The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review

<h3>Background</h3><p dir="ltr">Cardiac arrest in hospital and out-of-hospital settings is associated with high mortality rates. Therefore, a bedside test that can predict resuscitation outcomes of cardiac arrest patients is of great value. Point-of-care ultrasound (POCUS...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Hany A. Zaki (17337673) (author)
مؤلفون آخرون: Haris Iftikhar (15954223) (author), Eman E. Shaban (17337676) (author), Mavia Najam (15954224) (author), Baha Hamdi Alkahlout (20482667) (author), Nabil Shallik (15900256) (author), Wael Elnabawy (18324251) (author), Kaleem Basharat (14150061) (author), Aftab Mohammad Azad (17337679) (author)
منشور في: 2024
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author Hany A. Zaki (17337673)
author2 Haris Iftikhar (15954223)
Eman E. Shaban (17337676)
Mavia Najam (15954224)
Baha Hamdi Alkahlout (20482667)
Nabil Shallik (15900256)
Wael Elnabawy (18324251)
Kaleem Basharat (14150061)
Aftab Mohammad Azad (17337679)
author2_role author
author
author
author
author
author
author
author
author_facet Hany A. Zaki (17337673)
Haris Iftikhar (15954223)
Eman E. Shaban (17337676)
Mavia Najam (15954224)
Baha Hamdi Alkahlout (20482667)
Nabil Shallik (15900256)
Wael Elnabawy (18324251)
Kaleem Basharat (14150061)
Aftab Mohammad Azad (17337679)
author_role author
dc.creator.none.fl_str_mv Hany A. Zaki (17337673)
Haris Iftikhar (15954223)
Eman E. Shaban (17337676)
Mavia Najam (15954224)
Baha Hamdi Alkahlout (20482667)
Nabil Shallik (15900256)
Wael Elnabawy (18324251)
Kaleem Basharat (14150061)
Aftab Mohammad Azad (17337679)
dc.date.none.fl_str_mv 2024-01-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s13089-023-00346-1
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_role_of_point-of-care_ultrasound_POCUS_imaging_in_clinical_outcomes_during_cardiac_arrest_a_systematic_review/29445800
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Cardiac arrest
Point-of-care ultrasound (POCUS)
Critical care
Prognostic tools
Cardiopulmonary resuscitation (CPR)
Emergency medicine
dc.title.none.fl_str_mv The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Cardiac arrest in hospital and out-of-hospital settings is associated with high mortality rates. Therefore, a bedside test that can predict resuscitation outcomes of cardiac arrest patients is of great value. Point-of-care ultrasound (POCUS) has the potential to be used as an effective diagnostic and prognostic tool during cardiac arrest, particularly in observing the presence or absence of cardiac activity. However, it is highly susceptible to “self-fulfilling prophecy” and is associated with prolonged cardiopulmonary resuscitation (CPR), which negatively impacts the survival rates of cardiac arrest patients. As a result, the current systematic review was created to assess the role of POCUS in predicting the clinical outcomes associated with out-of-hospital and in-hospital cardiac arrests.</p><h3>Methods</h3><p dir="ltr">The search for scientific articles related to our study was done either through an electronic database search (i.e., PubMed, Medline, ScienceDirect, Embase, and Google Scholar) or manually going through the reference list of the relevant articles. A quality appraisal was also carried out with the Quality Assessment of Diagnostic Accuracy Studies tool (QUADAS-2), and the prognostic test performance (sensitivity and sensitivity) was tabulated.</p><h3>Results</h3><p dir="ltr">The search criteria yielded 3984 articles related to our topic, of which only 22 were eligible for inclusion. After reviewing the literature, we noticed a wide variation in the definition of cardiac activity, and the statistical heterogeneity was high; therefore, we could not carry out meta-analyses. The tabulated clinical outcomes based on initial cardiac rhythm and definitions of cardiac activity showed highly inconsistent results.</p><h3>Conclusion</h3><p dir="ltr">POCUS has the potential to provide valuable information on the management of cardiac arrest patients; however, it should not be used as the sole predictor for the termination of resuscitation efforts.</p><h2>Other Information</h2><p dir="ltr">Published in: The Ultrasound Journal<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s13089-023-00346-1" target="_blank">https://dx.doi.org/10.1186/s13089-023-00346-1</a></p>
