Evidence map›Paper›PMID 38185679›Full record

SynthesisBMC emergency medicine2024

Prehospital ultrasound scanning for abdominal free fluid detection in trauma patients: a systematic review and meta-analysis.

Kun-Te Lin, Zih-Yang Lin, Cheng-Chieh Huang, Shang-Yan Yu, Jing-Lan Huang, Jian-Houng Lin, Yan-Ren Lin

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
6.7field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Impact of Point-of-Care Ultrasound in Medicalized Prehospital Setting on Diagnostic Workup: A Prospective Observational Cohort Study.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Observational
  3. Article
  4. Article
  5. Review
  6. Evolving role of point-of-care ultrasound in prehospital emergency care: a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Review
  7. Review
  8. Article
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

7 authors at 4 institutions in 1 country.

Kun-Te LinDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, 135 Nanshsiao Street, 500, Changhua, Taiwan.
Zih-Yang LinDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, 135 Nanshsiao Street, 500, Changhua, Taiwan.
Cheng-Chieh HuangDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, 135 Nanshsiao Street, 500, Changhua, Taiwan.
Shang-Yan YuFire Bureau of Changhua County Government, Changhua, Taiwan.
Jing-Lan HuangFire Bureau of Changhua County Government, Changhua, Taiwan.
Jian-Houng LinFire Bureau of Changhua County Government, Changhua, Taiwan.
Yan-Ren LinDepartment of Emergency and Critical Care Medicine, Changhua Christian Hospital, 135 Nanshsiao Street, 500, Changhua, Taiwan. h6213.lac@gmail.com.
Changhua County Public Health Bureau · TWChanghua Christian Hospital · TWNational Chung Hsing University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFocused 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

methodsIn 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.

resultThis 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.

conclusionThe specificity of abdominal free fluid detection using prehospital ultrasound examinations in trauma patients was very high.

Indexed as

Emergency Medical ServicesHemoperitoneumAbdomenHumansUltrasonographyFASTPrehospitalTraumaUltrasound

Identifiers

PMID38185679
PMCPMC10773115
OpenAlexW4390655779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.