How successful is 'pleural sound sign' in the identification of pneumothorax?
INTRODUCTION[|]In the present study, in thorax ultrasonography (USG) Doppler images obtained from cases with occult pneumothorax, we investigated the status of pulsatile pleural sounds over the pleural line and called these as the pleural sound sign (PSS). The purpose of the present study was to ide...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2019-09-01
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| Series: | İstanbul Kuzey Klinikleri |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-46548 |
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| author | Saniye Göknil Çalık Mustafa Çalık Sadık A. Girişgin Osman Karaoğlan Zerrin Defne Dündar Mehmet Ergin |
| author_facet | Saniye Göknil Çalık Mustafa Çalık Sadık A. Girişgin Osman Karaoğlan Zerrin Defne Dündar Mehmet Ergin |
| author_sort | Saniye Göknil Çalık |
| collection | DOAJ |
| description | INTRODUCTION[|]In the present study, in thorax ultrasonography (USG) Doppler images obtained from cases with occult pneumothorax, we investigated the status of pulsatile pleural sounds over the pleural line and called these as the pleural sound sign (PSS). The purpose of the present study was to identify the efficacy of the proposed PSS in diagnosing pneumothorax and to compare it with the other USG findings including the sliding lung sign (SLS) and seashore sign (SSS).
[¤]METHODS[|]The present study included 66 consecutive patients who were referred to the emergency unit with a blunt trauma from October 2009 to January 2010 at a tertiary university hospital.
[¤]RESULTS[|]Of the 66 patients, 34 were in the patient group, and 32 were in the control group. Males accounted for 66.7% (n=44) of the study population. In predicting pneumothorax, the areas under receiver operating characteristic (ROC) curves of PSSmax and PSSdifference were 0.989 and 0.990, respectively. While the sensitivity of the SLS was 88% and the sensitivity of the SSS was 56%, the specificities of the SLS and SSS were 100%. Based on our findings, accuracy ranking was as follows: PSSmax = PSSdifference > SLS > SSS.
[¤]DISCUSSION AND CONCLUSION[|]New applications of thorax USG are rapidly growing. Our findings have to be confirmed in a large patient series. PSS is not a novel method, but it enhanced the importance of USG in the diagnosis of pneumothorax. We can stipulate that it can replace thorax computed tomography imaging particularly for the diagnosis of occult pneumothoraxes.
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| first_indexed | 2024-04-10T14:04:16Z |
| format | Article |
| id | doaj.art-67bb6cca6af04052a3edfac354d54c29 |
| institution | Directory Open Access Journal |
| issn | 2148-4902 |
| language | English |
| last_indexed | 2024-04-10T14:04:16Z |
| publishDate | 2019-09-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | İstanbul Kuzey Klinikleri |
| spelling | doaj.art-67bb6cca6af04052a3edfac354d54c292023-02-15T16:10:05ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022019-09-016327327810.14744/nci.2018.46548NCI-46548How successful is 'pleural sound sign' in the identification of pneumothorax?Saniye Göknil Çalık0Mustafa Çalık1Sadık A. Girişgin2Osman Karaoğlan3Zerrin Defne Dündar4Mehmet Ergin5Department of Emergency and First Aid, KTO Karatay University Institute of Medical Sciences, Konya, TurkeyDepartment of Thoracic Surgery, Health Sciences University, Konya Training and Research Hospital, Konya, TurkeyDepartment of Emergency Medicine, Necmettin Erbakan University Meram Faculty of Medicine, Konya, TurkeyDepartment of Emergency Medicine, Konya Numune State Hospital, Konya, TurkeyDepartment of Emergency Medicine, Necmettin Erbakan University Meram Faculty of Medicine, Konya, TurkeyDepartment of Emergency Medicine, Necmettin Erbakan University Meram Faculty of Medicine, Konya, TurkeyINTRODUCTION[|]In the present study, in thorax ultrasonography (USG) Doppler images obtained from cases with occult pneumothorax, we investigated the status of pulsatile pleural sounds over the pleural line and called these as the pleural sound sign (PSS). The purpose of the present study was to identify the efficacy of the proposed PSS in diagnosing pneumothorax and to compare it with the other USG findings including the sliding lung sign (SLS) and seashore sign (SSS). [¤]METHODS[|]The present study included 66 consecutive patients who were referred to the emergency unit with a blunt trauma from October 2009 to January 2010 at a tertiary university hospital. [¤]RESULTS[|]Of the 66 patients, 34 were in the patient group, and 32 were in the control group. Males accounted for 66.7% (n=44) of the study population. In predicting pneumothorax, the areas under receiver operating characteristic (ROC) curves of PSSmax and PSSdifference were 0.989 and 0.990, respectively. While the sensitivity of the SLS was 88% and the sensitivity of the SSS was 56%, the specificities of the SLS and SSS were 100%. Based on our findings, accuracy ranking was as follows: PSSmax = PSSdifference > SLS > SSS. [¤]DISCUSSION AND CONCLUSION[|]New applications of thorax USG are rapidly growing. Our findings have to be confirmed in a large patient series. PSS is not a novel method, but it enhanced the importance of USG in the diagnosis of pneumothorax. We can stipulate that it can replace thorax computed tomography imaging particularly for the diagnosis of occult pneumothoraxes. [¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-46548emergency medicinechestpleural sound sign; pneumothorax; ultrasonography. |
| spellingShingle | Saniye Göknil Çalık Mustafa Çalık Sadık A. Girişgin Osman Karaoğlan Zerrin Defne Dündar Mehmet Ergin How successful is 'pleural sound sign' in the identification of pneumothorax? İstanbul Kuzey Klinikleri emergency medicine chest pleural sound sign; pneumothorax; ultrasonography. |
| title | How successful is 'pleural sound sign' in the identification of pneumothorax? |
| title_full | How successful is 'pleural sound sign' in the identification of pneumothorax? |
| title_fullStr | How successful is 'pleural sound sign' in the identification of pneumothorax? |
| title_full_unstemmed | How successful is 'pleural sound sign' in the identification of pneumothorax? |
| title_short | How successful is 'pleural sound sign' in the identification of pneumothorax? |
| title_sort | how successful is pleural sound sign in the identification of pneumothorax |
| topic | emergency medicine chest pleural sound sign; pneumothorax; ultrasonography. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-46548 |
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