3–98.2) Diagnostic accuracy: Sens. 90.5% (95% CI: 68.8–97.6), Spec. 94.7% (95% CI: 82.2–99.4) |
Udrea 201726 United States | 482 (47) | ED, patients requiring lung exam, and healthy volunteers | 5 (1) | B-lines, pleural effusion | Six | ≥ 3 B-lines Evidence of pleural effusion | 18 h; ~13 h (including all POC techniques) | Expert image review | Agreement with expert diagnosis: 95.7% |
LUS: lung ultrasound; CI: confidence interval; POC: point of care; ED: Emergency Department; Sens.: sensitivity; Spec.: specificity