针对急性肺炎的超声波:一个系统的审查和元分析
Jessica Yu1,2, Muhuntha Sri-Ganeshan1,2, De Villiers Smit1,2
1Alfred Health Emergency Service, Melbourne, Victoria, Australia.
Internal medicine journal
|February 10, 2024
概括
常规超声波 (US) 对于急性肺炎 (APN) 是常见的,但很少有患者表现出异常或管理变化. 需要进一步的研究来确定哪些APN患者可以从US中受益.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 缺乏关于急性肺炎 (APN) 尿路成像的共识.
- 确定最佳的成像模式及其在APN中的实用性仍然是一个挑战.
研究的目的:
- 系统地审查接受超声波 (美国) 的APN患者比例.
- 确定美国在APN中异常发现的比例.
- 评估美国异常发现对患者管理的影响.
主要方法:
- 在Medline和EMBASE进行了全面的文献搜索.
- 研究选择和数据提取是由两个研究人员独立执行的.
- 质量评估使用了纽卡斯尔-太华仪器用于包含的研究.
主要成果:
- 综述中包括了35项研究.
- 与美国评估的APN患者的比例差异很大 (20%-94%),具有显著的异质性和出版偏差.
- 美国的异常发现范围从7%到79%,在7%-59%的病例中发生了管理方面的变化,在研究中存在明显的异质性.
结论:
- 虽然在APN中经常使用US,但很少有患者表现出导致管理变化的异常.
- 对所有APN患者的常规使用US值得怀疑.
- 需要进一步的研究来确定在APN中选择性美国调查的临床变量.
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