Mohammad Amin Zare, Alireza Bahmani1, Marzieh Fathi2, Marieh Arefi3, Armaghan Hossein Sarbazi3, Mahrokh Teimoori4. 1. Emergency Medicine Department, Zahedan University of Medical Sciences, Balouchestan Boulevard, Main Campus of Zahedan University of Medical Sciences, Zahedan, Sistan and Baluchestan Province, Iran. alirezabahmani13982020@gmail.com. 2. Trauma and Injury Research Center (TIRC), Iran University of Medical Sciences, Tehran, Iran. 3. Emergency Medicine Department, Zahedan University of Medical Sciences, Balouchestan Boulevard, Main Campus of Zahedan University of Medical Sciences, Zahedan, Sistan and Baluchestan Province, Iran. 4. Emergency Medicine Department, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract
INTRODUCTION: Sonography is a safe and simple diagnostic modality which can help emergency physicians in their clinical decision makings and improve the patient disposition process in emergency departments. OBJECTIVE: This prospective multi-center study evaluates the role of bedside ultrasound performed by emergency physicians in accelerating the patient disposition process in cases with acute undifferentiated dyspnea. METHODS: 103 patients were randomized to "early ultrasound" and "routine assessment" groups. In early ultrasound group, emergency physicians performed bedside ultrasound scans on heart and lungs as soon as possible after triage and randomization. In routine assessment group, ultrasound was used whenever the emergency physician or other consultant services ordered or performed it. Mean randomization-to-diagnosis time was compared in two studied groups. RESULTS: Mean randomization-to-diagnosis time was 79.33 (± 38.90) min in routine assessment and 42.61 (± 19.20) min in early ultrasound groups, showing a statistically significant difference (p value < 0.01). CONCLUSION: Using early sonography in assessing the patients with undifferentiated acute dyspnea in emergency department decreases the patient turnover time while increasing the diagnostic accuracy.
INTRODUCTION: Sonography is a safe and simple diagnostic modality which can help emergency physicians in their clinical decision makings and improve the patient disposition process in emergency departments. OBJECTIVE: This prospective multi-center study evaluates the role of bedside ultrasound performed by emergency physicians in accelerating the patient disposition process in cases with acute undifferentiated dyspnea. METHODS: 103 patients were randomized to "early ultrasound" and "routine assessment" groups. In early ultrasound group, emergency physicians performed bedside ultrasound scans on heart and lungs as soon as possible after triage and randomization. In routine assessment group, ultrasound was used whenever the emergency physician or other consultant services ordered or performed it. Mean randomization-to-diagnosis time was compared in two studied groups. RESULTS: Mean randomization-to-diagnosis time was 79.33 (± 38.90) min in routine assessment and 42.61 (± 19.20) min in early ultrasound groups, showing a statistically significant difference (p value < 0.01). CONCLUSION: Using early sonography in assessing the patients with undifferentiated acute dyspnea in emergency department decreases the patient turnover time while increasing the diagnostic accuracy.
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