A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms
Introduction We previously reported that the prevalence of abdominal aortic aneurysms (AAAs) was higher in patients undergoing scheduled transthoracic echocardiography (TTE) than in patients undergoing abdominal ultrasonography (AUS); however, intergroup patient backgrounds differed significantly in...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2015-01-01
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| Series: | Clinical Medicine Insights: Cardiology |
| Online Access: | https://doi.org/10.4137/CMC.S23166 |
| _version_ | 1811289361643208704 |
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| author | Takao Kato Seiko Ishida Shoichi Miyamoto Tamae Iura Yoko Ban Jun Fujikawa Eisaku Nakane Toshiaki Izumi Tetsuya Haruna Koji Ueyama Ryuji Nohara Moriaki Inoko |
| author_facet | Takao Kato Seiko Ishida Shoichi Miyamoto Tamae Iura Yoko Ban Jun Fujikawa Eisaku Nakane Toshiaki Izumi Tetsuya Haruna Koji Ueyama Ryuji Nohara Moriaki Inoko |
| author_sort | Takao Kato |
| collection | DOAJ |
| description | Introduction We previously reported that the prevalence of abdominal aortic aneurysms (AAAs) was higher in patients undergoing scheduled transthoracic echocardiography (TTE) than in patients undergoing abdominal ultrasonography (AUS); however, intergroup patient backgrounds differed significantly in that report. Purpose We tested the hypothesis that TTE could detect AAA as effectively as AUS. Design A propensity score-matching analysis of a cross-sectional study was adopted as the design for this study. Methods We enrolled 7,619 and 15,433 patients scheduled to undergo TTE with additional evaluation of abdominal aorta at the end of the routine study and AUS, respectively, from 2009 to 2010 in our hospital, as reported. A propensity score for profiles of patients who underwent TTE or AUS was developed to adjust for potential confounding bias. Consequently, 4,388 patients in each group were matched for analyses. Results In propensity-matched patients, AAA was detected in 59 patients of the TTE group and in 48 patients of the AUS group; the prevalence of AAA detection did not differ significantly between TTE and AUS groups ( P = 0.331). Positive associations were observed between AAA detection and male sex (adjusted odds ratio [OR]: 3.25; 95% confidence interval [CI], 2.05-5.15; P < 0.001), older age (adjusted OR: 1.029; 95% CI: 1.01-1.04; P < 0.001), and the presence of ischemic heart disease (adjusted OR: 1.78; 95% CI: 1.04-3.03; P = 0.033) and hypertension (adjusted OR: 2.16; 95% CI: 1.38-3.37; P = 001). Conclusion TTE detected AAA with comparable efficacy as AUS in propensity-matched groups who underwent scheduled TTE and AUS. |
| first_indexed | 2024-04-13T03:53:31Z |
| format | Article |
| id | doaj.art-aea4192d878b4146b3b143aa24ad175f |
| institution | Directory Open Access Journal |
| issn | 1179-5468 |
| language | English |
| last_indexed | 2024-04-13T03:53:31Z |
| publishDate | 2015-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Cardiology |
| spelling | doaj.art-aea4192d878b4146b3b143aa24ad175f2022-12-22T03:03:42ZengSAGE PublishingClinical Medicine Insights: Cardiology1179-54682015-01-01910.4137/CMC.S23166A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic AneurysmsTakao Kato0Seiko Ishida1Shoichi Miyamoto2Tamae Iura3Yoko Ban4Jun Fujikawa5Eisaku Nakane6Toshiaki Izumi7Tetsuya Haruna8Koji Ueyama9Ryuji Nohara10Moriaki Inoko11Cardiovascular CenterDivision of Clinical Laboratory, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.Cardiovascular CenterDivision of Clinical Laboratory, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.Division of Clinical Laboratory, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.Division of Clinical Laboratory, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.Cardiovascular CenterCardiovascular CenterCardiovascular CenterCardiovascular CenterCardiovascular CenterCardiovascular CenterIntroduction We previously reported that the prevalence of abdominal aortic aneurysms (AAAs) was higher in patients undergoing scheduled transthoracic echocardiography (TTE) than in patients undergoing abdominal ultrasonography (AUS); however, intergroup patient backgrounds differed significantly in that report. Purpose We tested the hypothesis that TTE could detect AAA as effectively as AUS. Design A propensity score-matching analysis of a cross-sectional study was adopted as the design for this study. Methods We enrolled 7,619 and 15,433 patients scheduled to undergo TTE with additional evaluation of abdominal aorta at the end of the routine study and AUS, respectively, from 2009 to 2010 in our hospital, as reported. A propensity score for profiles of patients who underwent TTE or AUS was developed to adjust for potential confounding bias. Consequently, 4,388 patients in each group were matched for analyses. Results In propensity-matched patients, AAA was detected in 59 patients of the TTE group and in 48 patients of the AUS group; the prevalence of AAA detection did not differ significantly between TTE and AUS groups ( P = 0.331). Positive associations were observed between AAA detection and male sex (adjusted odds ratio [OR]: 3.25; 95% confidence interval [CI], 2.05-5.15; P < 0.001), older age (adjusted OR: 1.029; 95% CI: 1.01-1.04; P < 0.001), and the presence of ischemic heart disease (adjusted OR: 1.78; 95% CI: 1.04-3.03; P = 0.033) and hypertension (adjusted OR: 2.16; 95% CI: 1.38-3.37; P = 001). Conclusion TTE detected AAA with comparable efficacy as AUS in propensity-matched groups who underwent scheduled TTE and AUS.https://doi.org/10.4137/CMC.S23166 |
| spellingShingle | Takao Kato Seiko Ishida Shoichi Miyamoto Tamae Iura Yoko Ban Jun Fujikawa Eisaku Nakane Toshiaki Izumi Tetsuya Haruna Koji Ueyama Ryuji Nohara Moriaki Inoko A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms Clinical Medicine Insights: Cardiology |
| title | A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms |
| title_full | A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms |
| title_fullStr | A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms |
| title_full_unstemmed | A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms |
| title_short | A Propensity Score-Matching Analysis of Transthoracic Echocardiography and Abdominal Ultrasonography for the Detection of Abdominal Aortic Aneurysms |
| title_sort | propensity score matching analysis of transthoracic echocardiography and abdominal ultrasonography for the detection of abdominal aortic aneurysms |
| url | https://doi.org/10.4137/CMC.S23166 |
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