Prospective Study of Accuracy and Outcome of Emergency Ultrasound for Abdominal Aortic Aneurysm over Two Years

Tayal, Vivek S.

doi:10.1197/aemj.10.8.867

Cited by 80 publications

(60 citation statements)

References 16 publications

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“…46,49,50 Kuhn et al 40 specifically mention that the treating physician was only informed of the results of the bedside US if an unexpected AAA was found, a certain risk of verification bias. Verification bias was also found to be possible in the studies by Lanoix et al, 39 Jones et al, 42 Tayal et al, 43 and Costantino et al, 45 who did not give clear statements of blinding the US test results to the treating physicians. This does not seem to be the case in studies by Rowland et al 41 and Knaut et al, 44 which state explicitly that the referring physicians were blinded to the results of the US exams for AAA.…”

Section: Methodologic Quality Evaluationmentioning

confidence: 89%

“…Sex distribution was only reported by Tayal et al 43 and Knaut et al 44 to be 51 and 54% men, respectively.…”

Section: Description Of Included Studiesmentioning

confidence: 93%

“…36,37 One study by Lanoix et al 38 was excluded because the data were republished in a later study, which was included in our review. Seven studies met our selection criteria [39][40][41][42][43][44][45] ( Figure 1). The seven included studies were read in their entirety, and two authors (ER and NM) independently abstracted the data and each author's results were checked for accuracy by a third author (RS).…”

Section: Resultsmentioning

confidence: 99%

“…Five of the seven studies reported the age of included patients: in Kuhn et al, 40 Rowland et al, 41 and Knaut et al 44 study age was greater than 50 years; in Costantino et al 45 study age was greater than 55 years; and in Tayal et al 43 study mean age was reported as 66 years. Jones et al 42 and Lanoix et al 39 did not report Figure 1.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…41 Tayal et al 43 and Costantino et al 45 reported that EPs had completed 50 to 150 emergency US scans prior to the start of the study. There was variation in the US machines used for the studies, as shown in Table 1.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

See 4 more Smart Citations

Systematic Review: Emergency Department Bedside Ultrasonography for Diagnosing Suspected Abdominal Aortic Aneurysm

Rubano

Mehta

Caputo

et al. 2013

Academic Emergency Medicine

132

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Section: Methodologic Quality Evaluationmentioning

confidence: 89%

“…Sex distribution was only reported by Tayal et al 43 and Knaut et al 44 to be 51 and 54% men, respectively.…”

Section: Description Of Included Studiesmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Systematic Review: Emergency Department Bedside Ultrasonography for Diagnosing Suspected Abdominal Aortic Aneurysm

Rubano

Mehta

Caputo

et al. 2013

Academic Emergency Medicine

132

View full text Add to dashboard Cite

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Screening for Abdominal Aortic Aneurysm

Force

Owens

Davidson

et al. 2019

JAMA

215

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IMPORTANCE An abdominal aortic aneurysm (AAA) is typically defined as aortic enlargement with a diameter of 3.0 cm or larger. The prevalence of AAA has declined over the past 2 decades among screened men 65 years or older in various European countries. The current prevalence of AAA in the United States is unclear because of the low uptake of screening. Most AAAs are asymptomatic until they rupture. Although the risk for rupture varies greatly by aneurysm size, the associated risk for death with rupture is as high as 81%.OBJECTIVE To update its 2014 recommendation, the USPSTF commissioned a review of the evidence on the effectiveness of 1-time and repeated screening for AAA, the associated harms of screening, and the benefits and harms of available treatments for small AAAs (3.0-5.4 cm in diameter) identified through screening.POPULATION This recommendation applies to asymptomatic adults 50 years or older. However, the randomized trial evidence focuses almost entirely on men aged 65 to 75 years.EVIDENCE ASSESSMENT Based on a review of the evidence, the USPSTF concludes with moderate certainty that screening for AAA in men aged 65 to 75 years who have ever smoked is of moderate net benefit. The USPSTF concludes with moderate certainty that screening for AAA in men aged 65 to 75 years who have never smoked is of small net benefit. The USPSTF concludes that the evidence is insufficient to determine the net benefit of screening for AAA in women aged 65 to 75 years who have ever smoked or have a family history of AAA. The USPSTF concludes with moderate certainty that the harms of screening for AAA in women aged 65 to 75 years who have never smoked and have no family history of AAA outweigh the benefits.RECOMMENDATIONS The USPSTF recommends 1-time screening for AAA with ultrasonography in men aged 65 to 75 years who have ever smoked. (B recommendation) The USPSTF recommends that clinicians selectively offer screening for AAA with ultrasonography in men aged 65 to 75 years who have never smoked rather than routinely screening all men in this group. (C recommendation) The USPSTF recommends against routine screening for AAA with ultrasonography in women who have never smoked and have no family history of AAA. (D recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for AAA with ultrasonography in women aged 65 to 75 years who have ever smoked or have a family history of AAA. (I statement)

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Aortic Emergencies

2012

Evidence‐Based Emergency Care

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Prospective Study of Accuracy and Outcome of Emergency Ultrasound for Abdominal Aortic Aneurysm over Two Years

Abstract: EUS-AA in a symptomatic population for AAA is sensitive and specific. These data suggest that the presence of AAA on EUS-AA should guide urgent consultation. Emergency physicians were able to exclude AAA regardless of disposition from the ED.

Cited by 80 publications

References 16 publications

Systematic Review: Emergency Department Bedside Ultrasonography for Diagnosing Suspected Abdominal Aortic Aneurysm

Systematic Review: Emergency Department Bedside Ultrasonography for Diagnosing Suspected Abdominal Aortic Aneurysm

Screening for Abdominal Aortic Aneurysm

Aortic Emergencies

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