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Information Journal Paper

Title

Diagnostic Accuracy of Ultrasonography for Detection of Intussusception in Children, a Systematic Review and Meta-Analysis

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Abstract

 Introduction: The diagnosis of Intussusception can be challenging in children due to the fact that the findings of clinical evaluations are nonspecific and most of the patients present with unclear history. Therefore, in this systematic review and Meta-analysis, we aimed to investigate the diagnostic accuracy of Ultrasonography for detection of Intussusception and also compare the efficacy of point-of-care ultrasound (POCUS) with radiologist-performed ultrasound (RADUS). Methods: Two independent reviewers systematically searched different online electronic databases including MEDLINE, Scopus, Web of Science, Google Scholar, Embase, and Cochrane from inception to December 1, 2022 to identify published papers reporting accuracy of Ultrasonography for diagnosis of Intussusception. The quality assessment of the included studies was investigated using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS)-2 tool. Results: A total of 1446 records were retrieved in the initial search of databases. After screening the titles, a total of 344 studies were retrieved for the detailed assessment of full-text. Finally, 37 studies were included in qualitative and quantitative analysis. The pooled sensitivity and specificity of Ultrasonography for diagnosis of Intussusception were 0. 96 (95% CI: 0. 95-0. 97) and 0. 97 (95% CI: 0. 97-0. 98), respectively. The pooled positive likelihood ratio (PLR) and negative likelihood ratio (NLR) were 24. 57 (95% CI: 8. 26-73. 03) and 0. 05 (95% CI: 0. 04-0. 08), respectively. The area under the hierarchical summary receiver operating characteristic (HSROC) curve was 0. 989. Mete-regression showed that there is no significant difference between diagnostic performance of POCUS and RADUS (p = 0. 06 and rDOR (diagnostic odds ratio) = 4. 38 (95% CI: 0. 92-20. 89)). Conclusion: This Meta-analysis shows that Ultrasonography has excellent sensitivity, specificity, and accuracy for diagnosis of Intussusception in pediatric patients. Moreover, we found that diagnostic performance of POCUS is similar to that of RADUS for diagnosis of Intussusception.

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    APA: Copy

    Rahmani, Erfan, Amani Beni, Reza, Hekmatnia, Yasaman, Fakhre Yaseri, Amirhossein, Ahadiat, Seyed Amirabbas, Talebi Boroujeni, Parham, Kiani, Moein, TAVAKOLI, REZA, Shafagh, Seyyed Ghavam, Shirazinia, Matin, Garousi, Setareh, Mottahedi, Mehran, Arzaghi, Mohammadreza, Pourbagher Benam, Sasan, Rigi, Amir, SALMANI, AMIR, ABDOLLAHI, ZEYNAB, Karimzade Rokni, Fateme, Nikbakht, Tara, Azizi Hassan Abadi, Saeme, Roohinezhad, Roozbeh, Masheghati, Forough, Haririan, Yas, Darouei, Bahar, Fayyazishishavan, Ehsan, Manoochehri Arash, Niusha, & FARROKHI, MEHRDAD. (2023). Diagnostic Accuracy of Ultrasonography for Detection of Intussusception in Children, a Systematic Review and Meta-Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 11(1), 0-0. SID. https://sid.ir/paper/1115101/en

    Vancouver: Copy

    Rahmani Erfan, Amani Beni Reza, Hekmatnia Yasaman, Fakhre Yaseri Amirhossein, Ahadiat Seyed Amirabbas, Talebi Boroujeni Parham, Kiani Moein, TAVAKOLI REZA, Shafagh Seyyed Ghavam, Shirazinia Matin, Garousi Setareh, Mottahedi Mehran, Arzaghi Mohammadreza, Pourbagher Benam Sasan, Rigi Amir, SALMANI AMIR, ABDOLLAHI ZEYNAB, Karimzade Rokni Fateme, Nikbakht Tara, Azizi Hassan Abadi Saeme, Roohinezhad Roozbeh, Masheghati Forough, Haririan Yas, Darouei Bahar, Fayyazishishavan Ehsan, Manoochehri Arash Niusha, FARROKHI MEHRDAD. Diagnostic Accuracy of Ultrasonography for Detection of Intussusception in Children, a Systematic Review and Meta-Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2023;11(1):0-0. Available from: https://sid.ir/paper/1115101/en

    IEEE: Copy

    Erfan Rahmani, Reza Amani Beni, Yasaman Hekmatnia, Amirhossein Fakhre Yaseri, Seyed Amirabbas Ahadiat, Parham Talebi Boroujeni, Moein Kiani, REZA TAVAKOLI, Seyyed Ghavam Shafagh, Matin Shirazinia, Setareh Garousi, Mehran Mottahedi, Mohammadreza Arzaghi, Sasan Pourbagher Benam, Amir Rigi, AMIR SALMANI, ZEYNAB ABDOLLAHI, Fateme Karimzade Rokni, Tara Nikbakht, Saeme Azizi Hassan Abadi, Roozbeh Roohinezhad, Forough Masheghati, Yas Haririan, Bahar Darouei, Ehsan Fayyazishishavan, Niusha Manoochehri Arash, and MEHRDAD FARROKHI, “Diagnostic Accuracy of Ultrasonography for Detection of Intussusception in Children, a Systematic Review and Meta-Analysis,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 11, no. 1, pp. 0–0, 2023, [Online]. Available: https://sid.ir/paper/1115101/en

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