Evidence map›Paper›PMID 26495401›Full record

ReviewEmergency (Tehran, Iran)2015

Diagnostic Accuracy of Ultrasonography and Radiography in Detection of Pulmonary Contusion; a Systematic Review and Meta-Analysis.

Mostafa Hosseini, Parisa Ghelichkhani, Masoud Baikpour, Abbas Tafakhori, Hadi Asady, Mohammad Javad Haji Ghanbari, Mahmoud Yousefifard, Saeed Safari

Open access · greenAbstract readReview
In one paragraph

Review in Emergency (Tehran, Iran), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Classification methods of pulmonary contusion based on chest CT and the association with in-hospital outcomes: a systematic review of literature.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
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  4. Article
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  7. [Bilateral thoracic trauma-"double the trouble"?]Chirurgie (Heidelberg, Germany) · 2023
    Article
  8. Article
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  10. Prevalence of anal fistulas: a systematic review and meta-analysis.Gastroenterology and hepatology from bed to bench · 2022
    Review
  11. Article
  12. [Risk factors for mechanical ventilation in patients with severe multiple trauma].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Mostafa HosseiniSina Trauma and Surgery Research Center, Tehran University Medical Sciences, Tehran, Iran. ; Department of Epidemiology and Biostatistics, school of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Parisa GhelichkhaniDepartment of Intensive Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Masoud BaikpourDepartment of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Abbas TafakhoriDepartment of Neurology, School of Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. ; Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran.
Hadi AsadyIranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Javad Haji GhanbariEmergency Medicine Department, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mahmoud YousefifardDepartment of Physiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Saeed SafariDepartment of Emergency Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences · IRIran University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUltrasonography is currently being used as one of the diagnostic modalities in various medical emergencies for screening of trauma patients. The diagnostic value of this modality in detection of traumatic chest injuries has been evaluated by several studies but its diagnostic accuracy in diagnosis of pulmonary contusion is a matter of discussion. Therefore, the present study aimed to determine the diagnostic accuracy of ultrasonography and radiography in detection of pulmonary contusion through a systematic review and meta-analysis.

methodsAn extended systematic search was performed by two reviewers in databases of Medline, EMBASE, ISI Web of Knowledge, Scopus, Cochrane Library, and ProQuest. They extracted the data and assessed the quality of the studies. After summarization of data into true positive, false positive, true negative, and false negative meta-analysis was carried out via a mixed-effects binary regression model. Further subgroup analysis was performed due to a significant heterogeneity between the studies.

results12 studies were included in this meta-analysis (1681 chest trauma patients, 76% male). Pooled sensitivity of ultrasonography in detection of pulmonary contusion was 0.92 (95% CI: 0.81-0.96; I2= 95.81, p<0.001) and its pooled specificity was calculated to be 0.89 (95% CI: 0.85-0.93; I2 = 67.29, p<0.001) while these figures for chest radiography were 0.44 (95% CI: 0.32-0.58; I2= 87.52, p<0.001) and 0.98 (95% CI: 0.88-1.0; I2= 95.22, p<0.001), respectively. Subgroup analysis showed that the sources of heterogeneity between the studies were sampling method, operator, frequency of the transducer, and sample size.

conclusionUltrasonography was found to be a better screening tool in detection of pulmonary contusion. Moreover, an ultrasonography performed by a radiologist / intensivist with 1-5MHz probe has a higher diagnostic value in identifying pulmonary contusions.

Identifiers

PMID26495401
PMCPMC4608349
OpenAlexW2109901424

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.