Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis
Abstract Introduction Focused assessment with sonography for trauma helps detect abdominal free fluid. Prehospital ultrasound scanning is also important because the early diagnosis of hemoperitoneum may reduce the time to definitive treatment in the hospital. This study investigated whether prehospi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12873-023-00919-2 |
| _version_ | 1797355955861585920 |
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| author | Kun-Te Lin Zih-Yang Lin Cheng-Chieh Huang Shang-Yan Yu Jing-Lan Huang Jian-Houng Lin Yan-Ren Lin |
| author_facet | Kun-Te Lin Zih-Yang Lin Cheng-Chieh Huang Shang-Yan Yu Jing-Lan Huang Jian-Houng Lin Yan-Ren Lin |
| author_sort | Kun-Te Lin |
| collection | DOAJ |
| description | Abstract Introduction Focused assessment with sonography for trauma helps detect abdominal free fluid. Prehospital ultrasound scanning is also important because the early diagnosis of hemoperitoneum may reduce the time to definitive treatment in the hospital. This study investigated whether prehospital ultrasound scanning can help detect abdominal free fluid. Materials and methods In this systematic review, relevant databases were searched for studies investigating prehospital ultrasound examinations for abdominal free fluid in trauma patients. The prehospital ultrasound results were compared with computed tomography, surgery, or hospital ultrasound examination data. The pooled sensitivity and specificity values were analyzed using forest plots. The overall predictive power was calculated by the summary receiver operating characteristic curve. The quality of the included studies was assessed using the quality assessment of diagnostic accuracy studies tool. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) was performed to assess the certainty of evidence. Result This meta-analysis comprised six studies that included 1356 patients. The pooled sensitivity and specificity values were 0.596 (95% confidence interval [CI] = 0.345–0.822) and 0.970 (95% CI = 0.953–0.983), respectively. The pooled area under the summary receiver operating characteristic curve was 0.998. The quality assessment tool showed favorable results. In the GRADE analysis, the quality of evidence was very low for sensitivity and high for specificity when prehospital ultrasound was used for hemoperitoneum diagnosis. Conclusion The specificity of abdominal free fluid detection using prehospital ultrasound examinations in trauma patients was very high. |
| first_indexed | 2024-03-08T14:19:40Z |
| format | Article |
| id | doaj.art-ea3e29279b594003b1dd40da0b5f72a4 |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-03-08T14:19:40Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-ea3e29279b594003b1dd40da0b5f72a42024-01-14T12:14:11ZengBMCBMC Emergency Medicine1471-227X2024-01-012411910.1186/s12873-023-00919-2Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysisKun-Te Lin0Zih-Yang Lin1Cheng-Chieh Huang2Shang-Yan Yu3Jing-Lan Huang4Jian-Houng Lin5Yan-Ren Lin6Department of Emergency and Critical Care Medicine, Changhua Christian HospitalDepartment of Emergency and Critical Care Medicine, Changhua Christian HospitalDepartment of Emergency and Critical Care Medicine, Changhua Christian HospitalFire Bureau of Changhua County GovernmentFire Bureau of Changhua County GovernmentFire Bureau of Changhua County GovernmentDepartment of Emergency and Critical Care Medicine, Changhua Christian HospitalAbstract Introduction Focused assessment with sonography for trauma helps detect abdominal free fluid. Prehospital ultrasound scanning is also important because the early diagnosis of hemoperitoneum may reduce the time to definitive treatment in the hospital. This study investigated whether prehospital ultrasound scanning can help detect abdominal free fluid. Materials and methods In this systematic review, relevant databases were searched for studies investigating prehospital ultrasound examinations for abdominal free fluid in trauma patients. The prehospital ultrasound results were compared with computed tomography, surgery, or hospital ultrasound examination data. The pooled sensitivity and specificity values were analyzed using forest plots. The overall predictive power was calculated by the summary receiver operating characteristic curve. The quality of the included studies was assessed using the quality assessment of diagnostic accuracy studies tool. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) was performed to assess the certainty of evidence. Result This meta-analysis comprised six studies that included 1356 patients. The pooled sensitivity and specificity values were 0.596 (95% confidence interval [CI] = 0.345–0.822) and 0.970 (95% CI = 0.953–0.983), respectively. The pooled area under the summary receiver operating characteristic curve was 0.998. The quality assessment tool showed favorable results. In the GRADE analysis, the quality of evidence was very low for sensitivity and high for specificity when prehospital ultrasound was used for hemoperitoneum diagnosis. Conclusion The specificity of abdominal free fluid detection using prehospital ultrasound examinations in trauma patients was very high.https://doi.org/10.1186/s12873-023-00919-2PrehospitalUltrasoundFASTTrauma |
| spellingShingle | Kun-Te Lin Zih-Yang Lin Cheng-Chieh Huang Shang-Yan Yu Jing-Lan Huang Jian-Houng Lin Yan-Ren Lin Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis BMC Emergency Medicine Prehospital Ultrasound FAST Trauma |
| title | Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis |
| title_full | Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis |
| title_fullStr | Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis |
| title_full_unstemmed | Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis |
| title_short | Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis |
| title_sort | prehospital ultrasound scanning for abdominal free fluid detection in trauma patients a systematic review and meta analysis |
| topic | Prehospital Ultrasound FAST Trauma |
| url | https://doi.org/10.1186/s12873-023-00919-2 |
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