急诊科床边超声对急性胆囊炎的诊断价值诊断准确性研究。

Emergency Pub Date : 2018-01-01 Epub Date: 2018-01-20
Babak Shekarchi, Seyed Zia Hejripour Rafsanjani, Nima Shekar Riz Fomani, Mojtaba Chahardoli
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引用次数: 0

摘要

在急诊科使用床边超声诊断急性胆囊炎可以节省时间,帮助决策过程和明智地分配资源。本研究旨在评价床边右上象限超声(RUQ)对急性胆囊炎的诊断准确性。方法:在本诊断准确性研究中,以急诊科和放射科为例,以急诊科和放射科为急诊科,对急性胆囊炎患者行RUQ超声检查,并计算报告间的一致性。结果:共纳入342例患者,平均年龄53.92±11.18(20 ~ 83)岁,其中女性占63.2%。根据ED和放射学报告,至少有一次超声发现急性胆囊炎的患者分别为53例(15.50%)和48例(14.00%)(Kappa = 0.826)。床边超声的敏感性、特异性、阳性预测值和阴性预测值以及阳性和阴性似然比分别为89.58 (95%CI: 76.55 ~ 96.10)、96.59 (95%CI: 93.63 ~ 98.29)、81.13 (95%CI: 67.58 ~ 90.11)、98.26 (95%CI: 95.77 ~ 99.36)、4.30 (95%CI: 2.42 ~ 7.62)和0.017 (95%CI: 0.007 ~ 0.041)。结论:急诊科和放射科的超声报告对急性胆囊炎的存在与否有很好的一致性。床边RUQ超声的敏感性为89.58,特异性为96.59。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study.

Introduction: Using bedside ultrasound in diagnosing acute cholecystitis in the emergency department (ED) can save time, help the decision making process and allocate resources wisely. This study aimed to evaluate the diagnostic accuracy of bedside right upper quadrant (RUQ) ultrasonography in detection of acute cholecystitis.

Method: In this diagnostic accuracy study, patients presenting to ED, suffering from RUQ pain in favor of acute cholecystitis underwent RUQ ultrasonography in emergency and radiology departments and interrater agreement between reports was calculated.

Results: 342 patients with the mean age of 53.92 ± 11.18 (20 - 83) years were studied (63.2% female). The number of patients with at least one sonographic finding of acute cholecystitis were 53 (15.50%) and 48 (14.00%) based on ED and radiology reports (Kappa = 0.826). Sensitivity, specificity, positive and negative predictive values, as well as positive and negative likelihood ratios of bedside sonography were 89.58 (95%CI: 76.55 - 96.10), 96.59 (95%CI: 93.63 - 98.29), 81.13 (95%CI: 67.58 - 90.11), 98.26 (95%CI: 95.77 - 99.36), 4.30 (95%CI: 2.42 - 7.62) and 0.017 (95%CI: 0.007 - 0.041), respectively.

Conclusion: There was a very good agreement between ED and radiology departments' sonography reports regarding the presence or absence of acute cholecystitis. Sensitivity and specificity of bedside RUQ sonography were 89.58 and 96.59, respectively.

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来源期刊
Emergency
Emergency EMERGENCY MEDICINE-
自引率
0.00%
发文量
1
审稿时长
8 weeks
期刊介绍: "Archives of Academic Emergency Medicine" is an international, Open Access, peer-reviewed, continuously published journal dedicated to improving the quality of care and increasing the knowledge in the field of emergency medicine by publishing high quality articles concerning emergency medicine and related disciplines. All accepted articles will be published immediately in order to increase its visibility and possibility of citation. The journal publishes articles on critical care, disaster and trauma management, environmental diseases, toxicology, pediatric emergency medicine, emergency medical services, emergency nursing, health policy and ethics, and other related topics. The journal supports the following types of articles: -Original/Research article -Systematic review/Meta-analysis -Brief report -Case-report -Letter to the editor -Photo quiz
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