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01.12.2024 | Review

Methods of measurement for pneumothorax in pediatric patients: a systematic review

verfasst von: Grant S. Owen, Kelly A. Harmon, Gwyneth A. Sullivan, Hayley J. Petit, Jennifer Westrick, James R. Cameron, Brian C. Gulack, Ami N. Shah

Erschienen in: Pediatric Surgery International | Ausgabe 1/2024

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Abstract

Accurate measurement of pneumothorax (PTX) size is necessary to guide clinical decision making; however, there is no consensus as to which method should be used in pediatric patients. This systematic review seeks to identify and evaluate the methods used to measure PTX size with CXR in pediatric patients. A systematic review of the literature through 2021 following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was conducted using the following databases: Ovid/MEDLINE, Scopus, Cochrane Database of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar. Original research articles that included pediatric patients (< 18 years old) and outlined the PTX measurement method were included. 45 studies were identified and grouped by method (Kircher and Swartzel, Rhea, Light, Collins, Other) and societal guideline used. The most used method was Collins (n = 16; 35.6%). Only four (8.9%) studies compared validated methods. All found the Collins method to be accurate. Seven (15.6%) studies used a standard classification guideline and 3 (6.7%) compared guidelines and found significant disagreement between them. Pediatric-specific measurement guidelines for PTX are needed to establish consistency and uniformity in both research and clinical practice. Until there is a better method, the Collins method is preferred.

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Titel: Methods of measurement for pneumothorax in pediatric patients: a systematic review
verfasst von: Grant S. Owen
Kelly A. Harmon
Gwyneth A. Sullivan
Hayley J. Petit
Jennifer Westrick
James R. Cameron
Brian C. Gulack
Ami N. Shah
Publikationsdatum: 01.12.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2024
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-024-05640-0

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