Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis
Introduction: Differentiating the soft tissue abscess from other types of skin and soft tissue infections (SSTIs) poses a particular challenge because they have similar physical evaluation findings, but each disease has a different course, outcome, and treatment. This meta-analysis aimed to investi...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shahid Beheshti University of Medical Sciences
2023-07-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2021 |
| _version_ | 1797776595591626752 |
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| author | Erfan Rahmani Ehsan Fayyazishishavan Arian Afzalian Sanaz Varshochi Reza Amani-Beni Seyed-Amirabbas Ahadiat Zeynab Moshtaghi Seyyed-Ghavam Shafagh Roya Khorram Elnaz Asadollahzade Raihaneh Atbaei Mohammad Saeed Kahrizi Atoosa Rahbari Negar Baharlouie Farzaneh Mostanbet Bahamin Amirabadiquchani Moein Kiani Mozhdeh Memarizadeh Shahin Keshtkar Rajabi Reza Barati Hengame Hajinouri Shahrzad Najafi Zeynab Abdollahi Nahid Dadashzadehasl Atousa Moghadam Fard Mozhgan Afshar Atefeh Abedi Sara Saeidi Adeleh Mansourirad Pedram Emami Sharezaei Sepideh Shah Hosseini Zahra Rostami Ghotbabadi Reza Vafadar Roozbeh Roohinezhad Nogol Ghalamkarpour Mehrdad Farrokhi |
| author_facet | Erfan Rahmani Ehsan Fayyazishishavan Arian Afzalian Sanaz Varshochi Reza Amani-Beni Seyed-Amirabbas Ahadiat Zeynab Moshtaghi Seyyed-Ghavam Shafagh Roya Khorram Elnaz Asadollahzade Raihaneh Atbaei Mohammad Saeed Kahrizi Atoosa Rahbari Negar Baharlouie Farzaneh Mostanbet Bahamin Amirabadiquchani Moein Kiani Mozhdeh Memarizadeh Shahin Keshtkar Rajabi Reza Barati Hengame Hajinouri Shahrzad Najafi Zeynab Abdollahi Nahid Dadashzadehasl Atousa Moghadam Fard Mozhgan Afshar Atefeh Abedi Sara Saeidi Adeleh Mansourirad Pedram Emami Sharezaei Sepideh Shah Hosseini Zahra Rostami Ghotbabadi Reza Vafadar Roozbeh Roohinezhad Nogol Ghalamkarpour Mehrdad Farrokhi |
| author_sort | Erfan Rahmani |
| collection | DOAJ |
| description |
Introduction: Differentiating the soft tissue abscess from other types of skin and soft tissue infections (SSTIs) poses a particular challenge because they have similar physical evaluation findings, but each disease has a different course, outcome, and treatment. This meta-analysis aimed to investigate the diagnostic accuracy of point-of-care ultrasonography for diagnosis of soft tissue abscess in the emergency departments.
Methods: A comprehensive literature search of MEDLINE, Scopus, Web of Science, Embase, and Google Scholar, from inception to January 2023, was conducted to identify relevant studies investigating the diagnostic performance of point-of-care ultrasonography for identification of abscess. Methodological quality of the included studies was assessed using a revised tool for the quality assessment of diagnostic accuracy studies (QUADAS-2).
Results: The pooled estimates of diagnostic parameters of ultrasonography for diagnosis of abscess were as follows: sensitivity, 0.93 (95% CI: 0.92–0.94); specificity, 0.87 (95% CI: 0.85–0.89), and the area under the summary receiver-operating characteristic (SROC), 0.95. The pooled sensitivity, specificity, and area under the SROC of studies in adult patients were 0.98 (95% CI: 0.92–1), 0.92 (95% CI: 0.86–0.95), and 0.99, respectively. The pooled sensitivity, specificity, and area under the SROC of studies in pediatric patients were 0.9 (95% CI: 0.87–0.92), 0.78 (95% CI: 0.73–0.82), and 0.91, respectively.
Conclusion: Our meta-analysis demonstrated that the point-of-care ultrasonography has excellent diagnostic value for the abscess in the emergency department. Furthermore, we found that the diagnostic performance of point-of-care ultrasonography for diagnosis of abscess was higher for adult cases than for pediatric patients.
