{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:27:22Z","timestamp":1793122042267,"version":"4.5.0"},"reference-count":60,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T00:00:00Z","timestamp":1687737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Point\u2010of\u2010care ultrasound (POCUS) is becoming ubiquitous in emergency medicine. POCUS for abdominal aortic aneurysm is well established in practice. The thoracic aorta can also be assessed by POCUS for dissection and aneurysm and transthoracic echocardiography is endorsed by international guidelines as an initial test for thoracic aortic pathologies. A systematic search of Ovid Medline, PubMed, EMBASE, SCOPUS and Web of Science from January 2000 to August 2022 identified four studies evaluating diagnostic accuracy of emergency physician POCUS for thoracic aortic dissection (TAD) and five studies for thoracic aortic aneurysm (TAA). Study designs were heterogeneous including differing diagnostic criteria for aortic pathology. Convenience recruitment was frequent in prospective studies. Sensitivity and specificity ranges for studies of TAD were 41\u201391% and 94\u2013100%, respectively when an intimal flap was seen. Sensitivity and specificity ranges for studies of thoracic aorta dilation &gt;40\u2009mm were 50\u2013100% and 93\u2013100%, respectively; for &gt;45\u2009mm ranges were 64\u201365% and 95\u201399%. Literature review identified that POCUS is specific for TAD and TAA. POCUS reduces the time to diagnosis of thoracic aortic pathology; however, it remains insensitive and cannot be recommended as a stand\u2010alone rule\u2010out test. We suggest that detection of thoracic aorta dilation &gt;40\u2009mm by POCUS at any site increases the suspicion of serious aortic pathology. Studies incorporating algorithmic use of POCUS, Aortic Dissection Detection Risk Score and D\u2010dimer as decision tools are promising and may improve current ED practices. Further research is warranted in this rapidly evolving field.<\/jats:p>","DOI":"10.1111\/1742-6723.14262","type":"journal-article","created":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T00:39:11Z","timestamp":1687826351000},"page":"720-730","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Review article: Accuracy of emergency physician performed point\u2010of\u2010care ultrasound of the thoracic aorta: A systematic review and narrative synthesis of the literature"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2816-8724","authenticated-orcid":false,"given":"William","family":"Thomas","sequence":"first","affiliation":[{"name":"St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Emergency Department Peninsula Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Henry","sequence":"additional","affiliation":[{"name":"Emergency Department Peninsula Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay Ee","family":"Chew","sequence":"additional","affiliation":[{"name":"Albury Wodonga Health  Albury New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuja","family":"Premaratne","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne Victoria Australia"},{"name":"Department of Medicine Peninsula Health  Melbourne Victoria Australia"},{"name":"Baker Heart and Diabetes Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Blecher","sequence":"additional","affiliation":[{"name":"Emergency Department Peninsula Health  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darsim L","family":"Haji","sequence":"additional","affiliation":[{"name":"Emergency Department Peninsula Health  Melbourne Victoria Australia"},{"name":"Ultrasound Education Group, Department of Surgery The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12652"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12947-015-0010-y"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.00165"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.14127"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10396-021-01151-w"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2010.187"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.04.053"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8651(05)70105-3"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.031264"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13969"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.13.1350"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejechocard\/jeq056"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.11.015"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)03236-2"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12080"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_9_18_1","unstructured":"Covidence systematic review software. 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