Role of emergency chest ultrasound in traumatic pneumothorax. An updated meta-analysis.

IF 1.8 4区医学 Q2 ACOUSTICS

Medical Ultrasonography Pub Date : 2023-03-30 DOI:10.11152/mu-3309

Haiyan Tian, Ton Zhang, Yu Zhou, Sanjay Rastogi, Rupshikha Choudhury, Jawed Iqbal

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引用次数: 2

Abstract

Aim: To assess chest ultrasound (US) diagnostic accuracy in pneumothorax diagnosing.

Material and methods: Prospec-tive studies related to the US pneumothorax diagnostic accuracy in trauma patients were extensively searched from 2000 up to November 2020. The studies features and findings were gathered using a standardised form and the methodological quality of the investigations was evaluated using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2).

Results: Twelve articles were finally chosen for quantitative analysis. The overall sensitivity of US scan in pneumothorax diagnosis was 89% (95%CI 86-91%). Specificity was 96% (95%CI 95-97%). The diagnostic odds ratio was 193.94 (59.009-637.40) at 95%CI, thus demonstrating high chest US accuracy in pneumothorax diagnosis.

Conclusion: Despite the limitations of the included studies, this systematic review and meta-analysis concluded that chest US is a reliable method for diagnosing pneu-mothorax in traumatized patients.

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急诊胸部超声在外伤性气胸中的作用。更新的元分析。

目的:评价胸部超声(US)诊断气胸的准确性。材料和方法:从2000年到2020年11月，广泛检索了与创伤患者气胸诊断准确性相关的前瞻性研究。使用标准化表格收集研究特征和发现，并使用诊断准确性研究质量评估(QUADAS-2)评估调查的方法学质量。结果:最终选择12篇文章进行定量分析。超声扫描诊断气胸的总体敏感性为89% (95%CI 86-91%)。特异性为96% (95%CI 95-97%)。95%CI时的诊断优势比为193.94(59.009-637.40)，表明胸超声诊断气胸的准确性较高。结论:尽管纳入的研究存在局限性，但本系统综述和荟萃分析得出结论，胸部超声是诊断创伤患者气胸的可靠方法。

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

Medical Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.20

自引率

5.90%

发文量

期刊介绍： The journal aims to promote ultrasound diagnosis by publishing papers in a variety of categories, including editorial letters, original papers, review articles, pictorial essays, technical developments, case reports, letters to the editor or occasional special reports (fundamental, clinical as well as methodological and educational papers). The papers published cover the whole spectrum of the applications of diagnostic medical ultrasonography, including basic science and therapeutic applications. The journal hosts information regarding the society''s activities, scheduling of accredited training courses in ultrasound diagnosis, as well as the agenda of national and international scientific events.