Ingunn E Kjesbu1,2, Christian B Laursen3,4, Torbjørn Graven2, Hans Martin Holden2, Bjørnar Rømo2, Garrett Newton Andersen2,5, Ole Christian Mjølstad5,6, Annmarie Lassen4, Håvard Dalen2,5,6. 1. University of Southern Denmark, Odense, Denmark. 2. Levanger Hospital, Nord-Trøndelag Health Trust, Levanger, Norway. 3. Department of Respiratory Medicine, Odense University Hospital, Region of Southern Denmark, Odense, Denmark. 4. Department of Emergency Medicine, Odense University Hospital, Region of Southern Denmark, Odense, Denmark. 5. MI Lab and Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway. 6. Department of Cardiology, St. Olav, Trondheim University Hospital, Norway.
Abstract
OBJECTIVES: We aimed to study the feasibility and diagnostic performance of bedside ultrasound by examination of the liver, gallbladder, kidneys, and abdominal aorta performed by medical residents with limited experience in ultrasound, on emergency admissions using pocket-sized imaging devices (PSIDs). METHODS: A total of 199 patients admitted acutely to the medical department at the non-university Levanger Hospital, Norway, during the period from April 4 to June 23, 2011, were consecutively included. Six medical residents, selected by drawing, examined these patients with a PSID at admission. Reference imaging was performed and/or judged at the Department of Radiology. RESULTS: Each resident performed a median of 28 examinations (interquartile range 24-46). Imaging of the kidneys and liver were feasible in 85 and 82% of the cases, and the corresponding values for the gallbladder and abdominal aorta were 79 and 50%, respectively. The sensitivity of medical residents to detect organ pathology with the aid of PSID, ranged between 54% (95% confidence interval [CI]: 29-77%) and 74% (95% CI: 51-88%). Assessment of the aortic dimension showed moderate correlation, with r = 0.38. CONCLUSIONS: Examination by PSID by inexperienced residents may allow for early detection of abdominal pathology, but do not appear to be accurate enough to rule out pathology in the abdominal organs.
OBJECTIVES: We aimed to study the feasibility and diagnostic performance of bedside ultrasound by examination of the liver, gallbladder, kidneys, and abdominal aorta performed by medical residents with limited experience in ultrasound, on emergency admissions using pocket-sized imaging devices (PSIDs). METHODS: A total of 199 patients admitted acutely to the medical department at the non-university Levanger Hospital, Norway, during the period from April 4 to June 23, 2011, were consecutively included. Six medical residents, selected by drawing, examined these patients with a PSID at admission. Reference imaging was performed and/or judged at the Department of Radiology. RESULTS: Each resident performed a median of 28 examinations (interquartile range 24-46). Imaging of the kidneys and liver were feasible in 85 and 82% of the cases, and the corresponding values for the gallbladder and abdominal aorta were 79 and 50%, respectively. The sensitivity of medical residents to detect organ pathology with the aid of PSID, ranged between 54% (95% confidence interval [CI]: 29-77%) and 74% (95% CI: 51-88%). Assessment of the aortic dimension showed moderate correlation, with r = 0.38. CONCLUSIONS: Examination by PSID by inexperienced residents may allow for early detection of abdominal pathology, but do not appear to be accurate enough to rule out pathology in the abdominal organs.
Authors: Marta Del Medico; Alessandra Altieri; Gabriella Carnevale-Maffè; Pietro Formagnana; Francesco Casella; Marco Barchiesi; Manuela Bergonzi; Claudia Vattiato; Giovanni Casazza; Chiara Cogliati Journal: Intern Emerg Med Date: 2018-07-07 Impact factor: 3.397
Authors: Abdulrahman M Alfuraih; Abdulaziz I Alrashed; Saleh O Almazyad; Mohammed J Alsaadi Journal: Ann Saudi Med Date: 2021-12-02 Impact factor: 1.526