Diagnostic performance of emergency physician‐performed point‐of‐care ultrasonography for acute appendicitis: A meta‐analysis

  title={Diagnostic performance of emergency physician‐performed point‐of‐care ultrasonography for acute appendicitis: A meta‐analysis},
  author={Sun Hwa Lee and Seong Jong Yun},
  journal={American Journal of Emergency Medicine},
  • S. Lee, S. J. Yun
  • Published 2019
  • Medicine
  • American Journal of Emergency Medicine
Objective: To assess the sensitivity and specificity of emergency physician‐performed point‐of‐care ultrasonography (EP‐POCUS) for diagnosing acute appendicitis (AA). Material and methods: The PubMed and EMBASE databases were searched, and the diagnostic performance of EP‐POCUS was evaluated using bivariate modeling and hierarchical summary receiver operating characteristic curves. Subgroup analysis was performed for pediatric patients to compare EP‐POCUS and radiologist‐performed… Expand
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Bedside ultrasonography, a radiation-free and noninvasive modality, provides superior diagnostic performance in the diagnosis of acute appendicitis, but its value in different abdominal emergencies warrants further development and research. Expand
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Accuracy of Point‐of‐care Ultrasonography for Diagnosing Acute Appendicitis: A Systematic Review and Meta‐analysis
Point-of-care US has relatively high sensitivity and specificity for diagnosing acute appendicitis, although the data presented are limited by the quality of the original studies and large CIs. Expand
Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Point‐of‐care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department: A Systematic Review and Meta‐analysis
The utility of history, physical examination, laboratory tests, Pediatric Appendicitis Score (PAS) and Emergency Department Point-of-Care Ultrasound (ED-POCUS) in the diagnosis of AA in ED pediatric patients was determined. Expand
Diagnostic Accuracy of Abdominal Ultrasound for Diagnosis of Acute Appendicitis: Systematic Review and Meta-analysis
Abdominal ultrasound does not seem to have a role in the diagnostic pathway for diagnosis of AA in suspected patients, and the summary sensitivity and specificity of US do not exceed that of physical examination. Expand
Comparison of Low- and Standard-Dose CT for the Diagnosis of Acute Appendicitis: A Meta-Analysis.
Low-dose CT is highly effective for the diagnosis of suspected appendicitis and can be considered a valid alternative first-line imaging test that reduces the potential risk of exposure to ionizing radiation. Expand
The Accuracy of Emergency Physicians in Ultrasonographic Screening of Acute Appendicitis; a Cross Sectional Study
Findings of the present study showed that the diagnostic accuracy of ultrasonography carried out by radiologist is a little better compared to that of emergency physician in diagnosis of appendicitis, but none are excellent. Expand
Diagnostic accuracy of emergency physician performed graded compression ultrasound study in acute appendicitis: a prospective study
Emergency physician performed bedside ultrasound has an acceptable overall accuracy but its sensitivity is low thus it can help emergency physicians to diagnose the acute appendicitis when used in conjunction with other clinical and para-clinical evaluations but not per se. Expand
Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED.
Tele-ultrasonography with tele-mentoring between EM residents and experienced mentors was effectively applied in diagnosing pediatric acute appendicitis in an emergency clinical setting. Expand
Retrospective Analysis of Emergency Department Ultrasound for Acute Appendicitis
ED ultrasound by EPs prior to focused appendicitis ultrasound training is insufficiently accurate, to determine whether emergency physicians who have skills in the other applications of ultrasound can apply these in appendix diagnosis. Expand
The effect of point-of-care ultrasonography on emergency department length of stay and computed tomography utilization in children with suspected appendicitis.
It may be feasible to reduce ED LOS and avoid CT scan when using POC US to evaluate children with suspected appendicitis and its effect on emergency department length of stay (LOS) and computed tomography (CT) utilization. Expand
Point-of-Care Ultrasound Integrated Into a Staged Diagnostic Algorithm for Pediatric Appendicitis
In pediatric patients presenting with clinical concern for acute appendicitis, a staged algorithm that incorporates POCUS is accurate and has the potential to decrease CT scan utilization. Expand