Abstract

This study aimed to determine the level of evidence on the diagnosis and prognosis of hypotensive non-traumatic patients in the prehospital and emergency departments. The preferred reporting items for systematic reviews and meta-analyses statement was followed in the conduct of this study. Seven full-text articles were determined to be qualified and incorporated into the qualitative examination. The electronic databases including PubMed, Google Scholar, and Cochrane were searched to find English-language publications published between the years 2006 and 2024. Seven papers in total - four cohort studies, two cross-sectional studies, and one prospective exploratory research - were included in this systematic review. The included studies’ durations varied from 7 to 4 years. Ultrasonography guided emergency diagnostic decisions in hypotension-presenting patients, and those decisions agreed well with the ultimate clinical diagnosis made after analyzing retrospective data. It was not possible to compare etiological characteristics in any of the seven qualifying investigations. By reducing the number of hypotensive states that might be accurately detected and facilitating the early discovery of potentially deadly diseases that can be treated rapidly, a lung examination performed as part of an ultrasonographic technique might expedite the diagnostic process.

Key words: Hypotension, shock, non-traumatic, outcome, diagnosis