Varicose Veins: Systemic Hemodynamic Disorder or Systemic Vascular Wall Pathology?

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dc.contributor.authorAtmaca, Hasan
dc.contributor.authorCuglan, Bilal
dc.contributor.authorAksoy, Alper
dc.contributor.authorYetkin, Ertan
dc.date.accessioned2024-03-13T10:33:01Z
dc.date.available2024-03-13T10:33:01Z
dc.date.issued2021
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractObjectives: A chest radiograph (CXR) is still the preferred diagnostic method when pneumonia is suspected, although the sensitivity is relatively low. The aim of this study was to compare the diagnostic sensitivity, specificity, and accuracy of ultrasonography (US) for the diagnosis of community-acquired pneumonia (CAP), compared with CXR. Materials and Methods: A principled search was conducted to identify original English articles using PubMed, EMBASE, Web of Science, Scopus, and the Cochrane library, with the end date of October 2020. A combination of keywords, such as ultrasound or ultrasonography, pneumonia, sensitivity, and specificity, was used. Methodologic quality was assessed using Quality Assessment of Diagnostic Accuracy Studies 2 criteria. Statistical analysis was completed on the resulting study data. Results: The search produced 16 eligible articles that reported on 2040 patients. The overall pooled sensitivity for US and CXR, to diagnose pneumonia, was 0.96 and 0.65, respectively. The overall pooled specificity for US and CXR was 0.85 and 0.81, respectively. The overall pooled positive likelihood ratio for US and CXR was 9.74 and 3.67, respectively. The negative likelihood ratio for US and CXR was 0.05 and 0.42, respectively. In addition, summary receiver operative characteristics areas under the curve were 0.98 for US and 0.77 for CXR. Conclusion: This review demonstrated that lung US is a useful technique for the diagnosis of pneumonia. This diagnostic method can be used by emergency physicians with high accuracy, sensitivity, and specificity. Among an elderly population, this diagnostic method may be a better choice than CXR. The rapid performance of lung US may facilitate a quick, cost-effective, and safe diagnosis of this potentially fatal disease.en_US
dc.identifier.doi10.1177/87564793211005716
dc.identifier.endpage416en_US
dc.identifier.issn8756-4793
dc.identifier.issn1552-5430
dc.identifier.issue4en_US
dc.identifier.startpage414en_US
dc.identifier.urihttps://doi.org/10.1177/87564793211005716
dc.identifier.urihttps://hdl.handle.net/20.500.12662/3732
dc.identifier.volume37en_US
dc.identifier.wosWOS:000667768800014en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofJournal Of Diagnostic Medical Sonographyen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectultrasonographyen_US
dc.subjectpneumoniaen_US
dc.subjectcommunity-acquired pneumonia (CAP)en_US
dc.subjectdiagnostic accuracyen_US
dc.titleVaricose Veins: Systemic Hemodynamic Disorder or Systemic Vascular Wall Pathology?en_US
dc.typeLetteren_US

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