Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis

Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis Publisher

Rahmani E¹ ; Fayyazishishavan E² ; Afzalian A¹ ; Varshochi S¹ ; Amanibeni R³ ; Ahadiat SA⁴ ; Moshtaghi Z⁵ ; Shafagh SG⁶ ; Khorram R⁷ ; Asadollahzade E⁸ ; Atbaei R⁹ ; Kahrizi MS¹⁰ ; Rahbari A¹¹ ; Baharlouie N³ Show All Authors

Rahmani E¹
Fayyazishishavan E²
Afzalian A¹
Varshochi S¹
Amanibeni R³
Ahadiat SA⁴
Moshtaghi Z⁵
Shafagh SG⁶
Khorram R⁷
Asadollahzade E⁸
Atbaei R⁹
Kahrizi MS¹⁰
Rahbari A¹¹
Baharlouie N³
Mostanbet F¹²
Amirabadiquchani B¹³
Kiani M¹⁴
Memarizadeh M¹²
Rajabi SK¹⁵
Barati R⁶
Hajinouri H¹⁶
Najafi S¹
Abdollahi Z¹⁷
Dadashzadehasl N¹⁸
Fard AM²⁶
Afshar M¹⁹
Abedi A²⁰
Saeidi S²¹
Mansourirad A²²
Shahrezaei PE²³
Hosseini SS⁶
Ghotbabadi ZR¹²
Vafadar R²⁴
Roohinezhad R⁶
Ghalamkarpour N²⁵
Farrokhi M²⁶

Show Affiliations

1. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
2. Department of Biostatistics and Data Science, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, 77030, TX, United States
3. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4. Girona University, Girona, Spain
5. Faculty of Nursing, Bushehr University of Medical Sciences, Bushehr, Iran
6. School of Medicine, Iran University of Medical Sciences, Tehran, Iran
7. Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
8. Multiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
9. School of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran
10. School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
11. Islamic University of Azad Medical Branch, Tehran, Iran
12. School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
13. Mashhad University ofMedical Sciences, Mashhad, Iran
14. School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
15. Firoozabadi hospital clinical research development unit (FHCRDU), Department of internal medicine, School of medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran
16. School of Medicine, Islamic Azad University, Tehran, Iran
17. Department of Radiology, School of Medicine, Ahvaz Jundishapur University ofMedical Sciences, Ahvaz, Iran
18. Legal Medicine Research Center, Iranian Legal Medicine Organization, Tehran, Iran
19. University of Psychology Sciences, South Azad Tehran, Iran
20. Dental and Periodontal Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
21. Students Research Committee, Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
22. Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, United States
23. Islamic Azad University of Najafabad, Najafabad, Iran
24. Department of Orthopedic Surgery, Kerman University of Medical Sciences, Kerman, Iran
25. Department of Clinical Laboratory Sciences, School of Allied Medicine, Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
26. ERIS Research Institute, Tehran, Iran

Source: Archives of Academic Emergency Medicine Published:2023

Abstract

Introduction: Differentiating the soft tissue abscess from other types of skin and soft tissue infections (SSTIs) poses a particular challenge because they have similar physical evaluation findings, but each disease has a different course, outcome, and treatment. This meta-analysis aimed to investigate the diagnostic accuracy of point-of-care ultrasonography for diagnosis of soft tissue abscess in the emergency departments. Methods: A comprehensive literature search of MEDLINE, Scopus, Web of Science, Embase, and Google Scholar, from inception to January 2023, was conducted to identify relevant studies investigating the diagnostic performance of point-of-care ultrasonography for identification of abscess. Methodological quality of the included studies was assessed using a revised tool for the quality assessment of diagnostic accuracy studies (QUADAS-2). Results: The pooled estimates of diagnostic parameters of ultrasonography for diagnosis of abscess were as follows: sensitivity, 0.93 (95% CI: 0.92–0.94); specificity, 0.87 (95% CI: 0.85–0.89), and the area under the summary receiver-operating characteristic (SROC), 0.95. The pooled sensitivity, specificity, and area under the SROC of studies in adult patients were 0.98 (95% CI: 0.92–1), 0.92 (95% CI: 0.86–0.95), and 0.99, respectively. The pooled sensitivity, specificity, and area under the SROC of studies in pediatric patients were 0.9 (95% CI: 0.87–0.92), 0.78 (95% CI: 0.73–0.82), and 0.91, respectively. Conclusion: Our meta-analysis demonstrated that the point-of-care ultrasonography has excellent diagnostic value for the abscess in the emergency department. Furthermore, we found that the diagnostic performance of point-of-care ultrasonography for diagnosis of abscess was higher for adult cases than for pediatric patients. © This open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0). Downloaded from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/index

