Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis.

Autor:	Rahmani E; Graduated, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Fayyazishishavan E; Department of Biostatistics and Data Science, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA., Afzalian A; Graduated, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Varshochi S; Graduated, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Amani-Beni R; School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Ahadiat SA; Girona University, Girona, Spain., Moshtaghi Z; Graduated, Faculty of Nursing, Bushehr University of Medical Sciences, Bushehr, Iran., Shafagh SG; School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Khorram R; Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran., Asadollahzade E; Multiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran., Atbaei R; School of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran., Kahrizi MS; School of Medicine, Alborz University of Medical Sciences, Karaj, Iran., Rahbari A; Islamic University of Azad Medical Branch, Tehran, Iran., Baharlouie N; School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Mostanbet F; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Amirabadiquchani B; Mashhad University of Medical Sciences, Mashhad, Iran., Kiani M; School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran., Memarizadeh M; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Keshtkar Rajabi S; Firoozabadi hospital clinical research development unit (FHCRDU), Department of internal medicine, school of medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran., Barati R; School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Hajinouri H; School of Medicine, Islamic Azad University, Tehran, Iran., Najafi S; Graduated, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Abdollahi Z; Department of Radiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Dadashzadehasl N; Legal Medicine Research Center, Iranian Legal Medicine Organization, Tehran, Iran., Moghadam Fard A; ERIS Research Institute, Tehran, Iran., Afshar M; University of Psychology Sciences, South Azad Tehran, Iran., Abedi A; Dental and Periodontal Research Center, Tabriz University of Medical Sciences, Tabriz, Iran., Saeidi S; Students Research Committee, Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran., Mansourirad A; Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA., Emami Shahrezaei P; Islamic Azad University of Najafabad, Najafabad, Iran., Shah Hosseini S; School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Rostami Ghotbabadi Z; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran., Vafadar R; Department of Orthopedic Surgery, Kerman University of Medical Sciences, Kerman, Iran., Roohinezhad R; School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Ghalamkarpour N; Department of Clinical Laboratory Sciences, School of Allied Medicine, Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran., Farrokhi M; ERIS Research Institute, Tehran, Iran.
Jazyk:	angličtina
Zdroj:	Archives of academic emergency medicine [Arch Acad Emerg Med] 2023 Jul 16; Vol. 11 (1), pp. e49. Date of Electronic Publication: 2023 Jul 16 (Print Publication: 2023).
DOI:	10.22037/aaem.v11i1.2021
Abstrakt:	Introduction: Differentiating the soft tissue abscess from other types of skin and soft tissue infections (SSTIs) poses a particular challenge because they have similar physical evaluation findings, but each disease has a different course, outcome, and treatment. This meta-analysis aimed to investigate the diagnostic accuracy of point-of-care ultrasonography for diagnosis of soft tissue abscess in the emergency departments. Methods: A comprehensive literature search of MEDLINE, Scopus, Web of Science, Embase, and Google Scholar, from inception to January 2023, was conducted to identify relevant studies investigating the diagnostic performance of point-of-care ultrasonography for identification of abscess. Methodological quality of the included studies was assessed using a revised tool for the quality assessment of diagnostic accuracy studies (QUADAS-2). Results: The pooled estimates of diagnostic parameters of ultrasonography for diagnosis of abscess were as follows: sensitivity, 0.93 (95% CI: 0.92-0.94); specificity, 0.87 (95% CI: 0.85-0.89), and the area under the summary receiver-operating characteristic (SROC), 0.95. The pooled sensitivity, specificity, and area under the SROC of studies in adult patients were 0.98 (95% CI: 0.92-1), 0.92 (95% CI: 0.86-0.95), and 0.99, respectively. The pooled sensitivity, specificity, and area under the SROC of studies in pediatric patients were 0.9 (95% CI: 0.87-0.92), 0.78 (95% CI: 0.73-0.82), and 0.91, respectively. Conclusion: Our meta-analysis demonstrated that the point-of-care ultrasonography has excellent diagnostic value for the abscess in the emergency department. Furthermore, we found that the diagnostic performance of point-of-care ultrasonography for diagnosis of abscess was higher for adult cases than for pediatric patients. Competing Interests: None.
Databáze:	MEDLINE
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