Diagnostic Accuracy of Ultrasonography and Radiography in Detection of Pulmonary Contusion; a Systematic Review and Meta-Analysis

Autor: Mostafa Hosseini, Parisa Ghelichkhani, Masoud Baikpour, Abbas Tafakhori, Hadi Asady, Mohammad Javad Haji Ghanbari, Mahmoud Yousefifard, Saeed Safari
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Archives of Academic Emergency Medicine, Vol 3, Iss 4 (2018)
Druh dokumentu: article
ISSN: 2645-4904
DOI: 10.22037/aaem.v3i4.285
Popis: Introduction: Ultrasonography is currently being used as one of the diagnostic modalities in various medical emergencies for screening of trauma patients. The diagnostic value of this modality in detection of traumatic chest injuries has been evaluated by several studies but its diagnostic accuracy in diagnosis of pulmonary contusion is a matter of discussion. Therefore, the present study aimed to determine the diagnostic accuracy of ultrasonography and radiography in detection of pulmonary contusion through a systematic review and meta-analysis. Methods: An extended systematic search was performed by two reviewers in databases of Medline, EMBASE, ISI Web of Knowledge, Scopus, Cochrane Library, and ProQuest. They extracted the data and assessed the quality of the studies. After summarization of data into true positive, false positive, true negative, and false negative meta-analysis was carried out via a mixed-effects binary regression model. Further subgroup analysis was performed due to a significant heterogeneity between the studies. Results: 12 studies were included in this meta-analysis (1681 chest trauma patients, 76% male). Pooled sensitivity of ultrasonography in detection of pulmonary contusion was 0.92 (95% CI: 0.81-0.96; I2= 95.81, p
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