Diagnostic Accuracy of Ultrasonography and Radiography in Initial Evaluation of Chest Trauma Patients
نویسندگان
چکیده
INTRODUCTION Application of chest radiography for all multiple trauma patients is associated with a significant increase in total costs, exposure to radiation, and overcrowding of the emergency department. Ultrasound has been introduced as an alternative diagnostic tool in this regard. The aim of the present study is to compare the diagnostic accuracy of chest ultrasonography and radiography in detection of traumatic intrathoracic injuries. METHODS In the present prospective cross-sectional study, patients with traumatic intrathoracic injuries, who were referred to the emergency department from December 2013 to December 2014, were assessed. The patients underwent bedside ultrasound, radiographic and computed tomography (CT) scan examinations based on ATLS recommendations. Screening performance characteristics of ultrasonography and radiography were compared using SPSS 21.0. Chest CT scan was considered as gold standard. RESULTS 152 chest trauma patients with a mean age of 31.4 ± 13.8 years (range: 4 ‒ 67), were enrolled (77.6% male). Chest CT scan showed pulmonary contusion in 48 (31.6%) patients, hemothorax in 29 (19.1%), and pneumothorax in 55 (36.2%) cases. Area under the ROC curve of ultrasonography in detection of pneumothorax, hemothorax, and pulmonary contusion were 0.91 (95% CI: 0.86‒0.96), 0.86 (95% CI: 0.78‒0.94), and 0.80 (95% CI: 0.736‒0.88), respectively. Area under the ROC curve of radiography was 0.80 (95% CI: 0.736‒0.87) for detection of pneumothorax, 0.77 (95% CI: 0.68‒0.86) for hemothorax, and 0.58 (95% CI: 0.5‒0.67) for pulmonary contusion. Comparison of areas under the ROC curve declared the significant superiority of ultrasonography in detection of pneumothorax (p = 0.02) and pulmonary contusion (p < 0.001). However, the diagnostic value of the two tests was equal in detection of hemothorax (p = 0.08). CONCLUSION The results of the present study showed that ultrasonography is preferable to radiography in the initial evaluation of patients with traumatic injuries to the thoracic cavity.
منابع مشابه
Evaluation of Ultrasonography in Diagnosis of Nasal Fracture and Compared it with Plain Radiography in Dogs
Objective- One of the important causes of nasal fracture is a trauma that can be diagnosed in clinical examinations and diagnostic imaging but it should be noted that radiography may show false fractures in the nose. This study evaluates the value of ultrasonography in the diagnosis of nasal fractures and compared it with plain radiography. Design- Retrospective study. Animals- 12 d...
متن کاملDiagnosis of Pneumothorax by Focused Assessment Sonography of Trauma(eFAST) and CT scan in Chest Trauma: Comparison of diagnostic accuracy
Abstract Aims and objectives: Pneumothorax is a common finding after trauma and with a wide range of clinical manifestations, from a concealed pneumothorax detectable only by a CT scan accidentally, to a potentially fatal tension pneumothorax. Pneumothorax can gradually progress to tension pneumothorax and become an emergency, consequently, a timely diagnosis is essential. Most traumatic patie...
متن کاملDiagnostic Accuracy of Ultrasonography in the Initial Evaluation of Patients with Penetrating Chest Trauma
INTRODUCTION Traumatic chest injuries (TCI) are one of the most common causes of referring to the emergency departments, with high mortality and disability. This study was designed to evaluate the diagnostic accuracy of ultrasonography versus chest X ray (CXR) in detection of hemo-pneumothorax for patients suffering penetrating TCI. METHODS The present cross-sectional study was performed to e...
متن کاملFAST and abnormal urinalysis: the effective screening tools in pediatric abdominal trauma
Objective: The present study examines the diagnostic accuracy of abdominal ultrasonography and urinalysis test in children with blunt abdominal trauma, compared with CT scan. The aim of this study was to compare the diagnostic value of ultrasound and urinalysis test with CT scan as a golden standard diagnostic method in predicting abdominal peritoneal injury in these patients.Methods: Thi...
متن کاملChest ultrasonography in lung contusion.
STUDY OBJECTIVE Despite the high prevalence of chest trauma and its high morbidity, lung contusion (LC) often remains undiagnosed in the emergency department (ED). The present study investigates the possible clinical applicability of chest ultrasonography for the diagnosis of LC in the ED in comparison to radiography and CT. MATERIALS AND METHODS One hundred twenty-one patients admitted to th...
متن کامل