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Enhancing clinical outcomes: Point of care ultrasound in the precision diagnosis and <scp>M</scp>anagement of <scp>A</scp>bdominal <scp>A</scp>ortic <scp>A</scp>neurysms in emergency medicine: A systematic review and meta‐analysis

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

2024Journal of Clinical Ultrasound17 citationsDOIOpen Access PDF

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.

Topics & Concepts

MedicinePoint of care ultrasoundEmergency departmentCochrane LibraryUltrasoundRadiologyMeta-analysisInternal medicinePsychiatryHemodynamic Monitoring and TherapyAortic aneurysm repair treatmentsCardiac, Anesthesia and Surgical Outcomes
Enhancing clinical outcomes: Point of care ultrasound in the precision diagnosis and <scp>M</scp>anagement of <scp>A</scp>bdominal <scp>A</scp>ortic <scp>A</scp>neurysms in emergency medicine: A systematic review and meta‐analysis | Litcius