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Style	Citing Format
MLA	Rahmani E, et al.. "Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis." Archives of Academic Emergency Medicine, vol. 11, no. 1, 2023, pp. -.
APA	Rahmani E, Fayyazishishavan E, Afzalian A, Varshochi S, Amanibeni R, Ahadiat SA, Moshtaghi Z, Shafagh SG, Khorram R, Asadollahzade E, Atbaei R, Kahrizi MS, Rahbari A, Baharlouie N, Mostanbet F, Amirabadiquchani B, Kiani M, Memarizadeh M, Rajabi SK, ... Farrokhi M (2023). Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis. Archives of Academic Emergency Medicine, 11(1), -.
Chicago	Rahmani E, Fayyazishishavan E, Afzalian A, Varshochi S, Amanibeni R, Ahadiat SA, Moshtaghi Z, et al.. "Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis." Archives of Academic Emergency Medicine 11, no. 1 (2023): -.
Harvard	Rahmani E et al. (2023) 'Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis', Archives of Academic Emergency Medicine, 11(1), pp. -.
Vancouver	Rahmani E, Fayyazishishavan E, Afzalian A, Varshochi S, Amanibeni R, Ahadiat SA, et al.. Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis. Archives of Academic Emergency Medicine. 2023;11(1):-.
BibTex	@article{ author = {Rahmani E and Fayyazishishavan E and Afzalian A and Varshochi S and Amanibeni R and Ahadiat SA and Moshtaghi Z and Shafagh SG and Khorram R and Asadollahzade E and Atbaei R and Kahrizi MS and Rahbari A and Baharlouie N and Mostanbet F and Amirabadiquchani B and Kiani M and Memarizadeh M and Rajabi SK and Barati R and Hajinouri H and Najafi S and Abdollahi Z and Dadashzadehasl N and Fard AM and Afshar M and Abedi A and Saeidi S and Mansourirad A and Shahrezaei PE and Hosseini SS and Ghotbabadi ZR and Vafadar R and Roohinezhad R and Ghalamkarpour N and Farrokhi M}, title = {Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis}, journal = {Archives of Academic Emergency Medicine}, volume = {11}, number = {1}, pages = {-}, year = {2023} }
RIS	TY - JOUR AU - Rahmani E AU - Fayyazishishavan E AU - Afzalian A AU - Varshochi S AU - Amanibeni R AU - Ahadiat SA AU - Moshtaghi Z AU - Shafagh SG AU - Khorram R AU - Asadollahzade E AU - Atbaei R AU - Kahrizi MS AU - Rahbari A AU - Baharlouie N AU - Mostanbet F AU - Amirabadiquchani B AU - Kiani M AU - Memarizadeh M AU - Rajabi SK AU - Barati R AU - Hajinouri H AU - Najafi S AU - Abdollahi Z AU - Dadashzadehasl N AU - Fard AM AU - Afshar M AU - Abedi A AU - Saeidi S AU - Mansourirad A AU - Shahrezaei PE AU - Hosseini SS AU - Ghotbabadi ZR AU - Vafadar R AU - Roohinezhad R AU - Ghalamkarpour N AU - Farrokhi M TI - Point-Of-Care Ultrasonography for Identification of Skin and Soft Tissue Abscess in Adult and Pediatric Patients; a Systematic Review and Meta-Analysis JO - Archives of Academic Emergency Medicine VL - 11 IS - 1 SP - EP - PY - 2023 ER -

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