Evaluation of the Diagnostic Role of Bedside Lung Ultrasonography in Patients with Suspected Pulmonary Embolism in the Emergency Department

Hüseyin ACAR; Serkan YILMAZ; Elif YAKA; Nurettin Özgür DOĞAN; Asım Enes ÖZBEK; Murat PEKDEMİR

Makale detayları

Evaluation of the Diagnostic Role of Bedside Lung Ultrasonography in Patients with Suspected Pulmonary Embolism in the Emergency Department

Yazarlar:

Hüseyin ACAR | Serkan YILMAZ | Elif YAKA | Nurettin Özgür DOĞAN | Asım Enes ÖZBEK | Murat PEKDEMİR

Yayıncı:

Trakya University

Dergi:

Balkan Medical Journal 2017 Vol.34 Issue 4, pp.356-361

Belge Tipi:

Makale

Yayın Tarihi:

6/2017

Belge Dili:

Türkçe

Document ID (Org No.):

2000759119

Sıklık:

İki Aylık

pISSN:

2146-3123

Özet:

 

_Despite the existence of detailed consensus guidelines, challenges remain regarding efficient, appropriate, and safe imaging methods for the diagnosis of suspected pulmonary embolism.   Aims_ To investigate the role of the wedge sign, B-lines, and pleural effusion seen on bedside lung ultrasound in the diagnosis of pulmonary embolism.   Study Design_ Diagnostic accuracy study.   Methods_ During the first evaluation of patients with suspected pulmonary embolism, bedside lung ultrasound was performed, and the B-lines, wedge sign, and pleural effusion were investigated. Computed tomography angiography was used as a confirmatory test and was compared with the lung ultrasound findings.   Results_ Pulmonary embolism was detected in 38 (38%) patients. In the comparison of bedside lung ultrasound results, statistically significant differences were found between the groups in terms of the B-lines and wedge sign (p=0.005 and p_0.001, respectively). There were no significant differences in terms of effusion (p=0.234). Comparison of these findings with computed tomography angiography of the chest showed weak negative correlations between the groups in terms of B-lines (r=-0297) and a moderately positive correlation in terms of the wedge sign (r=0.523). The sensitivity, specificity, and positive and negative predictive values of lung ultrasound findings alone were low. In the logistic regression analysis, the wedge sign (p_0.01, OR=69.45, 95% CI=6.94-695.17) and B-line (p=0.033, OR=1.96, 95% CI=0.41-8.40) were found to be effective in the diagnosis of pulmonary embolism.   Conclusion_ Although the role of lung ultrasound has been increasing in the management of critically ill patients, its value is limited and cannot replace the gold standard tests in the diagnosis of pulmonary embolism_.

Makale detayları

Evaluation of the Diagnostic Role of Bedside Lung Ultrasonography in Patients with Suspected Pulmonary Embolism in the Emergency Department

Yazarlar: Hüseyin ACAR | Serkan YILMAZ | Elif YAKA | Nurettin Özgür DOĞAN | Asım Enes ÖZBEK | Murat PEKDEMİR

Yayıncı: Trakya University

Dergi: Balkan Medical Journal 2017 Vol.34 Issue 4, pp.356-361

Belge Tipi: Makale

Yayın Tarihi: 6/2017

Belge Dili: Türkçe

Document ID (Org No.): 2000759119

Sıklık: İki Aylık

pISSN: 2146-3123

Sayı

Yazarlar:

Hüseyin ACAR | Serkan YILMAZ | Elif YAKA | Nurettin Özgür DOĞAN | Asım Enes ÖZBEK | Murat PEKDEMİR

Yayıncı:

Trakya University

Dergi:

Balkan Medical Journal 2017 Vol.34 Issue 4, pp.356-361

Belge Tipi:

Makale

Yayın Tarihi:

6/2017

Belge Dili:

Türkçe

Document ID (Org No.):

2000759119

Sıklık:

İki Aylık

pISSN:

2146-3123