How successful is pleural sound sign in the identification of pneumothorax?

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dc.contributor.authorCalik, Saniye Goknil
dc.contributor.authorCalik, Mustafa
dc.contributor.authorGirisgin, Sadik
dc.contributor.authorKaraoglan, Osman
dc.contributor.authorDundar, Zerrin Defne
dc.contributor.authorErgin, Mehmet
dc.date.accessioned2024-02-23T14:31:39Z
dc.date.available2024-02-23T14:31:39Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractOBJECTIVE: In the present study, in thorax ultrasonography (USG) Doppler images obtained from cases with occult pneumothorax, we investigated the status of pulsatile pleural sounds over the pleural line and called these as the pleural sound sign (PSS). The purpose of the present study was to identify the efficacy of the proposed PSS in diagnosing pneumothorax and to compare it with the other USG findings including the sliding lung sign (SLS) and seashore sign (SSS). METHODS: The present study included 66 consecutive patients who were referred to the emergency unit with a blunt trauma from October 2009 to January 2010 at a tertiary university hospital. RESULTS: Of the 66 patients, 34 were in the patient group, and 32 were in the control group. Males accounted for 66.7% (n=44) of the study population. In predicting pneumothorax, the areas under receiver operating characteristic (ROC) curves of PSSmax and PSSdifference were 0.989 and 0.990, respectively. While the sensitivity of the SLS was 88% and the sensitivity of the SSS was 56%, the specificities of the SLS and SSS were 100%. Based on our findings, accuracy ranking was as follows: PSSmax = PSSdifference > SLS > SSS. CONCLUSION: New applications of thorax USG are rapidly growing. Our findings have to be confirmed in a large patient series. PSS is not a novel method, but it enhanced the importance of USG in the diagnosis of pneumothorax. We can stipulate that it can replace thorax computed tomography imaging particularly for the diagnosis of occult pneumothoraxes.en_US
dc.identifier.doi10.14744/nci.2018.46548
dc.identifier.endpage278en_US
dc.identifier.issn2148-4902
dc.identifier.issue3en_US
dc.identifier.pmid31650115en_US
dc.identifier.startpage273en_US
dc.identifier.urihttps://doi.org/10.14744/nci.2018.46548
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15291
dc.identifier.volume6en_US
dc.identifier.wosWOS:000486393500011en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKare Publen_US
dc.relation.ispartofNorthern Clinics Of Istanbulen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency Medicineen_US
dc.subjectChesten_US
dc.subjectPleural Sound Signen_US
dc.subjectPneumothoraxen_US
dc.subjectUltrasonographyen_US
dc.titleHow successful is pleural sound sign in the identification of pneumothorax?en_US
dc.typeArticleen_US

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