Diagnostic Value of Chest Computed Tomography Scan for Identification of Foreign Body Aspiration in Children: A Systematic Review and Meta-analysis.

IF 2 Q1 EMERGENCY MEDICINE

Archives of Academic Emergency Medicine Pub Date : 2024-09-05 eCollection Date: 2025-01-01 DOI:10.22037/aaem.v12i1.2431

Babak Goodarzy, Erfan Rahmani, Mehrdad Farrokhi, Reza Tavakoli, Atousa Moghadam Fard, Mohadese Ranjbaran Ghaleh, Yeganeh Ghalichebaf Yazdi, Reza Amani Beni, Erfan Ghadirzadeh, Fatemeh Afrazeh, Yalda Alipour Khabir, Sevda Alipour Khabir, Paria Bakhtiyari, Javaneh Atighi, Mohammad Mahjoubi, Zahra Momeni, Hediyeh Jalayeri, Mohammad Hossein Hosseini, Behnam Hoorshad, Mehdi Tavakoli, Sepideh Seifi, Hamidreza Momeni, Amirhossein Mirbolook, Alireza Esmaili Jobani, Mozhdeh Mohammadi Visroud, Aboulfazl Najafi, Zahrasadat Hosseini, Sobhan Aboulhassanzadeh, Negar Ajami, Sahel Ramezani, Mahdokht Sadat Manavi, Sina Safdari, Amirali Fallahian, Habib Azimi, Reza Zahedpasha, Ehsan Ranjbar, Mohammad Saeed Kahrizi, Lida Zare Lahijan

{"title":"Diagnostic Value of Chest Computed Tomography Scan for Identification of Foreign Body Aspiration in Children: A Systematic Review and Meta-analysis.","authors":"Babak Goodarzy, Erfan Rahmani, Mehrdad Farrokhi, Reza Tavakoli, Atousa Moghadam Fard, Mohadese Ranjbaran Ghaleh, Yeganeh Ghalichebaf Yazdi, Reza Amani Beni, Erfan Ghadirzadeh, Fatemeh Afrazeh, Yalda Alipour Khabir, Sevda Alipour Khabir, Paria Bakhtiyari, Javaneh Atighi, Mohammad Mahjoubi, Zahra Momeni, Hediyeh Jalayeri, Mohammad Hossein Hosseini, Behnam Hoorshad, Mehdi Tavakoli, Sepideh Seifi, Hamidreza Momeni, Amirhossein Mirbolook, Alireza Esmaili Jobani, Mozhdeh Mohammadi Visroud, Aboulfazl Najafi, Zahrasadat Hosseini, Sobhan Aboulhassanzadeh, Negar Ajami, Sahel Ramezani, Mahdokht Sadat Manavi, Sina Safdari, Amirali Fallahian, Habib Azimi, Reza Zahedpasha, Ehsan Ranjbar, Mohammad Saeed Kahrizi, Lida Zare Lahijan","doi":"10.22037/aaem.v12i1.2431","DOIUrl":null,"url":null,"abstract":"Introduction: Foreign body aspiration (FBA) is a common, life-threatening pediatric emergency and was shown to be associated with high risk of morbidity and mortality. This systematic review and meta-analysis aimed to investigate the diagnostic value of chest computed tomography (CT) scan for identification of FBA in children.Methods: From inception to May 2024, a systematic search was carried out across multiple databases including Medline, Scopus, and Web of Science, considering published papers in English language. Quality assessment of the included studies was performed using seven domains of Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2).Results: The systematic literature search yielded 7203 articles. The pooled sensitivity and specificity of chest CT scan for identification of FBA were 0.99 (95% CI: 0.98-0.99) and 0.97 (95% CI: 0.96-0.98), respectively. The pooled positive likelihood ratio was 10.12 (95% CI: 4.59-22.20), and pooled negative likelihood ratio was 0.05 (95% CI: 0.02-0.1). Furthermore, the area under the summarized receiver operating characteristic (SROC) curve was 0.98.Conclusion: Our meta-analysis revealed that despite high heterogeneity, in the diagnostic characteristics of chest CT scan among studies, it has high diagnostic value in identifying FBA in suspected pediatric cases.","PeriodicalId":8146,"journal":{"name":"Archives of Academic Emergency Medicine","volume":"13 1","pages":"e3"},"PeriodicalIF":2.0000,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417639/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Academic Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22037/aaem.v12i1.2431","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Foreign body aspiration (FBA) is a common, life-threatening pediatric emergency and was shown to be associated with high risk of morbidity and mortality. This systematic review and meta-analysis aimed to investigate the diagnostic value of chest computed tomography (CT) scan for identification of FBA in children.

Methods: From inception to May 2024, a systematic search was carried out across multiple databases including Medline, Scopus, and Web of Science, considering published papers in English language. Quality assessment of the included studies was performed using seven domains of Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2).

Results: The systematic literature search yielded 7203 articles. The pooled sensitivity and specificity of chest CT scan for identification of FBA were 0.99 (95% CI: 0.98-0.99) and 0.97 (95% CI: 0.96-0.98), respectively. The pooled positive likelihood ratio was 10.12 (95% CI: 4.59-22.20), and pooled negative likelihood ratio was 0.05 (95% CI: 0.02-0.1). Furthermore, the area under the summarized receiver operating characteristic (SROC) curve was 0.98.

Conclusion: Our meta-analysis revealed that despite high heterogeneity, in the diagnostic characteristics of chest CT scan among studies, it has high diagnostic value in identifying FBA in suspected pediatric cases.

Abstract Image

查看原文本刊更多论文

胸部计算机断层扫描对儿童异物吸入的诊断价值：系统回顾与元分析》。

简介：异物吸入（FBA）是一种常见的、危及生命的儿科急症，并被证明与高发病率和高死亡率相关。本系统综述和荟萃分析旨在研究胸部计算机断层扫描（CT）对识别儿童异物吸入的诊断价值：方法：从开始到 2024 年 5 月，我们在 Medline、Scopus 和 Web of Science 等多个数据库中进行了系统检索，考虑了已发表的英文论文。采用诊断准确性研究质量评估-2（QUADAS-2）的七个领域对纳入的研究进行质量评估：结果：系统性文献检索共获得 7203 篇文章。胸部 CT 扫描识别 FBA 的汇总灵敏度和特异度分别为 0.99（95% CI：0.98-0.99）和 0.97（95% CI：0.96-0.98）。汇总的阳性似然比为 10.12（95% CI：4.59-22.20），汇总的阴性似然比为 0.05（95% CI：0.02-0.1）。此外，汇总接收者操作特征（SROC）曲线下的面积为 0.98：我们的荟萃分析表明，尽管不同研究的胸部 CT 扫描在诊断特征方面存在高度异质性，但它在鉴别疑似儿科病例的 FBA 方面具有很高的诊断价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