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• W4310762577 abstract "Lin-Martore M, Firnberg MT, Kohn MA, Kornblith AE, Gottlieb M. Diagnostic accuracy of point-of-care ultrasonography for intussusception in children: A systematic review and meta-analysis. Am J Emerg Med. 2022;58:255-64.QuestionAmong children with suggestive abdominal signs and/or symptoms, what is the diagnostic accuracy of point-of-care ultrasonography (POCUS), in diagnosing intussusception?DesignSystematic review and meta-analysis.SettingMostly US, as well as Korea, Taiwan, Korea, and Canada.ParticipantsLess than 18 years old with abdominal signs and/or symptoms suggestive of intussusception.InterventionPOCUS.OutcomesPOCUS diagnostic accuracy.Main Results14.4% of 2400 children had intussusception. POCUS sensitivity and specificity were 95.1% (95% CI: 90.3%-97.2%) and 98.1% (95% CI: 95.8%-99.2%), respectively. The positive and negative likelihood ratios were 50 (95% CI: 23-113) and 0.05 (95% CI: 0.03-0.09), respectively.ConclusionsPOCUS intussusception diagnosis is accurate.CommentaryTimely intussusception diagnosis among children is critical, but at times challenging. The disappointing fact is that the well-known classic symptom triad, intermittent abdominal pain, a palpable sausage-shaped mass, and bloody stool, occur in less than 40% of cases.1Waseem M. Rosenberg H.K. Intussusception.Pediatr Emerg Care. 2008; 24: 793-800Crossref PubMed Scopus (127) Google Scholar Patients often present with vague abdominal pain or irritability, indistinguishable from the symptoms of gastroenteritis, especially at an early stage of intussusception.2Ito Y. Kusakawa I. Murata Y. Ukiyama E. Kawase H. Kamagata S. et al.Japanese guidelines for the management of intussusception in children, 2011.Pediatr Int. 2012; 54: 948-958Crossref PubMed Google Scholar Thus, if accuracy can be guaranteed, non-radiologic physicians performing POCUS for patients with suspicious symptoms is a logical approach to detect intussusception in the ED.3Lee J.Y. Kim J.H. Choi S.J. Lee J.S. Ryu J.M. Point-of-care ultrasound may be useful for detecting pediatric intussusception at an early stage.BMC Pediatr. 2020; 20: 1-6Crossref PubMed Scopus (4) Google Scholar The Lin-Martore et al meta-analysis is important, as the 11 studies included demonstrated excellent POCUS performance. However, given study heterogeneity, inconclusive POCUS interpretation, physician qualifications, and patient selection, questions still remain for further research. Lin-Martore M, Firnberg MT, Kohn MA, Kornblith AE, Gottlieb M. Diagnostic accuracy of point-of-care ultrasonography for intussusception in children: A systematic review and meta-analysis. Am J Emerg Med. 2022;58:255-64. QuestionAmong children with suggestive abdominal signs and/or symptoms, what is the diagnostic accuracy of point-of-care ultrasonography (POCUS), in diagnosing intussusception? Among children with suggestive abdominal signs and/or symptoms, what is the diagnostic accuracy of point-of-care ultrasonography (POCUS), in diagnosing intussusception? DesignSystematic review and meta-analysis. Systematic review and meta-analysis. SettingMostly US, as well as Korea, Taiwan, Korea, and Canada. Mostly US, as well as Korea, Taiwan, Korea, and Canada. ParticipantsLess than 18 years old with abdominal signs and/or symptoms suggestive of intussusception. Less than 18 years old with abdominal signs and/or symptoms suggestive of intussusception. InterventionPOCUS. POCUS. OutcomesPOCUS diagnostic accuracy. POCUS diagnostic accuracy. Main Results14.4% of 2400 children had intussusception. POCUS sensitivity and specificity were 95.1% (95% CI: 90.3%-97.2%) and 98.1% (95% CI: 95.8%-99.2%), respectively. The positive and negative likelihood ratios were 50 (95% CI: 23-113) and 0.05 (95% CI: 0.03-0.09), respectively. 14.4% of 2400 children had intussusception. POCUS sensitivity and specificity were 95.1% (95% CI: 90.3%-97.2%) and 98.1% (95% CI: 95.8%-99.2%), respectively. The positive and negative likelihood ratios were 50 (95% CI: 23-113) and 0.05 (95% CI: 0.03-0.09), respectively. ConclusionsPOCUS intussusception diagnosis is accurate. POCUS intussusception diagnosis is accurate." @default.
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• W4310762577 date "2022-12-01" @default.
• W4310762577 modified "2023-10-18" @default.
• W4310762577 title "ED point-of-care-ultrasound intussusception diagnosis is accurate" @default.
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• W4310762577 doi "https://doi.org/10.1016/j.jpeds.2022.08.058" @default.
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