Comparative study of National Emergency X-Radiography Utilization Study (NEXUS) chest algorithm and extended focused assessment with sonography for trauma (E-FAST) in the early detection of blunt chest injuries in polytrauma patients.
Comparative study of National Emergency X-Radiography Utilization Study (NEXUS) chest algorithm and extended focused assessment with sonography for trauma (E-FAST) in the early detection of blunt chest injuries in polytrauma patients.
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DOI：
10.1016/j.afjem.2023.02.003
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发表时间：
2023-06
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影响因子：
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胸部损伤是严重受伤患者最常见的诊断之一。胸部影像学在钝性创伤患者的评估中起着重要作用。一个可靠的，经济的，床旁的，快速完成的筛查测试是关键。我们旨在比较E-FAST与NEXUS胸部算法在检测钝性胸部损伤方面的准确性。我们的研究得出结论，与特异性最低的NEXUS胸部算法相比，E-FAST对血胸、气胸和胸部损伤的检测具有高度特异性。然而，NEXUS胸部算法显示出比E-FAST更高的灵敏度，因此可以有效地用于排除胸部损伤。《非洲急诊医学杂志》是非洲急诊医学联合会的官方杂志。这是一份国际性的同行评审期刊，特别旨在支持非洲各地的紧急护理，我理解期刊的目标，并已将手稿格式化，以适应期刊的风格和需求。胸部影像学在钝性创伤患者的评估中起着重要作用。在正确的时间选择正确的入路是钝性胸部创伤患者治疗的基础。可靠、经济、床边且快速完成的筛查测试至关重要。 本研究的目的是比较超声创伤扩展聚焦评估（E-FAST）与国家紧急X射线成像利用研究（NEXUS）胸部算法在检测钝性胸部损伤方面的准确性。这项描述性横断面研究包括来自苏伊士运河大学医院急诊中心的50例钝性胸部创伤多发伤患者。进行E-FAST和计算机断层扫描（CT），然后报告所有患者的NEXUS标准。确认了E-FAST执行者和CT报告者的设盲。将NEXUS算法和E-FAST的结果与CT胸部结果进行比较。在气胸检测中，NEXUS算法的灵敏度为100%，特异性为15.3%，E-FAST的灵敏度为70%，特异性为96.7%。在血胸检测中，NEXUS算法的灵敏度和特异性分别为90%和7.5%，而E-FAST的灵敏度较低，为80%，特异性较高，为97.5%。与特异性最低的NEXUS胸部算法相比，E-FAST对血胸、气胸和胸部损伤的检测具有高度特异性。然而，NEXUS胸部算法显示出比E-FAST更高的灵敏度，因此可以有效地用于排除胸部损伤。
Chest injuries represent one of the most common diagnoses in severely injured patients. Chest imaging plays a prominent role in the assessment of patients with blunt trauma. A reliable, economic, bedside, and rapidly accomplished screening test can be pivotal. We aimed to compare the accuracy of E-FAST to that of the NEXUS chest algorithm in detecting blunt chest injuries. Our study concluded that E-FAST is highly specific for the detection of hemothorax, pneumothorax, and chest injuries compared with the NEXUS chest algorithm, which demonstrated the lowest specificity. However, the NEXUS chest algorithm showed a higher sensitivity than E-FAST and hence can be used effectively to rule out thoracic injury. The African Journal of Emergency Medicine is the official journal of the African Federation for Emergency Medicine. It is an international, peer-reviewed journal aimed in particular at supporting emergency care across Africa I understand the objectives of the journal and have formatted the manuscript to fit the style and needs of the journal. Chest imaging plays a prominent role in the assessment of patients with blunt trauma. Selection of the right approach at the right time is fundamental in the management of patients with blunt chest trauma. A reliable, economic, bedside, and rapidly accomplished screening test can be pivotal. The aim of this study was to compare the accuracy of extended- focused assessment with sonography for trauma (E-FAST) to that of the National Emergency X-Radiography Utilisation Study (NEXUS) chest algorithm in detecting blunt chest injuries. This descriptive cross-sectional study included 50 polytrauma patients with blunt chest trauma from the emergency centre of Suez Canal University Hospital. E-FAST and computed tomography (CT) were conducted, followed by reporting of NEXUS criteria for all patients. Blinding of the E-FAST performer and CT reporter were confirmed. The results of both the NEXUS algorithm and E-FAST were compared with CT chest results. The NEXUS algorithm had 100% sensitivity and 15.3% specificity, and E-FAST had 70% sensitivity and 96.7% specificity, in the detection of pneumothorax. In the detection of hemothorax, the sensitivity and specificity of the NEXUS algorithm were 90% and 7.5%, respectively, whereas E-FAST had a lower sensitivity of 80% and a higher specificity of 97.5%. E-FAST is highly specific for the detection of hemothorax, pneumothorax, and chest injuries compared with the NEXUS chest algorithm, which demonstrated the lowest specificity. However, the NEXUS chest algorithm showed a higher sensitivity than E-FAST and hence can be used effectively to rule out thoracic injury.
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影响因子：
3.6
作者：
Kozaci, Nalan;Avci, Mustafa;Karakoyun, Omer F.
通讯作者：
Karakoyun, Omer F.
DOI：
10.1097/ta.0b013e318189371d
发表时间：
2009-11-01
影响因子：
--
作者：
Deunk, Jaap;Brink, Monique;Edwards, Michael J.
通讯作者：
Edwards, Michael J.
影响因子：
3
作者：
Alberdi, F.;Garcia, I.;Zabarte, M.
通讯作者：
Zabarte, M.
DOI：
10.1097/00005373-199709000-00003
发表时间：
1997-09-01
影响因子：
--
作者：
Trupka, A;Waydhas, C;Schweiberer, L
通讯作者：
Schweiberer, L
影响因子：
6.2
作者：
Raja, Ali S.;Lanning, Jennifer;Rodriguez, Robert M.
通讯作者：
Rodriguez, Robert M.