Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study
Introduction:Â Using bedside ultrasound in diagnosing acute cholecystitis in the emergency department (ED) can save time, help the decision making process and allocate resources wisely. This study aimed to evaluate the diagnostic accuracy of bedside right upper quadrant (RUQ) ultrasonography in dete...
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Shahid Beheshti University of Medical Sciences
2018-11-01
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doaj-029c538d36b94d93a7a92f6756a373832020-11-25T03:35:54ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042018-11-016110.22037/aaem.v6i1.54Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy StudyBabak Shekarchi0Seyed-Zia Hejripour-Rafsanjani1Nima Shekar-Riz-Fomani2Mojtaba Chahardoli3Department of Radiology, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.Emergency Department, Besat Hospital, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.Emergency Department, Besat Hospital, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.Emergency Department, Firouzgar Hospital, Iran University of Medical Sciences, Tehran, Iran.Introduction: Using bedside ultrasound in diagnosing acute cholecystitis in the emergency department (ED) can save time, help the decision making process and allocate resources wisely. This study aimed to evaluate the diagnostic accuracy of bedside right upper quadrant (RUQ) ultrasonography in detection of acute cholecystitis. Method: In this diagnostic accuracy study, patients presenting to ED, suffering from RUQ pain in favor of acute cholecystitis underwent RUQ ultrasonography in emergency and radiology departments and interrater agreement between reports was calculated. Results: 342 patients with the mean age of 53.92 ± 11.18 (20 – 83) years were studied (63.2% female). The number of patients with at least one sonographic finding of acute cholecystitis were 53 (15.50%) and 48 (14.00%) based on ED and radiology reports (Kappa = 0.826). Sensitivity, specificity, positive and negative predictive values, as well as positive and negative likelihood ratios of bedside sonography were 89.58 (95%CI: 76.55 – 96.10), 96.59 (95%CI: 93.63 – 98.29), 81.13 (95%CI: 67.58 – 90.11), 98.26 (95%CI: 95.77 – 99.36), 4.30 (95%CI: 2.42 – 7.62) and 0.017 (95%CI: 0.007 – 0.041), respectively. Conclusion: There was a very good agreement between ED and radiology departments’ sonography reports regarding the presence or absence of acute cholecystitis. Sensitivity and specificity of bedside RUQ sonography were 89.58 and 96.59, respectively.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/54Cholecystitisacuteultrasonographydiagnostic imagingemergency servicehospital |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Babak Shekarchi Seyed-Zia Hejripour-Rafsanjani Nima Shekar-Riz-Fomani Mojtaba Chahardoli |
spellingShingle |
Babak Shekarchi Seyed-Zia Hejripour-Rafsanjani Nima Shekar-Riz-Fomani Mojtaba Chahardoli Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study Archives of Academic Emergency Medicine Cholecystitis acute ultrasonography diagnostic imaging emergency service hospital |
author_facet |
Babak Shekarchi Seyed-Zia Hejripour-Rafsanjani Nima Shekar-Riz-Fomani Mojtaba Chahardoli |
author_sort |
Babak Shekarchi |
title |
Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study |
title_short |
Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study |
title_full |
Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study |
title_fullStr |
Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study |
title_full_unstemmed |
Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study |
title_sort |
emergency department bedside ultrasonography for diagnosis of acute cholecystitis; a diagnostic accuracy study |
publisher |
Shahid Beheshti University of Medical Sciences |
series |
Archives of Academic Emergency Medicine |
issn |
2645-4904 |
publishDate |
2018-11-01 |
description |
Introduction: Using bedside ultrasound in diagnosing acute cholecystitis in the emergency department (ED) can save time, help the decision making process and allocate resources wisely. This study aimed to evaluate the diagnostic accuracy of bedside right upper quadrant (RUQ) ultrasonography in detection of acute cholecystitis. Method: In this diagnostic accuracy study, patients presenting to ED, suffering from RUQ pain in favor of acute cholecystitis underwent RUQ ultrasonography in emergency and radiology departments and interrater agreement between reports was calculated. Results: 342 patients with the mean age of 53.92 ± 11.18 (20 – 83) years were studied (63.2% female). The number of patients with at least one sonographic finding of acute cholecystitis were 53 (15.50%) and 48 (14.00%) based on ED and radiology reports (Kappa = 0.826). Sensitivity, specificity, positive and negative predictive values, as well as positive and negative likelihood ratios of bedside sonography were 89.58 (95%CI: 76.55 – 96.10), 96.59 (95%CI: 93.63 – 98.29), 81.13 (95%CI: 67.58 – 90.11), 98.26 (95%CI: 95.77 – 99.36), 4.30 (95%CI: 2.42 – 7.62) and 0.017 (95%CI: 0.007 – 0.041), respectively. Conclusion: There was a very good agreement between ED and radiology departments’ sonography reports regarding the presence or absence of acute cholecystitis. Sensitivity and specificity of bedside RUQ sonography were 89.58 and 96.59, respectively. |
topic |
Cholecystitis acute ultrasonography diagnostic imaging emergency service hospital |
url |
https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/54 |
work_keys_str_mv |
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