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

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Information Journal Paper

Title

APPLICATION OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF HEMOTHORAX, A SYSTEMATIC REVIEW AND META-ANALYSIS

Pages

  116-126

Abstract

 Introduction: HEMOTHORAX is one of the most prevalent injuries caused by thoracic traumas. Early detection and treatment of this injury is of utmost importance in prognosis of the patient, but there are still controversial debates on the diagnostic value of imaging techniques in detection of HEMOTHORAX. Therefore, the present study aimed to evaluate the diagnostic value of chest ULTRASONOGRAPHY and RADIOGRAPHY in detection of HEMOTHORAX through a sys-tematic review and meta-analysis.Methods: Two independent reviewers performed an extended systematic search in databases of Medline, EMBASE, ISI Web of Knowledge, Scopus, Cochrane Library, and ProQuest. Data were extract and quality of the relevant studies were assessed. The number of true positive, false positive, true negative and false negative cases were extracted and screening performance characteristics of two imaging techniques were calculated using a mixed-effects binary regression model.Results: Data from 12 studies were extracted and included in the meta-analysis (7361 patients, 77.1% male). Pooled sensitivity and specificity of ULTRASONOGRAPHY in detection of HEMOTHORAX were 0.67 (95% CI: 0.41-0.86; I2=68.38, p<0.001) and 0.99 (95% CI: 0.95-1.0; I2=88.16, p<0.001), respectively. These measures for RADIOGRAPHY were 0.54 (95% CI: 0.33-0.75; I2=92.85, p<0.001) and 0.99 (95% CI: 0.94-1.0; I2=99.22, p<0.001), respectively. Subgroup analysis found operator of the ULTRASONOGRAPHY device, frequency of the transducer and sample size to be important sources of heterogeneity of included studies.Conclusion: The results of this study showed that although the sensitivity of ULTRASONOGRAPHY in detection of hemo-thorax is relatively higher than RADIOGRAPHY, but it is still at a moderate level (0.67%). The specificity of both imaging modalities were found to be at an excellent level in this regard. The screening characteristics of ULTRASONOGRAPHY was found to be influenced of the operator and frequency of transducer.

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    APA: Copy

    RAHIMI MOVAGHAR, VAFA, YOUSEFIFARD, MAHMOUD, GHELICHKHANI, PARISA, BAIKPOUR, MASOUD, TAFAKHORI, ABBAS, ASADY, HADI, FARIDAALAEE, GHOLAMREZA, HOSSEINI, MOSTAFA, & SAFARI, SAEED. (2016). APPLICATION OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF HEMOTHORAX, A SYSTEMATIC REVIEW AND META-ANALYSIS. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 4(3), 116-126. SID. https://sid.ir/paper/339613/en

    Vancouver: Copy

    RAHIMI MOVAGHAR VAFA, YOUSEFIFARD MAHMOUD, GHELICHKHANI PARISA, BAIKPOUR MASOUD, TAFAKHORI ABBAS, ASADY HADI, FARIDAALAEE GHOLAMREZA, HOSSEINI MOSTAFA, SAFARI SAEED. APPLICATION OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF HEMOTHORAX, A SYSTEMATIC REVIEW AND META-ANALYSIS. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2016;4(3):116-126. Available from: https://sid.ir/paper/339613/en

    IEEE: Copy

    VAFA RAHIMI MOVAGHAR, MAHMOUD YOUSEFIFARD, PARISA GHELICHKHANI, MASOUD BAIKPOUR, ABBAS TAFAKHORI, HADI ASADY, GHOLAMREZA FARIDAALAEE, MOSTAFA HOSSEINI, and SAEED SAFARI, “APPLICATION OF ULTRASONOGRAPHY AND RADIOGRAPHY IN DETECTION OF HEMOTHORAX, A SYSTEMATIC REVIEW AND META-ANALYSIS,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 4, no. 3, pp. 116–126, 2016, [Online]. Available: https://sid.ir/paper/339613/en

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