Role of emergency chest ultrasound in traumatic pneumothorax. An updated meta-analysis | Zendy

Haiyan Tian | Zendy; Zhang Ton | Zendy; Yu Zhou | Zendy; Sanjay Rastogi | Zendy; Rupshikha Choudhury | Zendy; Jawed Iqbal | Zendy

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Role of emergency chest ultrasound in traumatic pneumothorax. An updated meta-analysis

Author(s) -

Haiyan Tian,

Zhang Ton,

Yu Zhou,

Sanjay Rastogi,

Rupshikha Choudhury,

Jawed Iqbal

Publication year - 2022

Publication title -

medical ultrasonography

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.473

H-Index - 28

eISSN - 2066-8643

pISSN - 1844-4172

DOI - 10.11152/mu-3309

Subject(s) - medicine , pneumothorax , meta analysis , focused assessment with sonography for trauma , diagnostic odds ratio , diagnostic accuracy , radiology , ultrasound , emergency department , blunt , psychiatry , abdominal trauma

Aim: To assess chest ultrasound (US) diagnostic accuracy in pneumothorax diagnosing. Material and methods: Prospec-tive studies related to the US pneumothorax diagnostic accuracy in trauma patients were extensively searched from 2000 up to November 2020. The studies features and findings were gathered using a standardised form and the methodological quality of the investigations was evaluated using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2).Results:Twelve articles were finally chosen for quantitative analysis. The overall sensitivity of US scan in pneumothorax diagnosis was 89% (95%CI 86-91%). Specificity was 96% (95%CI 95-97%). The diagnostic odds ratio was 193.94 (59.009-637.40) at 95%CI, thus demonstrating high chest US accuracy in pneumothorax diagnosis.Conclusion: Despite the limitations of the included studies, this systematic review and meta-analysis concluded that chest US is a reliable method for diagnosing pneu-mothorax in traumatized patients.

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