Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review

Background: Transesophageal echocardiography (TEE) has been introduced in resuscitative scenarios in recent decades, with a growing number of emergency physicians learning, performing, and studying resuscitative TEE. Objective: Our goal was to characterize publishing trends regarding TEE use in emer...

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Main Authors: Bor-Yuan Tseng, Chih-Jui Yang, Jen-Tang Sun, Yiju Teresa Liu, Kabir Yadav, Yu-Lin Hsieh, Sheng-En Chu, Chen-Wei Lee, Yi-Kung Lee, Tou-Yuan Tsai
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-05-01
Series:Western Journal of Emergency Medicine
Online Access:https://escholarship.org/uc/item/8fc640rd
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author Bor-Yuan Tseng
Chih-Jui Yang
Jen-Tang Sun
Yiju Teresa Liu
Kabir Yadav
Yu-Lin Hsieh
Sheng-En Chu
Chen-Wei Lee
Yi-Kung Lee
Tou-Yuan Tsai
author_facet Bor-Yuan Tseng
Chih-Jui Yang
Jen-Tang Sun
Yiju Teresa Liu
Kabir Yadav
Yu-Lin Hsieh
Sheng-En Chu
Chen-Wei Lee
Yi-Kung Lee
Tou-Yuan Tsai
author_sort Bor-Yuan Tseng
collection DOAJ
description Background: Transesophageal echocardiography (TEE) has been introduced in resuscitative scenarios in recent decades, with a growing number of emergency physicians learning, performing, and studying resuscitative TEE. Objective: Our goal was to characterize publishing trends regarding TEE use in emergency medicine (EM) and to investigate the increasing interest in potential applications of TEE in emergency departments (ED). Methods: We retrieved published research associated with the use of TEE in EM from the Web of Science database from inception to December 31, 2023. We analyzed trends based on the number of articles published annually. To systematically map trends related to TEE in emergency medicine (EM), we extracted data on the number of unique EM TEE practitioners, institutions performing EM TEE, study topics, and other characteristics from research articles and case reports. To better reflect research trends, we exclusively conducted subgroup analysis on the research articles. We used linear regression analysis to analyze trends and conducted checkpoints on the timelines. Results: Of the 964 titles and abstracts screened, we included 99 eligible published articles after careful review. Articles related to EM TEE increased from one article in 1991 to 20 articles in 2023, and the rate of publication has increased rapidly since 2018 (+12.4 publications per year, 95% confidence interval [CI] 9.8–15.0, P<0.001). The number of EM TEE practitioners and EM TEE-performing institutions underwent a rapid expansion with an inflection point between 2018–2020, with a rate of +91.7 practitioners per year and +36.5 institutions per year. Subgroup analysis revealed a similar trend in the published research articles. The most common indications for EM TEE were cardiac arrest (72.7%), shock (13.1%), and procedural guidance (11.1%). The United States published the majority of EM TEE-related articles (51.5%). Conclusion: The present study highlights that TEE-related articles in EM continue to accelerate. Among the indications for TEE, cardiac arrest remains the most frequently discussed. This scoping review provides insights into the expanding interest and applications of TEE in the field of EM.
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1936-9018
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series Western Journal of Emergency Medicine
spelling doaj-art-635cc4e1b41e4a248127edab9c81218d2025-08-20T03:26:51ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182025-05-0126346947710.5811/westjem.24870wjem-26-469Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping ReviewBor-Yuan Tseng0Chih-Jui Yang1Jen-Tang Sun2Yiju Teresa Liu3Kabir Yadav4Yu-Lin Hsieh5Sheng-En Chu6Chen-Wei Lee7Yi-Kung Lee8Tou-Yuan Tsai9Tzu Chi University, School of Medicine, Hualien, TaiwanTzu Chi University, School of Medicine, Hualien, TaiwanTzu Chi University, School of Medicine, Hualien, TaiwanHarbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, CaliforniaHarbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, CaliforniaBrigham and Women’s Hospital, Department of Medicine, Boston, MassachusettsFar Eastern Memorial Hospital, Department of Emergency Medicine, New Taipei City, TaiwanTzu Chi University, School of Medicine, Hualien, TaiwanTzu Chi University, School of Medicine, Hualien, TaiwanTzu Chi University, School of Medicine, Hualien, TaiwanBackground: Transesophageal echocardiography (TEE) has been introduced in resuscitative scenarios in recent decades, with a growing number of emergency physicians learning, performing, and studying resuscitative TEE. Objective: Our goal was to characterize publishing trends regarding TEE use in emergency medicine (EM) and to investigate the increasing interest in potential applications of TEE in emergency departments (ED). Methods: We retrieved published research associated with the use of TEE in EM from the Web of Science database from inception to December 31, 2023. We analyzed trends based on the number of articles published annually. To systematically map trends related to TEE in emergency medicine (EM), we extracted data on the number of unique EM TEE practitioners, institutions performing EM TEE, study topics, and other characteristics from research articles and case reports. To better reflect research trends, we exclusively conducted subgroup analysis on the research articles. We used linear regression analysis to analyze trends and conducted checkpoints on the timelines. Results: Of the 964 titles and abstracts screened, we included 99 eligible published articles after careful review. Articles related to EM TEE increased from one article in 1991 to 20 articles in 2023, and the rate of publication has increased rapidly since 2018 (+12.4 publications per year, 95% confidence interval [CI] 9.8–15.0, P<0.001). The number of EM TEE practitioners and EM TEE-performing institutions underwent a rapid expansion with an inflection point between 2018–2020, with a rate of +91.7 practitioners per year and +36.5 institutions per year. Subgroup analysis revealed a similar trend in the published research articles. The most common indications for EM TEE were cardiac arrest (72.7%), shock (13.1%), and procedural guidance (11.1%). The United States published the majority of EM TEE-related articles (51.5%). Conclusion: The present study highlights that TEE-related articles in EM continue to accelerate. Among the indications for TEE, cardiac arrest remains the most frequently discussed. This scoping review provides insights into the expanding interest and applications of TEE in the field of EM.https://escholarship.org/uc/item/8fc640rd
spellingShingle Bor-Yuan Tseng
Chih-Jui Yang
Jen-Tang Sun
Yiju Teresa Liu
Kabir Yadav
Yu-Lin Hsieh
Sheng-En Chu
Chen-Wei Lee
Yi-Kung Lee
Tou-Yuan Tsai
Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review
Western Journal of Emergency Medicine
title Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review
title_full Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review
title_fullStr Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review
title_full_unstemmed Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review
title_short Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review
title_sort trends in studies on transesophageal echocardiography in emergency medicine a scoping review
url https://escholarship.org/uc/item/8fc640rd
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