Emergency department’s diagnosis of acute appendicitis the efficiency of ultrasonography: A systematic review
1 Emergency medicine department Abdulrahman bin Faisal hospital, NGHA, Dammam, Saudi Arabia
2 Emergency medicine department at King Fahad Medical City, Riyadh, Saudi Arabia.
3 Pediatric emergency medicine, Emergency medicine, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
Review Article
World Journal of Advanced Research and Reviews, 2024, 23(02), 2811–2815
Publication history:
Received on 22 May 2024; revised on 24 August 2024; accepted on 27 August 2024
Abstract:
Computed tomography is increasingly often used to examine patients with appendicitis. However, due to rising concerns about the long-term cancer risk linked with computed tomography-induced ionizing radiation, its routine usage is being reevaluated. Point-of-care ultrasound is a quick, useful, noninvasive, and reasonably priced diagnostic technique used in the emergency room to detect trauma, severe abdominal pain and discomfort, chest pain, and dyspnea. And The purpose of this systematic review study is to determine how well ultrasonography diagnoses acute appendicitis in emergency rooms. The biological literature for our systematic review study was gathered from a variety of sources, including Google Scholar, Ovid MEDLINE, and PubMed. We included studies on diagnosing appendicitis in emergency rooms. After reviewing the abstracts and full texts of the included papers, the relevant information was retrieved. 391 items in total were retrieved by the database search after duplication and filtering were done. Six studies were added for analysis after meeting the study's inclusion criteria. Ultrasound sensitivity ranged from a minimum of 0.44 to a maximum of 0.99. However, the mean overall sensitivity and specificity were 0.80 and 0.81, respectively, with the least specificity recorded being 0.63 and the greatest being 0.96.
Keywords:
Acute appendicitis; Emergency department; Diagnosis
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Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0