Hany A Zaki, Yavuz Yigit, Eman E Shaban, Benny Ponappan, Yasser Osman Abdelaal, Ahmed Shaban, Amira Shaban, Muna Al Maslamani
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Point-Of-Care Ultrasound for Rapid Diagnosis and Management of Pericardial Effusion in Penetrating Trauma: A Systematic Review and Meta-Analysis.
Pericardial effusion (PCE) secondary to penetrating traumas is a critical condition requiring prompt diagnosis and intervention. This meta-analysis evaluated the diagnostic performance of point-of-care ultrasound (POCUS) in detecting PCE and its impact on patient outcomes. Data from 10 studies involving 3785 patients demonstrated that POCUS has a pooled sensitivity of 87% and specificity of 99%, with an area under the receiver operating characteristic curve of 0.96. Survival rates among true positive cases were 93%, with a mean time to intervention of 7-13 min. Overall, POCUS has a high specificity and sensitivity for detecting PCE among patients with penetrating injuries. However, a negative POCUS exam should be accompanied by diagnostic modalities, such as computed tomography or formal echocardiography to confirm the absence of PCE.
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.
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