Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study
Introduction: There are many ambiguities regarding the application of ultrasound in detection of intestinal obstruction. This study aimed to evaluate the diagnostic accuracy of ultrasound in diagnosis of intestinal obstruction. Methods: This cross-sectional study was performed on patients with s...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2022-06-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1628 |
| _version_ | 1818547117636976640 |
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| author | Anita Sabzghabaei Majid Shojaei Miromid Chavoshzadeh |
| author_facet | Anita Sabzghabaei Majid Shojaei Miromid Chavoshzadeh |
| author_sort | Anita Sabzghabaei |
| collection | DOAJ |
| description |
Introduction: There are many ambiguities regarding the application of ultrasound in detection of intestinal obstruction. This study aimed to evaluate the diagnostic accuracy of ultrasound in diagnosis of intestinal obstruction.
Methods: This cross-sectional study was performed on patients with symptoms and signs of bowel obstruction between November19 and July 2020 in Shohadaye-Tajrish and Imam Hossein General Hospitals, Tehran, Iran. After a brief explanation and getting verbal consent, the patients underwent ultrasound examination in the emergency department by the emergency medicine resident. The results of ultrasound were compared with the surgical findings as the gold standard.
Results: 24 patients with the mean age of 57.50±18.26 (range: 28 – 81) years were studied (58.3% male). Ultrasonography findings revealed the lumen diameter ≥ 2.5 cm in 21 (87.5%) cases, wall thickness ≥ 3 mm in 3 (12.5%) cases and inter-loop free fluid in 3 (12.5%) cases. Sensitivity, positive predictive value, and accuracy of ultrasound in detection of intestinal obstruction were found to be 85.00% (95%CI: 61.13 – 96.03), 80.95% (95%CI: 57.42 – 93.71), and 70.83% (95%CI: 48.91 – 87.38), respectively.
Conclusion: It seems that point-of-care ultrasound has good sensitivity and accuracy in detection of intestinal obstruction when performed in the emergency department by a trained emergency medicine resident.
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| first_indexed | 2024-12-12T08:02:24Z |
| format | Article |
| id | doaj.art-725a8c9bb3f3472c8688fa5505b5a36b |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-12T08:02:24Z |
| publishDate | 2022-06-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-725a8c9bb3f3472c8688fa5505b5a36b2022-12-22T00:32:05ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042022-06-0110110.22037/aaem.v10i1.1628Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot StudyAnita SabzghabaeiMajid ShojaeiMiromid Chavoshzadeh0Shahid Beheshti University of Medical Sciences, Tehran, Iran Introduction: There are many ambiguities regarding the application of ultrasound in detection of intestinal obstruction. This study aimed to evaluate the diagnostic accuracy of ultrasound in diagnosis of intestinal obstruction. Methods: This cross-sectional study was performed on patients with symptoms and signs of bowel obstruction between November19 and July 2020 in Shohadaye-Tajrish and Imam Hossein General Hospitals, Tehran, Iran. After a brief explanation and getting verbal consent, the patients underwent ultrasound examination in the emergency department by the emergency medicine resident. The results of ultrasound were compared with the surgical findings as the gold standard. Results: 24 patients with the mean age of 57.50±18.26 (range: 28 – 81) years were studied (58.3% male). Ultrasonography findings revealed the lumen diameter ≥ 2.5 cm in 21 (87.5%) cases, wall thickness ≥ 3 mm in 3 (12.5%) cases and inter-loop free fluid in 3 (12.5%) cases. Sensitivity, positive predictive value, and accuracy of ultrasound in detection of intestinal obstruction were found to be 85.00% (95%CI: 61.13 – 96.03), 80.95% (95%CI: 57.42 – 93.71), and 70.83% (95%CI: 48.91 – 87.38), respectively. Conclusion: It seems that point-of-care ultrasound has good sensitivity and accuracy in detection of intestinal obstruction when performed in the emergency department by a trained emergency medicine resident. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1628Intestinal ObstructionPoint-of-Care TestingUltrasonographyEmergency Service, Hospital |
| spellingShingle | Anita Sabzghabaei Majid Shojaei Miromid Chavoshzadeh Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study Archives of Academic Emergency Medicine Intestinal Obstruction Point-of-Care Testing Ultrasonography Emergency Service, Hospital |
| title | Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study |
| title_full | Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study |
| title_fullStr | Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study |
| title_full_unstemmed | Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study |
| title_short | Diagnostic Accuracy of Ultrasonography by Emergency Medicine Resident in Detecting Intestinal Obstruction; a Pilot Study |
| title_sort | diagnostic accuracy of ultrasonography by emergency medicine resident in detecting intestinal obstruction a pilot study |
| topic | Intestinal Obstruction Point-of-Care Testing Ultrasonography Emergency Service, Hospital |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1628 |
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