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

被引:6
作者
Tian, Haiyan [1 ]
Zhang, Tong [2 ]
Zhou, Yu [3 ,6 ]
Rastogi, Sanjay [4 ]
Choudhury, Rupshikha [4 ]
Iqbal, Jawed [5 ]
机构
[1] Inner Mongolia Med Univ, Affiliated Hosp, Dept Ultrasound, Hohhot, Inner Mongolia, Peoples R China
[2] Shandong First Med Univ, Cent Hosp, Dept Radiol, Lixia Dist, Jinan, Shandong, Peoples R China
[3] Dalian Cent Hosp, Dept Ultrasound, Dalian, Liaoning, Peoples R China
[4] Reg Dent Coll, Dept Oral & Maxillofacial Surg, Gauhati, Assam, India
[5] Indira Gandhi Inst Med Sci, Dept Oral & Maxillofacial Surg, Patna, Bihar, India
[6] Dalian Cent Hosp, Dept Ultrasound, Dalian 116033, Liaoning, Peoples R China
关键词
Chest ultrasound; diagnostic accuracy; sensitivity; specificity; pneumothorax; ULTRASONOGRAPHY; RADIOGRAPHY; DIAGNOSIS; ACCURACY; TOOL;
D O I
10.11152/mu-3309
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Aim: To assess chest ultrasound (US) diagnostic accuracy in pneumothorax diagnosing. Material and methods: Prospective 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 pneumothorax in traumatized patients.
引用
收藏
页码:66 / 71
页数:6
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