Echocardiography (Mount Kisco, N.Y.) · 2022
Diagnostic accuracy of cardiopulmonary ultrasound for pulmonary embolism: A systematic review and meta-analysis.
СтатьяМетаанализСистематический обзорНазвание и аннотация: Перевод в очереди
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Cao Jingli, Sun Junjie, Wang Yuanyuan, Wang Lihong
Аннотация
BACKGROUND: Cardiopulmonary ultrasound has shown varying results in the diagnosis of pulmonary embolism patients around the world. Hence, the current review was done to assess the diagnostic accuracy of cardiopulmonary ultrasound for diagnosis of pulmonary embolism among suspected patients.
METHODS: We conducted a systematic search for all studies reporting the diagnostic accuracy of cardiopulmonary ultrasound for pulmonary embolism in the databases of MEDLINE, EMBASE, MEDLINE, SCOPUS, and Cochrane library from inception till May 2021. Meta-analysis was performed using STATA software "midas" package.
RESULTS: Ten studies with 4216 patients were included. The pooled sensitivity was 77% (95% CI, 50-92%) and specificity was 99% (95% CI, 97-100%), respectively. The pooled DOR was 382 (95% CI, 77-1883). Pooled LRP was 90 (95% CI, 24-326) and pooled LRN was .23 (.09-.58). There was significant heterogeneity found with the outcome with significant chi-square test and I2 statistic > 75%.
CONCLUSION: Cardiopulmonary ultrasound has the ability to be used as an adjunct to CTPA especially in resource constrained settings. Further reviews comparing multiple non-invasive imaging modalities are required to pick the best tool for diagnosis of pulmonary embolism.
METHODS: We conducted a systematic search for all studies reporting the diagnostic accuracy of cardiopulmonary ultrasound for pulmonary embolism in the databases of MEDLINE, EMBASE, MEDLINE, SCOPUS, and Cochrane library from inception till May 2021. Meta-analysis was performed using STATA software "midas" package.
RESULTS: Ten studies with 4216 patients were included. The pooled sensitivity was 77% (95% CI, 50-92%) and specificity was 99% (95% CI, 97-100%), respectively. The pooled DOR was 382 (95% CI, 77-1883). Pooled LRP was 90 (95% CI, 24-326) and pooled LRN was .23 (.09-.58). There was significant heterogeneity found with the outcome with significant chi-square test and I2 statistic > 75%.
CONCLUSION: Cardiopulmonary ultrasound has the ability to be used as an adjunct to CTPA especially in resource constrained settings. Further reviews comparing multiple non-invasive imaging modalities are required to pick the best tool for diagnosis of pulmonary embolism.