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| first_indexed | 2024-03-12T22:52:05Z |
| format | Article |
| id | doaj.art-75040ff2867342488b1d3a24e990c00b |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-03-12T22:52:05Z |
| publishDate | 2023-07-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-75040ff2867342488b1d3a24e990c00b2023-07-20T08:38:07ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042023-07-01111Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-AnalysisErfan RahmaniEhsan FayyazishishavanArian AfzalianSanaz VarshochiReza Amani-BeniSeyed-Amirabbas AhadiatZeynab MoshtaghiSeyyed-Ghavam ShafaghRoya KhorramElnaz AsadollahzadeRaihaneh AtbaeiMohammad Saeed KahriziAtoosa RahbariNegar BaharlouieFarzaneh MostanbetBahamin AmirabadiquchaniMoein KianiMozhdeh MemarizadehShahin Keshtkar RajabiReza BaratiHengame HajinouriShahrzad NajafiZeynab AbdollahiNahid DadashzadehaslAtousa Moghadam FardMozhgan AfsharAtefeh AbediSara SaeidiAdeleh MansouriradPedram Emami SharezaeiSepideh Shah HosseiniZahra Rostami GhotbabadiReza VafadarRoozbeh RoohinezhadNogol GhalamkarpourMehrdad Farrokhi Introduction: Differentiating the soft tissue abscess from other types of skin and soft tissue infections (SSTIs) poses a particular challenge because they have similar physical evaluation findings, but each disease has a different course, outcome, and treatment. This meta-analysis aimed to investigate the diagnostic accuracy of point-of-care ultrasonography for diagnosis of soft tissue abscess in the emergency departments. Methods: A comprehensive literature search of MEDLINE, Scopus, Web of Science, Embase, and Google Scholar, from inception to January 2023, was conducted to identify relevant studies investigating the diagnostic performance of point-of-care ultrasonography for identification of abscess. Methodological quality of the included studies was assessed using a revised tool for the quality assessment of diagnostic accuracy studies (QUADAS-2). Results: The pooled estimates of diagnostic parameters of ultrasonography for diagnosis of abscess were as follows: sensitivity, 0.93 (95% CI: 0.92–0.94); specificity, 0.87 (95% CI: 0.85–0.89), and the area under the summary receiver-operating characteristic (SROC), 0.95. The pooled sensitivity, specificity, and area under the SROC of studies in adult patients were 0.98 (95% CI: 0.92–1), 0.92 (95% CI: 0.86–0.95), and 0.99, respectively. The pooled sensitivity, specificity, and area under the SROC of studies in pediatric patients were 0.9 (95% CI: 0.87–0.92), 0.78 (95% CI: 0.73–0.82), and 0.91, respectively. Conclusion: Our meta-analysis demonstrated that the point-of-care ultrasonography has excellent diagnostic value for the abscess in the emergency department. Furthermore, we found that the diagnostic performance of point-of-care ultrasonography for diagnosis of abscess was higher for adult cases than for pediatric patients. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2021Abscesscellulitisdiagnostic imagingmeta-analysisultrasonography |
| spellingShingle | Erfan Rahmani Ehsan Fayyazishishavan Arian Afzalian Sanaz Varshochi Reza Amani-Beni Seyed-Amirabbas Ahadiat Zeynab Moshtaghi Seyyed-Ghavam Shafagh Roya Khorram Elnaz Asadollahzade Raihaneh Atbaei Mohammad Saeed Kahrizi Atoosa Rahbari Negar Baharlouie Farzaneh Mostanbet Bahamin Amirabadiquchani Moein Kiani Mozhdeh Memarizadeh Shahin Keshtkar Rajabi Reza Barati Hengame Hajinouri Shahrzad Najafi Zeynab Abdollahi Nahid Dadashzadehasl Atousa Moghadam Fard Mozhgan Afshar Atefeh Abedi Sara Saeidi Adeleh Mansourirad Pedram Emami Sharezaei Sepideh Shah Hosseini Zahra Rostami Ghotbabadi Reza Vafadar Roozbeh Roohinezhad Nogol Ghalamkarpour Mehrdad Farrokhi Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis Archives of Academic Emergency Medicine Abscess cellulitis diagnostic imaging meta-analysis ultrasonography |
| title | Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis |
| title_full | Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis |
| title_fullStr | Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis |
| title_full_unstemmed | Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis |
| title_short | Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis |
| title_sort | point of care ultrasonography for identification of skin and soft tissue abscess in adult and pediatric patients a systematic review and meta analysis |
| topic | Abscess cellulitis diagnostic imaging meta-analysis ultrasonography |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2021 |
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