Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysis
Background:Non-invasive, rapid, and precise assessment of injury in the military settings is extremely important, yet difficult. Focused assessment with sonography in trauma (FAST) is being increasingly employed for assessing the location and severity of injury and guiding further treatment strategy...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2020-01-01
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| Series: | Balkan Medical Journal |
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http://balkanmedicaljournal.org/text.php?lang=en&id=2140
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| _version_ | 1797916115730432000 |
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| author | Xingshun Qi Jing Tian Rui Sun He Zhang Jinsong Han Hai Jin Hui Lu |
| author_facet | Xingshun Qi Jing Tian Rui Sun He Zhang Jinsong Han Hai Jin Hui Lu |
| author_sort | Xingshun Qi |
| collection | DOAJ |
| description | Background:Non-invasive, rapid, and precise assessment of injury in the military settings is extremely important, yet difficult. Focused assessment with sonography in trauma (FAST) is being increasingly employed for assessing the location and severity of injury and guiding further treatment strategy. However, the evidence regarding the utility of FAST in the military settings is scattered.Aims:To evaluate the diagnostic performance of FAST in the assessment of injury in the military settings.Study Design:Meta-analysis.Methods:We identified all relevant papers via the PubMed, EMBASE, and Cochrane Library databases. We evaluated the quality of included studies by the Quality Assessment of Diagnostic Accuracy Studies-2 tool. We pooled the area under the curve (AUC), sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio as the effect sizes, followed by evaluating the heterogeneity among the studies by p value and I2.Results:Among the 39 papers, a total of six papers were included. The sample size ranged from 15 to 396. The AUC of FAST for assessing the injury was 0.85. The pooled sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio were 0.66, 0.98, 33.1, 0.34, and 97, respectively. The heterogeneity among the studies was statistically significant (p=0.006, I2=78%).Conclusion:FAST is potentially valuable for assessing injury in the military settings. Due to its high specificity, FAST may be appropriate to rule in significant injury. However, because of its poor sensitivity, the ability of FAST to rule out injury cannot be relied upon. |
| first_indexed | 2024-04-10T12:52:07Z |
| format | Article |
| id | doaj.art-e26e7b0e49104c578da62a839cd9f67a |
| institution | Directory Open Access Journal |
| issn | 2146-3123 2146-3131 |
| language | English |
| last_indexed | 2024-04-10T12:52:07Z |
| publishDate | 2020-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Balkan Medical Journal |
| spelling | doaj.art-e26e7b0e49104c578da62a839cd9f67a2023-02-15T16:13:42ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312020-01-013713810.4274/balkanmedj.galenos.2019.2019.8.7913049054Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysisXingshun Qi0Jing Tian1Rui Sun2He Zhang3Jinsong Han4Hai Jin5Hui Lu6 Military Medical Research Group, General Hospital of Northern Theater Command Shenyang, Liaoning Province, China Military Medical Research Group, General Hospital of Northern Theater Command Shenyang, Liaoning Province, China Military Medical Research Group, General Hospital of Northern Theater Command Shenyang, Liaoning Province, China Military Medical Research Group, General Hospital of Northern Theater Command Shenyang, Liaoning Province, China Military Medical Research Group, General Hospital of Northern Theater Command Shenyang, Liaoning Province, China Military Medical Research Group, General Hospital of Northern Theater Command Shenyang, Liaoning Province, China Military Medical Research Group, General Hospital of Northern Theater Command Shenyang, Liaoning Province, China Background:Non-invasive, rapid, and precise assessment of injury in the military settings is extremely important, yet difficult. Focused assessment with sonography in trauma (FAST) is being increasingly employed for assessing the location and severity of injury and guiding further treatment strategy. However, the evidence regarding the utility of FAST in the military settings is scattered.Aims:To evaluate the diagnostic performance of FAST in the assessment of injury in the military settings.Study Design:Meta-analysis.Methods:We identified all relevant papers via the PubMed, EMBASE, and Cochrane Library databases. We evaluated the quality of included studies by the Quality Assessment of Diagnostic Accuracy Studies-2 tool. We pooled the area under the curve (AUC), sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio as the effect sizes, followed by evaluating the heterogeneity among the studies by p value and I2.Results:Among the 39 papers, a total of six papers were included. The sample size ranged from 15 to 396. The AUC of FAST for assessing the injury was 0.85. The pooled sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio were 0.66, 0.98, 33.1, 0.34, and 97, respectively. The heterogeneity among the studies was statistically significant (p=0.006, I2=78%).Conclusion:FAST is potentially valuable for assessing injury in the military settings. Due to its high specificity, FAST may be appropriate to rule in significant injury. However, because of its poor sensitivity, the ability of FAST to rule out injury cannot be relied upon. http://balkanmedicaljournal.org/text.php?lang=en&id=2140 focused assessmentinjurymilitary medicinetraumaultrasound |
| spellingShingle | Xingshun Qi Jing Tian Rui Sun He Zhang Jinsong Han Hai Jin Hui Lu Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysis Balkan Medical Journal focused assessment injury military medicine trauma ultrasound |
| title | Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysis |
| title_full | Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysis |
| title_fullStr | Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysis |
| title_full_unstemmed | Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysis |
| title_short | Focused Assessment with Sonography in Trauma for Assessment of Injury in Military Settings: A Meta-analysis |
| title_sort | focused assessment with sonography in trauma for assessment of injury in military settings a meta analysis |
| topic | focused assessment injury military medicine trauma ultrasound |
| url |
http://balkanmedicaljournal.org/text.php?lang=en&id=2140
|
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