Comparing the Diagnostic Performance of Lung Ultrasonography and Chest Radiography for Detecting Pneumothorax in Patients with Trauma: A Meta-Analysis.

IF 3.5 3区医学 Q2 RESPIRATORY SYSTEM

Respiration Pub Date : 2024-09-30 DOI:10.1159/000540777

Bo Sheng, Lili Tao, Congbing Zhong, Ling Gao

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引用次数: 0

Abstract

Introduction: The objective of this study was to compare the diagnostic performance of ultrasonography (US) and chest radiography for detecting pneumothorax in patients with trauma using a meta-analytic approach.

Methods: PubMed, Embase, and the Cochrane Library were systematically searched to identify eligible studies until March 2023. The diagnostic performance of US and chest radiography was assessed using sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic score, diagnostic odds ratio (DOR), and area under the receiver operating characteristic curve (AUC).

Results: Overall, 21 studies involving 4,087 patients with trauma were included. The overall sensitivity, specificity, PLR, NLR, diagnostic score, DOR, and AUC of US for detecting pneumothorax were 0.83, 0.99, 73.72, 0.17, 6.06, 427.80, and 0.99, respectively. The corresponding values of chest radiography for detecting pneumothorax were 0.37, 1.00, 175.59, 0.63, 5.63, 279.97, and 0.86. US was associated with a higher sensitivity (ratio: 2.24; 95% confidence interval [CI]: 1.70-2.95; p < 0.001) or AUC (ratio: 1.15; 95% CI: 1.11-1.19; p < 0.001) and lower NLR (ratio: 0.27; 95% CI: 0.17-0.43; p < 0.001) compared with chest radiography.

Conclusion: Lung US was associated with better diagnostic performance than chest radiography for detecting pneumothorax in patients with trauma.

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比较肺部超声波检查和胸部放射线检查在检测外伤患者气胸方面的诊断性能：一项荟萃分析。

引言采用荟萃分析法比较超声波检查（US）和胸部X光检查在检测外伤患者气胸方面的诊断性能：方法：系统检索了 PubMed、EMBASE 和 Cochrane 图书馆，以确定 2023 年 3 月之前符合条件的研究。采用灵敏度、特异性、阳性似然比（PLR）、阴性似然比（NLR）、诊断评分、诊断几率比（DOR）和接收者操作特征曲线下面积（AUC）对 US 和胸片的诊断性能进行评估：共纳入 21 项研究，涉及 4,087 名外伤患者。US 检测气胸的总体灵敏度、特异性、PLR、NLR、诊断评分、DOR 和 AUC 分别为 0.83、0.99、73.72、0.17、6.06、427.80 和 0.99。胸片检测气胸的相应数值分别为 0.37、1.00、175.59、0.63、5.63、279.97 和 0.86。与胸片相比，肺部 US 具有更高的灵敏度（比值比：2.24；95% 置信区间[CI]：1.70-2.95；P <；0.001）或 AUC（比值比：1.15；95% CI：1.11-1.19；P <；0.001）和更低的 NLR（比值比：0.27；95% CI：0.17-0.43；P <；0.001）：结论：在检测外伤患者的气胸方面，肺部 US 比胸片具有更好的诊断性能。

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

Respiration 医学-呼吸系统

CiteScore

7.30

自引率

5.40%

发文量

审稿时长

4-8 weeks

期刊介绍： ''Respiration'' brings together the results of both clinical and experimental investigations on all aspects of the respiratory system in health and disease. Clinical improvements in the diagnosis and treatment of chest and lung diseases are covered, as are the latest findings in physiology, biochemistry, pathology, immunology and pharmacology. The journal includes classic features such as editorials that accompany original articles in clinical and basic science research, reviews and letters to the editor. Further sections are: Technical Notes, The Eye Catcher, What’s Your Diagnosis?, The Opinion Corner, New Drugs in Respiratory Medicine, New Insights from Clinical Practice and Guidelines. ''Respiration'' is the official journal of the Swiss Society for Pneumology (SGP) and also home to the European Association for Bronchology and Interventional Pulmonology (EABIP), which occupies a dedicated section on Interventional Pulmonology in the journal. This modern mix of different features and a stringent peer-review process by a dedicated editorial board make ''Respiration'' a complete guide to progress in thoracic medicine.