Table 1
Author, date, and countryPatient groupStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
CT, computed tomography; CXR, chest radiograph; USS, ultrasound
Dulchavsky SA et al, 2001, USA382 stable surgical patients (95% post-traumatic)Prospective diagnostic studyUSS v CXR diagnosisSensitivity 95%(89–95)Specificity 100%Only stable patients recruited. CXR used as gold standard
(99–100)
Rowan KR et al, 2002, Canada27 patients sustaining blunt chest trauma who had CT scansProspective blinded diagnostic studyUSS v CT diagnosisSensitivity 100%(82.6–100)Specificity 94%May have selection bias for large pneumothoraces Small numbers
(82–94)
Knudston JL et al, 2004, USA328 consecutive trauma patientsProspective diagnostic studyUSS v CXR diagnosisSensitivity 92.3%(74.4–97.9)Specificity 99.7%CXR used as gold standard. Not clearly blinded
(98.9–99.9)
Kirkpatrick AW et al, 2004, USA225 trauma patientsProspective diagnostic studyUSS v CT diagnosis or escape of air on thoracostomySensitivity 58.9%(45.0–71.9)Specificity 99.1%Unclear if CT radiologists blinded to USS
(97.6–99.8)