eu_rights_str_mv openAccess
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network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/29445800
publishDate 2024
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rights_invalid_str_mv CC BY 4.0
spelling The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic reviewHany A. Zaki (17337673)Haris Iftikhar (15954223)Eman E. Shaban (17337676)Mavia Najam (15954224)Baha Hamdi Alkahlout (20482667)Nabil Shallik (15900256)Wael Elnabawy (18324251)Kaleem Basharat (14150061)Aftab Mohammad Azad (17337679)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesCardiac arrestPoint-of-care ultrasound (POCUS)Critical carePrognostic toolsCardiopulmonary resuscitation (CPR)Emergency medicine<h3>Background</h3><p dir="ltr">Cardiac arrest in hospital and out-of-hospital settings is associated with high mortality rates. Therefore, a bedside test that can predict resuscitation outcomes of cardiac arrest patients is of great value. Point-of-care ultrasound (POCUS) has the potential to be used as an effective diagnostic and prognostic tool during cardiac arrest, particularly in observing the presence or absence of cardiac activity. However, it is highly susceptible to “self-fulfilling prophecy” and is associated with prolonged cardiopulmonary resuscitation (CPR), which negatively impacts the survival rates of cardiac arrest patients. As a result, the current systematic review was created to assess the role of POCUS in predicting the clinical outcomes associated with out-of-hospital and in-hospital cardiac arrests.</p><h3>Methods</h3><p dir="ltr">The search for scientific articles related to our study was done either through an electronic database search (i.e., PubMed, Medline, ScienceDirect, Embase, and Google Scholar) or manually going through the reference list of the relevant articles. A quality appraisal was also carried out with the Quality Assessment of Diagnostic Accuracy Studies tool (QUADAS-2), and the prognostic test performance (sensitivity and sensitivity) was tabulated.</p><h3>Results</h3><p dir="ltr">The search criteria yielded 3984 articles related to our topic, of which only 22 were eligible for inclusion. After reviewing the literature, we noticed a wide variation in the definition of cardiac activity, and the statistical heterogeneity was high; therefore, we could not carry out meta-analyses. The tabulated clinical outcomes based on initial cardiac rhythm and definitions of cardiac activity showed highly inconsistent results.</p><h3>Conclusion</h3><p dir="ltr">POCUS has the potential to provide valuable information on the management of cardiac arrest patients; however, it should not be used as the sole predictor for the termination of resuscitation efforts.</p><h2>Other Information</h2><p dir="ltr">Published in: The Ultrasound Journal<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s13089-023-00346-1" target="_blank">https://dx.doi.org/10.1186/s13089-023-00346-1</a></p>2024-01-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s13089-023-00346-1https://figshare.com/articles/journal_contribution/The_role_of_point-of-care_ultrasound_POCUS_imaging_in_clinical_outcomes_during_cardiac_arrest_a_systematic_review/29445800CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/294458002024-01-01T00:00:00Z
spellingShingle The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
Hany A. Zaki (17337673)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Cardiac arrest
Point-of-care ultrasound (POCUS)
Critical care
Prognostic tools
Cardiopulmonary resuscitation (CPR)
Emergency medicine
status_str publishedVersion
title The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
title_full The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
title_fullStr The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
title_full_unstemmed The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
title_short The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
title_sort The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Cardiac arrest
Point-of-care ultrasound (POCUS)
Critical care
Prognostic tools
Cardiopulmonary resuscitation (CPR)
Emergency medicine