Diagnostic accuracy of Point Of Care UltraSound (POCUS) in clinical practice : A retrospective, emergency department based study
© 2023 The Authors. Journal of Clinical Ultrasound published by Wiley Periodicals LLC..
AIMS: Point-of-care ultrasound (POCUS) is the acquisition and interpretation of ultrasound imaging at the bedside to solve specific clinical questions based on signs and symptoms of presentation. While several studies evaluated POCUS diagnostic accuracy for a variety of clinical pictures in the emergency department (ED), only a few data are available on POCUS diagnostic accuracy performed by physicians with different POCUS skills. The objective of this research was to evaluate the diagnostic accuracy of POCUS compared to standard diagnostic imaging in the ED.
MATERIALS AND METHODS: This was a retrospective study conducted in the ED of a third-level university hospital. Patients who underwent cardiac, thoracic, abdominal, or venous lower limb POCUS and a standard imaging examination between June 2021 and January 2022 were included.
RESULTS: 1047 patients were screened, and 844 patients included. A total of 933 POCUS was included (102, 12.09%, cardiac; 466, 55.21%, thoracic; 336, 39.8%, abdominal; 29, 3.44%, lower limb venous POCUS), accounting for 2029 examinations. POCUS demonstrated 96.6% (95% CI 95.72-97.34) accuracy, 47.73 (95% CI 33.64-67.72) +LR, 0.09 (95% CI 0.06-0.12) -LR. +LR was greater than 10 for all investigations but for hydronephrosis (5.8), and -LR never exceeded 0.4.
CONCLUSIONS: POCUS exhibited high diagnostic accuracy for virtually all conditions when performed by emergency department physicians.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2024 |
---|---|
Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:52 |
---|---|
Enthalten in: |
Journal of clinical ultrasound : JCU - 52(2024), 3 vom: 07. März, Seite 255-264 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Spampinato, Michele Domenico [VerfasserIn] |
---|
Links: |
---|
Themen: |
Critical care |
---|
Anmerkungen: |
Date Completed 19.03.2024 Date Revised 19.03.2024 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.1002/jcu.23619 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM365502995 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | NLM365502995 | ||
003 | DE-627 | ||
005 | 20240319232353.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231226s2024 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1002/jcu.23619 |2 doi | |
028 | 5 | 2 | |a pubmed24n1336.xml |
035 | |a (DE-627)NLM365502995 | ||
035 | |a (NLM)38059395 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Spampinato, Michele Domenico |e verfasserin |4 aut | |
245 | 1 | 0 | |a Diagnostic accuracy of Point Of Care UltraSound (POCUS) in clinical practice |b A retrospective, emergency department based study |
264 | 1 | |c 2024 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 19.03.2024 | ||
500 | |a Date Revised 19.03.2024 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2023 The Authors. Journal of Clinical Ultrasound published by Wiley Periodicals LLC. | ||
520 | |a AIMS: Point-of-care ultrasound (POCUS) is the acquisition and interpretation of ultrasound imaging at the bedside to solve specific clinical questions based on signs and symptoms of presentation. While several studies evaluated POCUS diagnostic accuracy for a variety of clinical pictures in the emergency department (ED), only a few data are available on POCUS diagnostic accuracy performed by physicians with different POCUS skills. The objective of this research was to evaluate the diagnostic accuracy of POCUS compared to standard diagnostic imaging in the ED | ||
520 | |a MATERIALS AND METHODS: This was a retrospective study conducted in the ED of a third-level university hospital. Patients who underwent cardiac, thoracic, abdominal, or venous lower limb POCUS and a standard imaging examination between June 2021 and January 2022 were included | ||
520 | |a RESULTS: 1047 patients were screened, and 844 patients included. A total of 933 POCUS was included (102, 12.09%, cardiac; 466, 55.21%, thoracic; 336, 39.8%, abdominal; 29, 3.44%, lower limb venous POCUS), accounting for 2029 examinations. POCUS demonstrated 96.6% (95% CI 95.72-97.34) accuracy, 47.73 (95% CI 33.64-67.72) +LR, 0.09 (95% CI 0.06-0.12) -LR. +LR was greater than 10 for all investigations but for hydronephrosis (5.8), and -LR never exceeded 0.4 | ||
520 | |a CONCLUSIONS: POCUS exhibited high diagnostic accuracy for virtually all conditions when performed by emergency department physicians | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a critical care | |
650 | 4 | |a diagnostic imaging | |
650 | 4 | |a emergency care | |
650 | 4 | |a point of care | |
650 | 4 | |a ultrasound | |
700 | 1 | |a Luppi, Francesco |e verfasserin |4 aut | |
700 | 1 | |a Cristofaro, Enrico |e verfasserin |4 aut | |
700 | 1 | |a Benedetto, Marcello |e verfasserin |4 aut | |
700 | 1 | |a Cianci, Antonella |e verfasserin |4 aut | |
700 | 1 | |a Bachechi, Tommaso |e verfasserin |4 aut | |
700 | 1 | |a Ghirardi, Caterina |e verfasserin |4 aut | |
700 | 1 | |a Perna, Benedetta |e verfasserin |4 aut | |
700 | 1 | |a Guarino, Matteo |e verfasserin |4 aut | |
700 | 1 | |a Passaro, Angelina |e verfasserin |4 aut | |
700 | 1 | |a De Giorgio, Roberto |e verfasserin |4 aut | |
700 | 1 | |a Sofia, Soccorsa |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Journal of clinical ultrasound : JCU |d 1973 |g 52(2024), 3 vom: 07. März, Seite 255-264 |w (DE-627)NLM000584576 |x 1097-0096 |7 nnns |
773 | 1 | 8 | |g volume:52 |g year:2024 |g number:3 |g day:07 |g month:03 |g pages:255-264 |
856 | 4 | 0 | |u http://dx.doi.org/10.1002/jcu.23619 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 52 |j 2024 |e 3 |b 07 |c 03 |h 255-264 |