{"title":"急诊胸部超声在外伤性气胸中的作用。更新的元分析。","authors":"Haiyan Tian, Ton Zhang, Yu Zhou, Sanjay Rastogi, Rupshikha Choudhury, Jawed Iqbal","doi":"10.11152/mu-3309","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To assess chest ultrasound (US) diagnostic accuracy in pneumothorax diagnosing.</p><p><strong>Material and methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":48781,"journal":{"name":"Medical Ultrasonography","volume":"25 1","pages":"66-71"},"PeriodicalIF":1.8000,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Role of emergency chest ultrasound in traumatic pneumothorax. An updated meta-analysis.\",\"authors\":\"Haiyan Tian, Ton Zhang, Yu Zhou, Sanjay Rastogi, Rupshikha Choudhury, Jawed Iqbal\",\"doi\":\"10.11152/mu-3309\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>To assess chest ultrasound (US) diagnostic accuracy in pneumothorax diagnosing.</p><p><strong>Material and methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":48781,\"journal\":{\"name\":\"Medical Ultrasonography\",\"volume\":\"25 1\",\"pages\":\"66-71\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2023-03-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Ultrasonography\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.11152/mu-3309\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ACOUSTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Ultrasonography","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.11152/mu-3309","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ACOUSTICS","Score":null,"Total":0}
Role of emergency chest ultrasound in traumatic pneumothorax. An updated meta-analysis.
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.
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.
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