Clinical Method Applied to Focused Ultrasound: The Case of Wells’ Score and Echocardiography in the Emergency Department: A Systematic Review and a Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Study Limitations
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Clinical signs and symptoms for DVT | No = 0 points Yes = +3 points |
Pulmonary embolism is the first hypothesis or Pulmonary embolism is equally likely | No = 0 points Yes = +3 points |
Heart rate >100 bpm | No = 0 points Yes = +1.5 points |
Immobilization at least 3 days or Surgery in the previous 4 weeks | No = 0 points Yes = +1.5 points |
Previous, objectively diagnosed pulmonary embolism or Previous, objectively diagnosed deep vein thrombosis | No = 0 points Yes = +1.5 points |
Hemoptysis | No = 0 points Yes = +1 point |
Malignancy w/treatment within 6 months or palliative | No = 0 points Yes = +1 point |
Se (97.5% CI) | Sp (97.5% CI) | DOR (95% CI) | |
---|---|---|---|
RV Dilatation [12,13,14,15,16,17,18,19,20] | 0.539 (0.695) | 0.884 (0.925) | 8.907 (5.025–15.792) |
McConnell’s Sign [17,18,19,21] | 0.175 (0.240) | 0.971 (0.984) | 6.985 (3.313–14.727) |
Tricuspid regurgitant velocity [13,14,15,16,20] | 0.473 (0.612) | 0.842 (0.922) | 4.791 (2.101–10.928) |
Paradoxical septum [12,15,17,18,19,20] | 0.232 (0.299) | 0.968 (0.989) | 9.080 (3.419–24.113) |
Reduced RV contractility [15,18,19,20] | 0.563 (0.695) | 0.843 (0.908) | 6.492 (4.390–10.978) |
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Falsetti, L.; Zaccone, V.; Marra, A.M.; Tarquinio, N.; Viticchi, G.; Sampaolesi, M.; Riccomi, F.; Giovenali, L.; Ferrini, C.; Moroncini, G.; et al. Clinical Method Applied to Focused Ultrasound: The Case of Wells’ Score and Echocardiography in the Emergency Department: A Systematic Review and a Meta-Analysis. Medicina 2021, 57, 766. https://doi.org/10.3390/medicina57080766
Falsetti L, Zaccone V, Marra AM, Tarquinio N, Viticchi G, Sampaolesi M, Riccomi F, Giovenali L, Ferrini C, Moroncini G, et al. Clinical Method Applied to Focused Ultrasound: The Case of Wells’ Score and Echocardiography in the Emergency Department: A Systematic Review and a Meta-Analysis. Medicina. 2021; 57(8):766. https://doi.org/10.3390/medicina57080766
Chicago/Turabian StyleFalsetti, Lorenzo, Vincenzo Zaccone, Alberto M. Marra, Nicola Tarquinio, Giovanna Viticchi, Mattia Sampaolesi, Francesca Riccomi, Laura Giovenali, Consuelo Ferrini, Gianluca Moroncini, and et al. 2021. "Clinical Method Applied to Focused Ultrasound: The Case of Wells’ Score and Echocardiography in the Emergency Department: A Systematic Review and a Meta-Analysis" Medicina 57, no. 8: 766. https://doi.org/10.3390/medicina57080766