ICU sedation, delirium & recovery

Diagnostic accuracy of multi-organ point-of-care ultrasound for pulmonary embolism in critically ill patients: a systematic review and meta-analysis

Crit CarePublished Systematic review and meta-analysis of diagnostic accuracy studies

Authors' conclusion

Multi-organ POCUS has high diagnostic accuracy for PE diagnosis in critically ill patients.

Study context

Population
Critically ill patients with suspected pulmonary embolism (PE) in critical care departments
Participants
594 patients · 4 studies
Comparison
Multi-organ point-of-care ultrasound (POCUS) vs computed tomography pulmonary angiography (CTPA) or ventilation-perfusion scan
Outcome
Diagnostic accuracy of multi-organ POCUS for PE (pooled DOR, sensitivity, specificity, PLR, NLR, SROC)
Methodological detailsbivariate random-effects model, QUADAS-2 quality assessment
  • Bivariate random-effects model
  • QUADAS-2 quality assessment

Pooled result

As reported in the abstract

Diagnostic accuracy for PE
GroupPooled diagnostic odds ratio (DOR)Pooled sensitivitySpecificityPositive likelihood ratio (PLR)Negative likelihood ratio (NLR)Summary receiver operating characteristic (SROC) AUC
Multi-organ POCUS25.3 (95% CI 4.43-82.9)0.90 (95% CI 0.85-0.94; I2 = 0%)0.69 (95% CI 0.42-0.87; I2 = 95%)3.35 (95% CI 1.43-8.02)0.16 (95% CI 0.08-0.32)0.89 (95% CI 0.81-0.94)

Multi-organ POCUS

Pooled diagnostic odds ratio (DOR)25.3 (95% CI 4.43-82.9)
Pooled sensitivity0.90 (95% CI 0.85-0.94; I2 = 0%)
Specificity0.69 (95% CI 0.42-0.87; I2 = 95%)
Positive likelihood ratio (PLR)3.35 (95% CI 1.43-8.02)
Negative likelihood ratio (NLR)0.16 (95% CI 0.08-0.32)
Summary receiver operating characteristic (SROC) AUC0.89 (95% CI 0.81-0.94)

Original publication

Diagnostic accuracy of multi-organ point-of-care ultrasound for pulmonary embolism in critically ill patients: a systematic review and meta-analysis. Crit Care. Published 23 April 2025. doi:10.1186/s13054-025-05359-x

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.