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Effect of chest ultrasound compared with pericardial window for the diagnosis of occult penetrating cardiac wounds in hemodynamically stable subjects with penetrating thoracic trauma: A meta‐analysis

International wound journal, 2023-08, Vol.20 (6), p.2483-2491 [Peer Reviewed Journal]

2023 The Authors. published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. ;2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. ;ISSN: 1742-4801 ;EISSN: 1742-481X ;DOI: 10.1111/iwj.14101 ;PMID: 36717766

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  • Title:
    Effect of chest ultrasound compared with pericardial window for the diagnosis of occult penetrating cardiac wounds in hemodynamically stable subjects with penetrating thoracic trauma: A meta‐analysis
  • Author: Yan, Tao ; Xie, Wenwen ; Xu, Mingqing
  • Subjects: chest ultrasound ; hemodynamically stable ; occult penetrating cardiac wounds ; Original ; penetrating thoracic trauma ; pericardial window
  • Is Part Of: International wound journal, 2023-08, Vol.20 (6), p.2483-2491
  • Description: We conducted a meta‐analysis to assess the diagnostic performance of chest ultrasound compared with a pericardial window for the detection of occult penetrating cardiac wounds in patients with penetrating thoracic trauma who were hemodynamically stable. A systematic literature search up to December 2022 was performed and 567 related studies were evaluated. The chosen studies comprised 629 penetrating thoracic trauma subjects who participated in the selected studies' baseline. Odds ratio (OR) with 95% confidence intervals (CIs) were calculated to assess the effect of different chest ultrasounds on wound infection after penetrating thoracic trauma by the dichotomous methods with a random or fixed effect model. The chest ultrasound resulted in significantly lower occult penetrating cardiac wounds detection (OR, 0.02; 95% CI, 0.01–0.08, P < 0.001), higher false positive (OR, 33.85; 95% CI, 9.21–124.39, P < 0.001), and higher false negative (OR, 27.31; 95% CI, 7.62–97.86, P < 0.001) compared with the pericardial window in penetrating thoracic trauma. The chest ultrasound resulted in significantly lower occult penetrating cardiac wound detection, higher false positives, and higher false negatives compared with the pericardial window in penetrating thoracic trauma. Although care should be taken when dealing with the results because all of the studies had less than 200 subjects as a sample size
  • Publisher: Oxford, UK: Blackwell Publishing Ltd
  • Language: English
  • Identifier: ISSN: 1742-4801
    EISSN: 1742-481X
    DOI: 10.1111/iwj.14101
    PMID: 36717766
  • Source: Journals@Ovid Open Access Journal Collection Rolling
    PubMed Central
    DOAJ Directory of Open Access Journals
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