Tseng Bor-Yuan, Yang Chih-Jui, Sun Jen-Tang, Liu Yiju Teresa, Yadav Kabir, Hsieh Yu-Lin, Chu Sheng-En, Lee Chen-Wei, Lee Yi-Kung, Tsai Tou-Yuan
Tzu Chi University, School of Medicine, Hualien, Taiwan.
Far Eastern Memorial Hospital, Department of General Medicine, New Taipei City, Taiwan.
West J Emerg Med. 2025 May 14;26(3):469-477. doi: 10.5811/westjem.24870.
Transesophageal echocardiography (TEE) has been introduced in resuscitative scenarios in recent decades, with a growing number of emergency physicians learning, performing, and studying resuscitative TEE.
Our goal was to characterize publishing trends regarding TEE use in emergency medicine (EM) and to investigate the increasing interest in potential applications of TEE in emergency departments (ED).
We retrieved published research associated with the use of TEE in EM from the Web of Science database from inception to December 31, 2023. We analyzed trends based on the number of articles published annually. To systematically map trends related to TEE in emergency medicine (EM), we extracted data on the number of unique EM TEE practitioners, institutions performing EM TEE, study topics, and other characteristics from research articles and case reports. To better reflect research trends, we exclusively conducted subgroup analysis on the research articles. We used linear regression analysis to analyze trends and conducted checkpoints on the timelines.
Of the 964 titles and abstracts screened, we included 99 eligible published articles after careful review. Articles related to EM TEE increased from one article in 1991 to 20 articles in 2023, and the rate of publication has increased rapidly since 2018 (+12.4 publications per year, 95% confidence interval [CI] 9.8-15.0, P<0.001). The number of EM TEE practitioners and EM TEE-performing institutions underwent a rapid expansion with an inflection point between 2018-2020, with a rate of +91.7 practitioners per year and +36.5 institutions per year. Subgroup analysis revealed a similar trend in the published research articles. The most common indications for EM TEE were cardiac arrest (72.7%), shock (13.1%), and procedural guidance (11.1%). The United States published the majority of EM TEE-related articles (51.5%).
The present study highlights that TEE-related articles in EM continue to accelerate. Among the indications for TEE, cardiac arrest remains the most frequently discussed. This scoping review provides insights into the expanding interest and applications of TEE in the field of EM.
近几十年来，经食管超声心动图（TEE）已被引入复苏场景，越来越多的急诊医生学习、操作并研究复苏性TEE。
我们的目标是描述急诊医学（EM）中TEE使用的发表趋势，并调查急诊科（ED）对TEE潜在应用的兴趣日益增加的情况。
我们从Web of Science数据库中检索了从开始到2023年12月31日与EM中TEE使用相关的已发表研究。我们根据每年发表的文章数量分析趋势。为了系统地描绘急诊医学（EM）中与TEE相关的趋势，我们从研究文章和病例报告中提取了关于独特的EM TEE从业者数量、进行EM TEE的机构、研究主题和其他特征的数据。为了更好地反映研究趋势，我们专门对研究文章进行了亚组分析。我们使用线性回归分析来分析趋势，并在时间线上设置了检查点。
在筛选的964个标题和摘要中，经过仔细审查后，我们纳入了99篇符合条件的已发表文章。与EM TEE相关的文章从1991年的1篇增加到2023年的20篇，自2018年以来发表率迅速上升（每年增加12.4篇文章，95%置信区间[CI] 9.8 - 15.0，P<0.001）。EM TEE从业者和进行EM TEE的机构数量在2018 - 2020年之间经历了快速扩张，拐点出现，每年增加91.7名从业者和36.5个机构。亚组分析在已发表的研究文章中显示出类似的趋势。EM TEE最常见的适应证是心脏骤停（72.7%）、休克（13.1%）和操作指导（11.1%）。美国发表了大多数与EM TEE相关的文章（51.5%）。
本研究强调EM中与TEE相关的文章继续加速增长。在TEE的适应证中，心脏骤停仍然是讨论最频繁的。这项范围综述为TEE在EM领域不断扩大的兴趣和应用提供了见解。
