Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction; a Systematic Review and Meta-analysis.

IF 2.9 Q1 EMERGENCY MEDICINE

Archives of Academic Emergency Medicine Pub Date : 2024-03-03 eCollection Date: 2024-01-01 DOI:10.22037/aaem.v12i1.2265

Mohsen Motavaselian, Mehrdad Farrokhi, Parisa Jafari Khouzani, Atousa Moghadam Fard, Fatemeh Daeizadeh, Mahya Pourrahimi, Reyhaneh Mehrabani, Reza Amani-Beni, Masoud Farrokhi, Faezeh Jalayer Sarnaghy, Asal Mir, Reza Tavakoli, Heidar Fadavian, Reza Mehdinezhad, Parisa Masoudikabir, Maoumeh Moallem, Tohid Karami, Roozbeh Roohinezhad, Yalda Yazdani, Didar Ghasemi, Farideh Rezaeizadeh, Alireza Hadizadeh, Rojin Sarallah, Ashkan Shafigh, Solmaz Aminpour, Amirhossein Esfahani, Seyedsaber Mirabdali, Zahrasadat Hosseini, Farahnaz Saharkhiz, Mehrzad Khodsiani, Fahimeh Ebrahimi Tirtashi, Shabnam Esmailian Dehkordi, Nafise Sadat Amini, Mahsa Aran, Zohreh Abolghasemfard, Nazanin Sanjarinia, Zeynab Abdollahi, Fatemeh Abediankenari, Erfan Ghadirzadeh, Mehran Khodashenas, Ali Jahanshahi

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引用次数: 0

Abstract

Introduction: Small bowel obstruction (SBO) is known as a common cause of acute abdominal complaints in the emergency department (ED). The modality of choice for the diagnosis of SBO has not yet been established. This systematic review and meta-analysis aimed to investigate the accuracy of ultrasonography for the diagnosis of SBO.

Methods: Systematic search was performed on five electronic databases including Medline, Scopus, Web of Sciences, Embase, and Cochrane Library, and the retrieval period was from the inception of each database to November 2023. The quality of the included studies were investigated using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2). The pooled values of diagnostic characteristics for ultrasonography were estimated using meta-Disc and Stata statistical software.

Results: Twenty-one studies with a total of 1977 patients were included in the meta-analysis. The pooled estimate for sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and area under the summary ROC curve of ultrasonography for diagnosing SBO were 0.93 (95% CI: 0.91-0.95), 0.8 (95% CI: 0.77-0.83), 5.69 (95% CI: 3.64-8.89), 0.1 (95% CI: 0.07-0.16), 83.51 (95% CI: 18.12-182.91) and 0.96, respectively.

Conclusion: The findings of this meta-analysis showed that the utilization of ultrasonography holds promise as a diagnostic imaging for SBO with high accuracy. However, additional worldwide studies are essential to get more evidence on the value of ultrasonography for the diagnosis of SBO.

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超声波检查在确定小肠梗阻方面的诊断性能；系统性回顾和 Meta 分析。

导言：众所周知，小肠梗阻（SBO）是急诊科（ED）常见的急腹症病因。诊断 SBO 的首选方法尚未确定。本系统综述和荟萃分析旨在研究超声波检查诊断 SBO 的准确性：方法：在 Medline、Scopus、Web of Sciences、Embase 和 Cochrane Library 等五个电子数据库中进行系统检索，检索期从每个数据库建立之初至 2023 年 11 月。采用诊断准确性研究质量评估2（QUADAS-2）对纳入研究的质量进行了调查。使用 meta-Disc 和 Stata 统计软件估算了超声诊断特征的汇总值：荟萃分析共纳入 21 项研究，共计 1977 名患者。超声波检查诊断 SBO 的敏感性、特异性、阳性似然比（PLR）、阴性似然比（NLR）、诊断几率比（DOR）和 ROC 曲线下面积的汇总估计值分别为 0.93（95% CI：0.91-0.95）、0.8（95% CI：0.77-0.83）、5.69（95% CI：3.64-8.89）、0.1（95% CI：0.07-0.16）、83.51（95% CI：18.12-182.91）和0.96：这项荟萃分析的结果表明，利用超声波成像诊断 SBO 的准确性很高。然而，要获得更多有关超声波成像诊断 SBO 的价值的证据，还需要进行更多的全球性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Academic Emergency Medicine Medicine-Emergency Medicine

CiteScore

8.90

自引率

7.40%

发文量

审稿时长

6 weeks