Enhancing clinical outcomes: Point of care ultrasound in the precision diagnosis and Management of Abdominal Aortic Aneurysms in emergency medicine: A systematic review and meta-analysis.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2024-09-29 DOI:10.1002/jcu.23850

Eman E Shaban, Yavuz Yigit, Baha Alkahlout, Ahmed Shaban, Amira Shaban, Benny Ponappan, Mohammed Abdurabu, Hany A Zaki

引用次数: 0

Abstract

This meta-analysis evaluates the efficacy of point-of-care ultrasound (POCUS) in diagnosing abdominal aortic aneurysm (AAA) in the emergency department (ED). A systematic search of PubMed, Cochrane Library, Scopus, and Google Scholar identified studies published until July 2024. Nine studies were included, revealing that POCUS is highly accurate in diagnosing AAA, with a pooled sensitivity of 98.33% and specificity of 99.84%. Additionally, data from three studies indicated that 24.5% of patients with positive AAA scans were diagnosed with ruptured AAAs. The results suggest that emergency physicians can accurately detect and manage AAA using POCUS, even with limited training.

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提高临床疗效：急诊医学中腹部主动脉瘤精确诊断和管理中的护理点超声：系统回顾和荟萃分析。

本荟萃分析评估了床旁超声（POCUS）在急诊科（ED）诊断腹主动脉瘤（AAA）的疗效。通过对 PubMed、Cochrane Library、Scopus 和 Google Scholar 进行系统检索，确定了截至 2024 年 7 月发表的研究。共纳入了九项研究，结果显示 POCUS 诊断 AAA 的准确率很高，汇总灵敏度为 98.33%，特异度为 99.84%。此外，三项研究的数据表明，在 AAA 扫描呈阳性的患者中，有 24.5% 被诊断为 AAA 破裂。结果表明，急诊医生即使受过有限的培训，也能使用 POCUS 准确检测和处理 AAA。

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

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.