Diagnostic Value of Chest Computed Tomography Scan for Identification of Foreign Body Aspiration in Children: A Systematic Review and Meta-analysis.

Autor:	Goodarzy B; School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Rahmani E; School of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Farrokhi M; Student Research Committee, Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Tavakoli R; Department of Radiology, Arak University of Medical Sciences, Arak, Iran., Moghadam Fard A; ERIS Research Institute, Tehran, Iran., Ranjbaran Ghaleh M; ERIS Research Institute, Tehran, Iran., Ghalichebaf Yazdi Y; ERIS Research Institute, Tehran, Iran., Amani Beni R; School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Ghadirzadeh E; School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran., Afrazeh F; ERIS Research Institute, Tehran, Iran., Alipour Khabir Y; Graduated, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran., Alipour Khabir S; Graduated, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran., Bakhtiyari P; ERIS Research Institute, Tehran, Iran., Atighi J; School of Dentistry, Qazvin University of Medical Sciences, Qazvin, Iran., Mahjoubi M; Clinical Research Development Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran., Momeni Z; ERIS Research Institute, Tehran, Iran., Jalayeri H; School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Hosseini MH; School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Hoorshad B; ERIS Research Institute, Tehran, Iran., Tavakoli M; ERIS Research Institute, Tehran, Iran., Seifi S; ERIS Research Institute, Tehran, Iran., Momeni H; ERIS Research Institute, Tehran, Iran., Mirbolook A; ERIS Research Institute, Tehran, Iran., Esmaili Jobani A; Computer Department, Istanbul Aydin University, Istanbul, Turkey., Mohammadi Visroud M; ERIS Research Institute, Tehran, Iran., Najafi A; Department of psychology, South Tehran Branch, Islamic Azad University, Tehran, Iran., Hosseini Z; ERIS Research Institute, Tehran, Iran., Aboulhassanzadeh S; School of Biotechnology Faculty of Science and Health, Dublin City University, Dublin, Ireland., Ajami N; ERIS Research Institute, Tehran, Iran., Ramezani S; Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran., Manavi MS; ERIS Research Institute, Tehran, Iran., Safdari S; Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran., Fallahian A; ERIS Research Institute, Tehran, Iran., Azimi H; School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran., Zahedpasha R; Department of Radiology, School of Medicine, 5th Azar Hospital, Gorgan, Golestan, Iran., Ranjbar E; School of Medicine, Tehran University of Medical Sciences, Tehran, Iran., Kahrizi MS; Alborz University of Medical Sciences, Karaj, Alborz, Iran., Zare Lahijan L; University of Tabriz, Tabriz, Iran.
Jazyk:	angličtina
Zdroj:	Archives of academic emergency medicine [Arch Acad Emerg Med] 2024 Sep 05; Vol. 13 (1), pp. e3. Date of Electronic Publication: 2024 Sep 05 (Print Publication: 2025).
DOI:	10.22037/aaem.v12i1.2431
Abstrakt:	Introduction: Foreign body aspiration (FBA) is a common, life-threatening pediatric emergency and was shown to be associated with high risk of morbidity and mortality. This systematic review and meta-analysis aimed to investigate the diagnostic value of chest computed tomography (CT) scan for identification of FBA in children. Methods: From inception to May 2024, a systematic search was carried out across multiple databases including Medline, Scopus, and Web of Science, considering published papers in English language. Quality assessment of the included studies was performed using seven domains of Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2). Results: The systematic literature search yielded 7203 articles. The pooled sensitivity and specificity of chest CT scan for identification of FBA were 0.99 (95% CI: 0.98-0.99) and 0.97 (95% CI: 0.96-0.98), respectively. The pooled positive likelihood ratio was 10.12 (95% CI: 4.59-22.20), and pooled negative likelihood ratio was 0.05 (95% CI: 0.02-0.1). Furthermore, the area under the summarized receiver operating characteristic (SROC) curve was 0.98. Conclusion: Our meta-analysis revealed that despite high heterogeneity, in the diagnostic characteristics of chest CT scan among studies, it has high diagnostic value in identifying FBA in suspected pediatric cases. Competing Interests: None.
Databáze:	MEDLINE
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