Lung ultrasound for the diagnosis of cardiogenic dyspnea:a meta-analysis
Jiang Junshi
Cui Huandi
Zhao Xiaopeng
Zhang Li
Yang Mei
Zhou Zubang
Abstract：Objective To evaluate the diagnostic value of Pulmonary ultrasonography for cardiogenic dyspnea by Meta-analysis.Methods We searched PubMed,Web of Science,Embase,CBM,CNKI and WanFang Database from the database construction to April 52022,and 3938 articles were retrieved.The quality assessment of diagnostic accuracy studies(QUADAS-2)was used to evaluate the risk of bias of the included literature,then extract the data.Heterogeneity was assessed by I2 and Cochran-Q tests,and Meta-DISC 1.4 software was used to analyze data.Results A total of 18 literatures and 3558 cases were included.A random effect model was adopted for meta-analysis.The pooled sensitivity was 0.83(95%CI:0.81～0.85),the pooled specificity was 0.85(95%CI:0.83～0.86),the PLR was 5.19(95%CI:3.3～8.18),the NLR was 0.20(95%CI:0.13～0.29),the DOR was 32.51(95%CI:17.21～61.41),and the area under SROC was 0.9181.Conclusion Lung ultrasound has high accuracy and great value for the diagnosis of cardiogenic dyspnea,which can be used as a new method for diagnosing acute heart failure.However,it still needs to be verified by more scientific and reasonable prospective trials with larger samples.
Keywords：UltrasonographyHeart failureDyspneaMeta-analysis
Publication Date：2023-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1166-1171 )