Distance from skin to epiglottis measurement with ultrasonography as a predictor of difficult laryngoscopy: A diagnostic test accuracy meta-analysis

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dc.contributor.authorHazir, Melis Sumak
dc.contributor.authorUnal, Dilek
dc.contributor.authorAmbarcioglu, Pinar
dc.date.accessioned2024-09-18T20:28:05Z
dc.date.available2024-09-18T20:28:05Z
dc.date.issued2023
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: The studies investigating distance from the skin to epiglottis measurements by ultrasonography (USDSEM) for prediction of difficult laryngoscopy are inconclusive and non-standardised. Aim: We aimed to assess the diagnostic test accuracy (DTA) of US-DSEM relative to Cormack Lehane 3-4 for diagnosing difficult laryngoscopy using a meta-analysis method. Method: Strict inclusion criteria were used to provide clear definition of how to measure US-DSEM. PubMed, Cochrane Library, Embase and Google Scholar were searched for papers published between January 2005 and March 2021 to perform a systematic review and DTA meta-analysis. Publications reporting data on US-DSEM in difficult laryngoscopy prediction in adults with normal airway were included. Exclusions were obese or pregnant patients and patients with difficult airway predictors and those in which the measurements were made in a position other than supine and neutral positions. The pooled sensitivity, specificity, positive/negative likelihood ratios (PLR/NLR), diagnostic odds ratio (DOR), and area under the hierarchic summary receiver operating characteristics curve (AU-HSROC) were determined. Results: 1244 patients from nine studies were included. Pooled sensitivity: 0.68 (95%CI 0.39-0.87), specificity: 0.76 (95%CI 0.68-0.83), PLR: 2.87 (95%CI 2.20-3.73), NLR: 0.42 (%95CI 0.20-0.87), DOR: 6.80 (95%CI 2.72-17.3), and AU-HSROC: 0.79 (0.75-0.82) were the results. No threshold effect (r = 0.53, p = 0.137) and publication bias (p = 0.540) existed. Conclusion: This meta-analysis showed that US-DSEM measured with linear probe placed transversely at the thyrohyoid membrane level with midline approach and neutral head position is accurate and has diagnostic value in predicting difficult laryngoscopy. However, its sensitivity and specificity are not sufficient to replace clinical tests.en_US
dc.identifier.doi10.1016/j.tacc.2023.101291
dc.identifier.issn2210-8440
dc.identifier.issn2210-8467
dc.identifier.scopus2-s2.0-85170410408en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1016/j.tacc.2023.101291
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10729
dc.identifier.volume52en_US
dc.identifier.wosWOS:001073585400001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofTrends in Anaesthesia and Critical Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectItaly.en_US
dc.subjectDiagnostic testen_US
dc.subjectAirway managementen_US
dc.subjectUltrasounden_US
dc.subjectMeta -analysisen_US
dc.subjectSystematic reviewen_US
dc.subjectDiagnostic imagingen_US
dc.titleDistance from skin to epiglottis measurement with ultrasonography as a predictor of difficult laryngoscopy: A diagnostic test accuracy meta-analysisen_US
dc.typeArticleen_US

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