Diagnostic accuracy of ultrasonography for the confirmation of endotracheal tube intubation: a systematic review and meta-analysis.

IF 1.8 4区医学 Q2 ACOUSTICS

Medical Ultrasonography Pub Date : 2023-03-30 DOI:10.11152/mu-3594

Xuxia Li, Jiapeng Zhang, Monica Karunakaran, Vishnu Shankar Hariharan

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引用次数: 3

Abstract

Aim: Despite several studies and reviews reporting data accuracy of ultrasonography for confirmation of endotracheal intubation, there has been limited pooled evidence summarizing the diagnostic accuracy of this imaging modality, especially based on recent evidence. Hence, the current study reviews the recent literature and conducts a meta-analysis to compare the accuracy of ultrasonography for the confirmation of endotracheal tube placement.

Material and methods: We conducted a systematic search for all studies reporting the diagnostic accuracy of ultrasonography in the databases of Medline, EMBASE,PubMed Central, ScienceDirect, Google Scholar & Cochrane library from inception till December 2021. Meta-analysis was performed using STATA software "midas" package.

Results: Thirty-eight studies with 3,268 participants were included. Thepooled sensitivity was 98% (95% CI, 97%-99%) and specificity was 95% (95% CI, 90%-98%), respectively. The AUC was 0.98 (95%CI: 0.96-1.00). The pooled DOR was 1090 (95% CI, 408-2910). Pooled LRP was 19 (95% CI, 9-39) and pooled LRN was 0.02 (0.01-0.03). There was significant heterogeneity found in the outcome with significant chi-square tests and I2 statistics > 75%.

Conclusion: Findings from our review demonstrate promise in the applicability of ultrasonography as a major diagnostic tool for confirming the endotracheal tube intubation.

查看原文本刊更多论文

超声检查确认气管内插管的诊断准确性:一项系统回顾和荟萃分析。

目的:尽管有一些研究和综述报道了超声检查确认气管插管的数据准确性，但汇总的证据有限，特别是基于最近的证据，总结了这种成像方式的诊断准确性。因此，本研究回顾了近期文献，并进行meta分析，比较超声检查在确认气管内插管位置中的准确性。材料和方法:我们系统检索了Medline、EMBASE、PubMed Central、ScienceDirect、Google Scholar和Cochrane library数据库中自成立至2021年12月期间报道超声诊断准确性的所有研究。meta分析采用STATA软件“midas”包进行。结果:38项研究共纳入3268名受试者。合并敏感性为98% (95% CI, 97%-99%)，特异性为95% (95% CI, 90%-98%)。AUC为0.98 (95%CI: 0.96-1.00)。合并DOR为1090 (95% CI, 408-2910)。合并LRP为19 (95% CI, 9-39)，合并LRN为0.02(0.01-0.03)。结果存在显著的异质性，卡方检验显著，I2统计量> 75%。结论:我们的研究结果表明超声检查作为确认气管内插管的主要诊断工具的适用性。

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.