@article{article_500305, title={EFFECTIVENESS OF ULTRASONOGRAPHY IN IMAGING ASSESSMENT OF PNEUMOTHORAX, RIB FRACTURES, AND HEMOTHORAX IN PATIENTS PRESENTING TO EMERGENCY DEPARTMENT WITH BLUNT CHEST TRAUMA}, journal={The Journal of Kırıkkale University Faculty of Medicine}, volume={21}, pages={276–284}, year={2019}, DOI={10.24938/kutfd.500305}, author={Çetinkaya, Halil and Yüzbaşıoğlu, Yücel and Karamercan, Mehmet Akif and Katırcı, Yavuz and Tandoğan, Meral and Coşkun, Figen}, keywords={Ultrasonografi, Pnömotoraks, Hemotoraks}, abstract={<p class="MsoNoSpacing" style="text-align:justify;line-height:115%;"> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us"> <b>Objective </b> </span> <span lang="en-us" style="line-height:115%;" xml:lang="en-us"> <span style="font-size:14px;">: </span> <span style="font-size:14px;">We aimed to determine the effectiveness and appropriate use
of ultrasonography (USG) in the diagnosis of pneumothorax, hemothorax, and rib
fractures in patients presenting to emergency department with Blunt Chest
Trauma (BCT). </span> </span> <span lang="en" style="line-height:115%;" xml:lang="en"> </span> </p> <p> </p> <p class="MsoNoSpacing" style="text-align:justify;line-height:115%;"> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us"> <b>Material and Methods </b> </span> <span lang="en-us" style="line-height:115%;" xml:lang="en-us"> <span style="font-size:14px;">: </span> <span style="font-size:14px;">This study was prospectively conducted on patients older
than 18 years of age who presented to the Emergency Department of Ankara
Training and Research Hospital. Patients with BCT who needed advanced imaging
studies were first examined with bedside USG and the results were recorded.
Afterwards, patients underwent postero-anterior chest X-Ray (PACXR) and thorax
computerized tomography (CT). The data were then statistically analyzed. </span> </span> <span lang="en" style="line-height:115%;" xml:lang="en"> </span> </p> <p> </p> <p class="MsoNoSpacing" style="text-align:justify;line-height:115%;"> <span lang="en-us" style="line-height:115%;font-size:14px;" xml:lang="en-us"> <b>Results </b> </span> <span lang="en-us" style="line-height:115%;" xml:lang="en-us"> <span style="font-size:14px;">: </span> <span style="font-size:14px;">A total of 124 patients were enrolled, of which 100 (80.6%)
were male. Compared with thorax CT (accepted as the gold standard test), USG
had a sensitivity of 84.2%, a specificity of 100%, a positive predictive value
of 100%, and a negative predictive value of 93.5%for pneumothorax; a
sensitivity of 92.6%, a specificity of 100%, a positive predictive value of
100%, and a negative predictive value of 98%for hemothorax; and a sensitivity
of 89.8%, a specificity of 96.9%, a positive predictive value of 96.4%, and a
negative predictive value of 91.3%for rib fracture. In all groups, USG
outperformed PACXR in terms of sensitivity. </span> </span> <span lang="en" style="line-height:115%;" xml:lang="en"> </span> </p> <p> </p> <p class="MsoNoSpacing" align="center" style="text-align:justify;line-height:115%;"> <span style="font-size:14px;"> </span> <span style="font-size:14px;"> </span> <span style="font-size:14px;"> </span> <span lang="en-us" style="font-size:14px;" xml:lang="en-us"> <b>Conclusion </b>: </span> <span lang="en-us" style="font-size:14px;" xml:lang="en-us">Thorax CT is regarded as
the gold standard for diagnosing pneumothorax and hemothorax. Our study
suggests that, among adults with BCT in settings where thorax CT is not
available or difficult-to-access, or when it is not feasible to transfer the
patient from emergency department to radiology unit, bedside USG appears
as an extremely valuable and highly sensitive alternative to thorax CT. </span> <br /> </p> <p> </p>}, number={3}, publisher={Kırıkkale Üniversitesi}