مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Information Journal Paper

Title

DIAGNOSTIC ACCURACY OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF PULMONARY CONTUSION; A SYSTEMATIC REVIEW AND META-ANALYSIS

Pages

  127-136

Abstract

 Abstract Introduction: ULTRASONOGRAPHY is currently being used as one of the diagnostic modalities in various medical emer-gencies for screening of trauma patients. The diagnostic value of this modality in detection of traumatic chest inju-ries 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 stud-ies. 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<0.001) and its pooled specificity was calculated to be 0.89 (95% CI: 0.85-0.93; I2 = 67.29, p<0.001) while these figures for chest RADIOGRAPHY were 0.44 (95% CI: 0.32-0.58; I2= 87.52, p<0.001) and 0.98 (95% CI: 0.88-1.0; I2= 95.22, p<0.001), respectively. Subgroup analysis showed that the sources of heteroge-neity between the studies were sampling method, operator, frequency of the transducer, and sample size. Conclu-sion: ULTRASONOGRAPHY was found to be a better screening tool in detection of PULMONARY CONTUSION. Moreover, an ULTRASONOGRAPHY performed by a radiologist / intensivist with 1-5MHz probe has a higher diagnostic value in iden-tifying PULMONARY CONTUSIONs.

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    APA: Copy

    HOSSEINI, MOSTAFA, GHELICHKHANI, PARISA, BAIKPOUR, MASOUD, TAFAKHORI, ABBAS, ASADY, HADI, HAJI GHANBARI, MOHAMMAD JAVAD, YOUSEFIFARD, MAHMOUD, & SAFARI, SAEED. (2015). DIAGNOSTIC ACCURACY OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF PULMONARY CONTUSION; A SYSTEMATIC REVIEW AND META-ANALYSIS. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 3(4), 127-136. SID. https://sid.ir/paper/339587/en

    Vancouver: Copy

    HOSSEINI MOSTAFA, GHELICHKHANI PARISA, BAIKPOUR MASOUD, TAFAKHORI ABBAS, ASADY HADI, HAJI GHANBARI MOHAMMAD JAVAD, YOUSEFIFARD MAHMOUD, SAFARI SAEED. DIAGNOSTIC ACCURACY OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF PULMONARY CONTUSION; A SYSTEMATIC REVIEW AND META-ANALYSIS. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2015;3(4):127-136. Available from: https://sid.ir/paper/339587/en

    IEEE: Copy

    MOSTAFA HOSSEINI, PARISA GHELICHKHANI, MASOUD BAIKPOUR, ABBAS TAFAKHORI, HADI ASADY, MOHAMMAD JAVAD HAJI GHANBARI, MAHMOUD YOUSEFIFARD, and SAEED SAFARI, “DIAGNOSTIC ACCURACY OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF PULMONARY CONTUSION; A SYSTEMATIC REVIEW AND META-ANALYSIS,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 3, no. 4, pp. 127–136, 2015, [Online]. Available: https://sid.ir/paper/339587/en

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