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Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
Background: There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a sy...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412512/ https://www.ncbi.nlm.nih.gov/pubmed/36006073 http://dx.doi.org/10.3390/tomography8040175 |
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author | Grapatsas, Konstantinos Leivaditis, Vasileios Ehle, Benjamin Papaporfyriou, Anastasia |
author_facet | Grapatsas, Konstantinos Leivaditis, Vasileios Ehle, Benjamin Papaporfyriou, Anastasia |
author_sort | Grapatsas, Konstantinos |
collection | PubMed |
description | Background: There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. Methods: An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. Results: Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. Conclusions: The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory. |
format | Online Article Text |
id | pubmed-9412512 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94125122022-08-27 Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? Grapatsas, Konstantinos Leivaditis, Vasileios Ehle, Benjamin Papaporfyriou, Anastasia Tomography Review Background: There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. Methods: An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. Results: Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. Conclusions: The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory. MDPI 2022-08-20 /pmc/articles/PMC9412512/ /pubmed/36006073 http://dx.doi.org/10.3390/tomography8040175 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Grapatsas, Konstantinos Leivaditis, Vasileios Ehle, Benjamin Papaporfyriou, Anastasia Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_full | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_fullStr | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_full_unstemmed | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_short | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_sort | can chest ultrasound replace chest x-ray in thoracic surgery? |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412512/ https://www.ncbi.nlm.nih.gov/pubmed/36006073 http://dx.doi.org/10.3390/tomography8040175 |
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