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改善临床结局:急诊医学中床旁超声在腹主动脉瘤精准诊断与管理中的应用:一项系统评价和荟萃分析

Enhancing clinical outcomes: Point of care ultrasound in the precision diagnosis and Management of Abdominal Aortic Aneurysms in emergency medicine: A systematic review and meta-analysis.

作者信息

Shaban Eman E, Yigit Yavuz, Alkahlout Baha, Shaban Ahmed, Shaban Amira, Ponappan Benny, Abdurabu Mohammed, Zaki Hany A

机构信息

Department of Cardiology, Al Jufairi Diagnosis and Treatment, MOH, Qatar.

Department of Emergency Medicine, Hamad Medical Corporation, Doha, Qatar.

出版信息

J Clin Ultrasound. 2025 Feb;53(2):325-335. doi: 10.1002/jcu.23850. Epub 2024 Sep 29.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a30/11821468/a8d0c4de5caa/JCU-53-325-g007.jpg

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