Shaban Eman E, Yigit Yavuz, Alkahlout Baha, Shaban Ahmed, Shaban Amira, Ponappan Benny, Abdurabu Mohammed, Zaki Hany A
Department of Cardiology, Al Jufairi Diagnosis and Treatment, MOH, Qatar.
Department of Emergency Medicine, Hamad Medical Corporation, Doha, Qatar.
J Clin Ultrasound. 2025 Feb;53(2):325-335. doi: 10.1002/jcu.23850. Epub 2024 Sep 29.
This meta-analysis evaluates the efficacy of point-of-care ultrasound (POCUS) in diagnosing abdominal aortic aneurysm (AAA) in the emergency department (ED). A systematic search of PubMed, Cochrane Library, Scopus, and Google Scholar identified studies published until July 2024. Nine studies were included, revealing that POCUS is highly accurate in diagnosing AAA, with a pooled sensitivity of 98.33% and specificity of 99.84%. Additionally, data from three studies indicated that 24.5% of patients with positive AAA scans were diagnosed with ruptured AAAs. The results suggest that emergency physicians can accurately detect and manage AAA using POCUS, even with limited training.
这项荟萃分析评估了床旁超声（POCUS）在急诊科（ED）诊断腹主动脉瘤（AAA）的疗效。对PubMed、Cochrane图书馆、Scopus和谷歌学术进行系统检索，确定了截至2024年7月发表的研究。纳入了9项研究，结果显示POCUS在诊断AAA方面具有高度准确性，合并敏感度为98.33%，特异度为99.84%。此外，三项研究的数据表明，AAA扫描呈阳性的患者中有24.5%被诊断为腹主动脉瘤破裂。结果表明，即使接受有限的培训，急诊医生也可以使用POCUS准确检测和处理AAA。
