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Information Journal Paper

Title

Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures in Children, a Systematic Review and Meta-analysis

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  0-0

Abstract

 Introduction: In spite of the results of previous studies regarding the benefits of Ultrasonography for Diagnosis of Elbow Fractures in Children, the exact accuracy of this imaging modality is still under debate. Therefore, in this diagnostic systematic review and Meta-analysis, we aimed to investigate the accuracy of Ultrasonography in this regard. Methods: Two independent reviewers performed systematic search in Web of Science, Embase, PubMed, Cochrane, and Scopus for studies published from inception of these databases to May 2023. Quality assessment of the included studies was performed using Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS-2). Meta-Disc software version 1. 4 and Stata statistical software package version 17. 0 were used for statistical analysis. Results: A total of 648 studies with 1000 patients were included in the Meta-analysis. The pooled sensitivity and specificity were 0. 95 (95% CI: 0. 93-0. 97) and 0. 87 (95% CI: 0. 84-0. 90), respectively. Pooled positive likelihood ratio (PLR) was 6. 71 (95% CI: 3. 86-11. 67), negative likelihood ratio (NLR) was 0. 09 (95% CI: 0. 03-0. 22), and pooled diagnostic odds ratio (DOR) of Ultrasonography in detection of elbow fracture in Children was 89. 85 (95% CI: 31. 56-255. 8). The area under the summary receiver operating characteristic (ROC) curve for accuracy of Ultrasonography in this regard was 0. 93. Egger’, s and Begg’, s analyses showed that there is no significant publication bias (P=0. 11 and P=0. 29, respectively). Conclusion: Our Meta-analysis revealed that Ultrasonography is a relatively promising diagnostic imaging modality for identification of Elbow Fractures in Children. However, clinicians employing Ultrasonography for Diagnosis of Elbow Fractures should be aware that studies included in this Meta-analysis had limitations regarding methodological quality and are subject to risk of bias. Future high-quality studies with standardization of Ultrasonography examination protocol are required to thoroughly validate Ultrasonography for Elbow Fractures.

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    APA: Copy

    HOSSEINI KHAMENEH, SEYED MEHDI, Amani Beni, Reza, Ahadiat, Seyed Amirabbas, Kahrizi, Mohammad Saeed, JAFARI, SINA, Seyedinnavade, Seyede hatefe, Rafiemanzelat, Amir Masood, Mashatan, Noushin, Beheshtiparvar, Dorsa, Moghadam Fard, Atousa, Lotfi, Hamed, Arhami, Hossein, BARATI, REZA, Hasanvand, Raziyeh, Boorboor, Shima, Khodaei, Elaheh, Dadashzadehasl, Dorsa, ZAMANI, FATEMEH, Khorram, Roya, EBRAHIMPOUR, MARYAM, ABDOLLAHI, ZEYNAB, Shabani, Mohammadreza, Latifi, Nariman, Vafadar, Reza, Shah Hossein, Sepideh, Khodashenas, Mehran, KAZEMI, SEYYED MORTEZA, Minaei Noshahr, Reza, Ghayyem, Hani, FARAHANI, Alireza, Saeidi, Diba, Jadidi, Sajedeh, Goodarzy, Babak, & FARROKHI, MEHRDAD. (2023). Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures in Children, a Systematic Review and Meta-analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 11(1), 0-0. SID. https://sid.ir/paper/1116056/en

    Vancouver: Copy

    HOSSEINI KHAMENEH SEYED MEHDI, Amani Beni Reza, Ahadiat Seyed Amirabbas, Kahrizi Mohammad Saeed, JAFARI SINA, Seyedinnavade Seyede hatefe, Rafiemanzelat Amir Masood, Mashatan Noushin, Beheshtiparvar Dorsa, Moghadam Fard Atousa, Lotfi Hamed, Arhami Hossein, BARATI REZA, Hasanvand Raziyeh, Boorboor Shima, Khodaei Elaheh, Dadashzadehasl Dorsa, ZAMANI FATEMEH, Khorram Roya, EBRAHIMPOUR MARYAM, ABDOLLAHI ZEYNAB, Shabani Mohammadreza, Latifi Nariman, Vafadar Reza, Shah Hossein Sepideh, Khodashenas Mehran, KAZEMI SEYYED MORTEZA, Minaei Noshahr Reza, Ghayyem Hani, FARAHANI Alireza, Saeidi Diba, Jadidi Sajedeh, Goodarzy Babak, FARROKHI MEHRDAD. Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures 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/1116056/en

    IEEE: Copy

    SEYED MEHDI HOSSEINI KHAMENEH, Reza Amani Beni, Seyed Amirabbas Ahadiat, Mohammad Saeed Kahrizi, SINA JAFARI, Seyede hatefe Seyedinnavade, Amir Masood Rafiemanzelat, Noushin Mashatan, Dorsa Beheshtiparvar, Atousa Moghadam Fard, Hamed Lotfi, Hossein Arhami, REZA BARATI, Raziyeh Hasanvand, Shima Boorboor, Elaheh Khodaei, Dorsa Dadashzadehasl, FATEMEH ZAMANI, Roya Khorram, MARYAM EBRAHIMPOUR, ZEYNAB ABDOLLAHI, Mohammadreza Shabani, Nariman Latifi, Reza Vafadar, Sepideh Shah Hossein, Mehran Khodashenas, SEYYED MORTEZA KAZEMI, Reza Minaei Noshahr, Hani Ghayyem, Alireza FARAHANI, Diba Saeidi, Sajedeh Jadidi, Babak Goodarzy, and MEHRDAD FARROKHI, “Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures 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/1116056/en

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