Sonography and Computed Tomography in Diagnosing Acute Appendicitis.
Purpose A systematic literature review was performed to evaluate the effectiveness of abdominal sonography and abdominal computed tomography (CT) in diagnosing acute appendicitis in adult and pediatric patients. Methods Peer-reviewed literature published between 1986 and 2014 was searched using mult...
| Publicado en: | Radiologic Technology Vol. 89; no. 3; pp. 224 - 238 |
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| Autor principal: | |
| Formato: | research systematic review tables/charts Journal Article |
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American Society of Radiologic Technologists
Jan/Feb2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127014192&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127014192 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00338397 39J jtl: Radiologic Technology issn: 00338397 maglogo: N pubinfo: dt: Jan/Feb2018 vid: 89 iid: 3 pid: 7052 pub: American Society of Radiologic Technologists place: Alburquerque, New Mexico artinfo: ui: 127014192 127014192 127014192 127014192 ppf: 224 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Sonography and Computed Tomography in Diagnosing Acute Appendicitis. aug: au: Hwang, Mikayla E. affil: Adjunct faculty for the Department of Biological Sciences at Dixie State University sug: subj: Appendicitis Diagnosis Abdomen Ultrasonography Evaluation Tomography, X-Ray Computed Evaluation Human Systematic Review Sensitivity and Specificity Predictive Value of Tests Descriptive Statistics CINAHL Database Medline Male Female Child Adolescence Adult Middle Age Aged Aged, 80 and Over Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose A systematic literature review was performed to evaluate the effectiveness of abdominal sonography and abdominal computed tomography (CT) in diagnosing acute appendicitis in adult and pediatric patients. Methods Peer-reviewed literature published between 1986 and 2014 was searched using multiple medical literature databases. Studies included in this review were conducted on human patients; included more than 50 patients; reported diagnostic values; evaluated pediatric patients, adults, or both (pregnant women excluded); and used histological results from surgery or clinical follow-up as a reference standard. Results In the sonography studies, the calculated pooled values of sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were 86%, 94%, 100%, and 92%, respectively. In the CT studies, the calculated pooled values of sensitivity, specificity, PPV, and NPV were 95%, 94%, 95%, and 99%, respectively. Discussion Unenhanced CT is used frequently to minimize harmful effects of radiation, especially for pediatric patients. Performing sonography can reduce the cost of a negative exploration, which can generate unnecessary financial burdens for patients. Conclusion This study suggests that sonography is an effective first-line diagnostic tool for acute appendicitis and that CT should be performed for patients with inconclusive sonographic findings. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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