{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T05:13:49Z","timestamp":1768108429652,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Point of care lung ultrasound (POC\u2010LUS) is a rapid and simple method to evaluate infants with respiratory distress after birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The primary objective was to determine whether the POC\u2010LUS score is a good predictor of NICU admission in late preterm and term infants born with respiratory distress when performed within the first 2\u2009h of life. The secondary objective was to find a correlation between the LUS score and the clinical respiratory distress severity score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational study was carried out in a tertiary care neonatal unit (Level III) over 1 year on 97 late preterm and term infants having respiratory distress at birth. POC\u2010LUS was performed in a transition nursery area within 2\u2009h of birth, and LUS score was recorded as per a pre\u2010validated LUS scoring system. The decision for NICU admission was independently taken by the medical team based on clinical criteria and blinded to the LUS findings. A receiver operating characteristic (ROC) curve was generated to predict NICU admission based on the LUS score. LUS score was also analyzed for correlation with clinical respiratory distress severity scoring, that is, Silverman\u2212Anderson score (SA score).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean gestational age of the infants in the study was 37.45\u2009\u00b1\u20091.88 weeks. Fourty\u2010three percent of infants needed NICU admission. LUS score &gt;\u20095\/18 performed within 2\u2009h after birth was an excellent predictor of NICU admission in late preterm and term infants with respiratory distress after birth (area under ROC curve 0.903, sensitivity 64%, specificity 98%, positive likelihood ratio 35, and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). LUS score also had a weak positive correlation with the SA score (Pearson's correlation,\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.325;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A LUS score of &gt;\u20095\/18 is an excellent predictor of NICU admission in term and late\u2010preterm infants with respiratory distress after birth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71000","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T07:52:41Z","timestamp":1739346761000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Diagnostic Utility of Bedside \u201cPoint of Care Lung Ultrasound\u201d in Predicting the Need For NICU Admission in Late Preterm and Term Newborns Having Respiratory Distress Soon After Birth in the Transition Period: A Prospective Observational Study"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0280-6326","authenticated-orcid":false,"given":"Nirmal Kumar","family":"Gautam","sequence":"first","affiliation":[{"name":"Department of Paediatrics Vydehi Institute of Medical Sciences and Research Centre Bengaluru India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venkatesh","family":"H. A.","sequence":"additional","affiliation":[{"name":"Department of Neonatology Manipal Hospital Old Airport Road Bengaluru India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajath","family":"Pejaver","sequence":"additional","affiliation":[{"name":"Department of Neonatology Manipal Hospital Old Airport Road Bengaluru India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8085-1539","authenticated-orcid":false,"given":"Karthik","family":"Nagesh","sequence":"additional","affiliation":[{"name":"Department of Neonatology Manipal Hospital Old Airport Road Bengaluru India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.35-10-417"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-015-0739-0"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/children8121098"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc11865"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3924"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.1797"},{"key":"e_1_2_12_8_1","volume-title":"South East Asia Regional Neonatal\u2010Perinatal Database [Internet]","year":"2010"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-018-0049-3"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000438453"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-020-03789-z"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.5152\/balkanmedj.2016.16721"},{"issue":"10","key":"e_1_2_12_13_1","first-page":"1866","article-title":"Training on the Silverman and Andersen Score Improved How Special Care Unit Nurses Assessed Neonatal Respiratory Distress in a Low\u2010Resource Setting","volume":"111","author":"Cavallin F.","year":"2022","journal-title":"Acta Paediatrica 1992 [Internet]"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:32:30Z","timestamp":1761129150000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.71000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/ppul.71000"],"URL":"https:\/\/doi.org\/10.1002\/ppul.71000","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"2024-08-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71000"}}