Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-Analysis
Introduction:Â 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 hemoth...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shahid Beheshti University of Medical Sciences
2018-12-01
|
| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/234 |
| _version_ | 1818148359922253824 |
|---|---|
| author | Vafa Rahimi-Movaghar Mahmoud Yousefifard Parisa Ghelichkhani Masoud Baikpour Abbas Tafakhori Hadi Asady Gholamreza Faridaalaee Mostafa Hosseini Saeed Safari |
| author_facet | Vafa Rahimi-Movaghar Mahmoud Yousefifard Parisa Ghelichkhani Masoud Baikpour Abbas Tafakhori Hadi Asady Gholamreza Faridaalaee Mostafa Hosseini Saeed Safari |
| author_sort | Vafa Rahimi-Movaghar |
| collection | DOAJ |
| description | 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 systematic 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 hemothorax 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. |
| first_indexed | 2024-12-11T12:49:54Z |
| format | Article |
| id | doaj.art-1ce8870556f148dbb8cbee60c642bfaf |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-11T12:49:54Z |
| publishDate | 2018-12-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-1ce8870556f148dbb8cbee60c642bfaf2022-12-22T01:06:43ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042018-12-014310.22037/aaem.v4i3.234Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-AnalysisVafa Rahimi-Movaghar0Mahmoud Yousefifard1Parisa Ghelichkhani2Masoud Baikpour3Abbas Tafakhori4Hadi Asady5Gholamreza Faridaalaee6Mostafa Hosseini7Saeed Safari8Sina Trauma and Surgery Research Center, Tehran University Medical Sciences, Tehran, IranPhysiologist, Physiology Department, School of Medicine, Tehran University of Medical SciencesDepartment of Intensive Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranDepartment of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran1. Department of Neurology, School of Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2. Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran.Department of Occupational Health Engineering, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Emergency Medicine, Maragheh University of Medical Sciences, Maragheh, IranDepartment of Epidemiology and Biostatistics, school of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Emergency Medicine, Shohedaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranIntroduction: 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 systematic 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 hemothorax 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.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/234Hemothoraxultrasonographyradiographydiagnostic testsroutine |
| spellingShingle | Vafa Rahimi-Movaghar Mahmoud Yousefifard Parisa Ghelichkhani Masoud Baikpour Abbas Tafakhori Hadi Asady Gholamreza Faridaalaee Mostafa Hosseini Saeed Safari Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-Analysis Archives of Academic Emergency Medicine Hemothorax ultrasonography radiography diagnostic tests routine |
| title | Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-Analysis |
| title_full | Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-Analysis |
| title_fullStr | Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-Analysis |
| title_full_unstemmed | Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-Analysis |
| title_short | Application of Ultrasonography and Radiography in Detection of Hemothorax: a Systematic Review and Meta-Analysis |
| title_sort | application of ultrasonography and radiography in detection of hemothorax a systematic review and meta analysis |
| topic | Hemothorax ultrasonography radiography diagnostic tests routine |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/234 |
| work_keys_str_mv | AT vafarahimimovaghar applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT mahmoudyousefifard applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT parisaghelichkhani applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT masoudbaikpour applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT abbastafakhori applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT hadiasady applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT gholamrezafaridaalaee applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT mostafahosseini applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis AT saeedsafari applicationofultrasonographyandradiographyindetectionofhemothoraxasystematicreviewandmetaanalysis |