The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenarios
Background Access to diagnostic tools like chest radiography (CXR) is challenging in resource-limited areas. Despite reduced reliance on CXR due to the need for quick clinical decisions, its usage remains prevalent in the approach to neonatal respiratory distress syndrome (NRDS). Objectives To asses...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2338633 |
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| author | Gabriela Silveira Neves Zilma Silveira Nogueira Reis Roberta Maia de Castro Romanelli Jannine dos Santos Nascimento André Dias Sanglard James Batchelor |
| author_facet | Gabriela Silveira Neves Zilma Silveira Nogueira Reis Roberta Maia de Castro Romanelli Jannine dos Santos Nascimento André Dias Sanglard James Batchelor |
| author_sort | Gabriela Silveira Neves |
| collection | DOAJ |
| description | Background Access to diagnostic tools like chest radiography (CXR) is challenging in resource-limited areas. Despite reduced reliance on CXR due to the need for quick clinical decisions, its usage remains prevalent in the approach to neonatal respiratory distress syndrome (NRDS). Objectives To assess CXR’s role in diagnosing and grading NRDS severity compared to current clinical features and laboratory standards. Methods A review of studies with NRDS diagnostic criteria was conducted across six databases (MEDLINE, EMBASE, BVS, Scopus-Elsevier, Web of Science, Cochrane) up to 3 March 2023. Independent reviewers selected studies, with discrepancies resolved by a senior reviewer. Data were organised into descriptive tables to highlight the use of CXR and clinical indicators of NRDS. Results Out of 1,686 studies screened, 23 were selected, involving a total of 2,245 newborns. All selected studies used CXR to diagnose NRDS, and 21 (91%) applied it to assess disease severity. While seven reports (30%) indicated that CXR is irreplaceable by other diagnostic tools for NRDS diagnosis, 10 studies (43%) found that alternative methods surpassed CXR in several respects, such as severity assessment, monitoring progress, predicting the need for surfactant therapy, foreseeing Continuous Positive Airway Pressure failure, anticipating intubation requirements, and aiding in differential diagnosis. Conclusion CXR remains an important diagnostic tool for NRDS. Despite its continued use in scientific reports, the findings suggest that the study’s outcomes may not fully reflect the current global clinical practices, especially in low-resource settings where the early NRDS approach remains a challenge for neonatal survival. Trial registration: PROSPERO number CRD42022336480. |
| format | Article |
| id | doaj-art-094c45078e61412a810419681d28f244 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-094c45078e61412a810419681d28f2442025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23386332338633The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenariosGabriela Silveira Neves0Zilma Silveira Nogueira Reis1Roberta Maia de Castro Romanelli2Jannine dos Santos Nascimento3André Dias Sanglard4James Batchelor5Federal University of Minas Gerais, UFMGFederal University of Minas Gerais, UFMGFederal University of Minas Gerais, UFMGNeonatal Intensive Care UnitFederal University of Minas Gerais, UFMGUniversity of SouthamptonBackground Access to diagnostic tools like chest radiography (CXR) is challenging in resource-limited areas. Despite reduced reliance on CXR due to the need for quick clinical decisions, its usage remains prevalent in the approach to neonatal respiratory distress syndrome (NRDS). Objectives To assess CXR’s role in diagnosing and grading NRDS severity compared to current clinical features and laboratory standards. Methods A review of studies with NRDS diagnostic criteria was conducted across six databases (MEDLINE, EMBASE, BVS, Scopus-Elsevier, Web of Science, Cochrane) up to 3 March 2023. Independent reviewers selected studies, with discrepancies resolved by a senior reviewer. Data were organised into descriptive tables to highlight the use of CXR and clinical indicators of NRDS. Results Out of 1,686 studies screened, 23 were selected, involving a total of 2,245 newborns. All selected studies used CXR to diagnose NRDS, and 21 (91%) applied it to assess disease severity. While seven reports (30%) indicated that CXR is irreplaceable by other diagnostic tools for NRDS diagnosis, 10 studies (43%) found that alternative methods surpassed CXR in several respects, such as severity assessment, monitoring progress, predicting the need for surfactant therapy, foreseeing Continuous Positive Airway Pressure failure, anticipating intubation requirements, and aiding in differential diagnosis. Conclusion CXR remains an important diagnostic tool for NRDS. Despite its continued use in scientific reports, the findings suggest that the study’s outcomes may not fully reflect the current global clinical practices, especially in low-resource settings where the early NRDS approach remains a challenge for neonatal survival. Trial registration: PROSPERO number CRD42022336480.http://dx.doi.org/10.1080/16549716.2024.2338633infant, newbornradiographylungneonatal respiratory distress syndromediagnosis |
| spellingShingle | Gabriela Silveira Neves Zilma Silveira Nogueira Reis Roberta Maia de Castro Romanelli Jannine dos Santos Nascimento André Dias Sanglard James Batchelor The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenarios Global Health Action infant, newborn radiography lung neonatal respiratory distress syndrome diagnosis |
| title | The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenarios |
| title_full | The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenarios |
| title_fullStr | The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenarios |
| title_full_unstemmed | The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenarios |
| title_short | The role of chest X-ray in the diagnosis of neonatal respiratory distress syndrome: a systematic review concerning low-resource birth scenarios |
| title_sort | role of chest x ray in the diagnosis of neonatal respiratory distress syndrome a systematic review concerning low resource birth scenarios |
| topic | infant, newborn radiography lung neonatal respiratory distress syndrome diagnosis |
| url | http://dx.doi.org/10.1080/16549716.2024.2338633 |
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