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著者: Margaret Lin-Martore, Maytal T Firnberg, Michael A Kohn, Aaron E Kornblith, Michael Gottlieb
雑誌名: Am J Emerg Med. 2022 Aug;58:255-264. doi: 10.1016/j.ajem.2022.06.025. Epub 2022 Jun 15.
Abstract/Text
OBJECTIVES: Ileocolic intussusception can be challenging to diagnose due to vague complaints, but rapid diagnosis and treatment can help prevent morbidity and mortality. Prior research has focused on radiologic ultrasound, with more recent studies focusing on point-of-care ultrasonography (POCUS). This systematic review and meta-analysis assesses the diagnostic accuracy of POCUS for children with suspected ileocolic intussusception.
METHODS: PubMed, Embase, CINAHL, LILACS, the Cochrane databases, Google Scholar, conference abstracts, and bibliographies of selected articles were searched for studies evaluating the accuracy of POCUS for the diagnosis of intussusception in children. Data were dual extracted into a predefined worksheet, and quality analysis was performed with the QUADAS-2 tool. Data were summarized, and a meta-analysis was performed.
RESULTS: Eleven studies (n = 2400 children) met our inclusion criteria. Overall, 14.4% of children had intussusception. POCUS was 95.1% (95% CI: 90.3% to 97.2%) sensitive and 98.1% (95% CI: 95.8% to 99.2%) specific with a positive likelihood ratio of 50 (95% CI: 23 to 113) and a negative likelihood ratio of 0.05 (95% CI: 0.03 to 0.09).
CONCLUSIONS: POCUS has excellent diagnostic accuracy for intussusception in children presenting to the emergency department.
Copyright © 2022 Elsevier Inc. All rights reserved.
PMID 35749802 Am J Emerg Med. 2022 Aug;58:255-264. doi: 10.1016/j.ajem.2022.06.025. Epub 2022 Jun 15.
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