Role of point-of-care ultrasound study in early disposition of patients with undifferentiated acute dyspnea in emergency department: a multi-center prospective ... View Full Text


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Article Info

DATE

2021-05-29

AUTHORS

Mohammad Amin Zare, Alireza Bahmani, Marzieh Fathi, Marieh Arefi, Armaghan Hossein Sarbazi, Mahrokh Teimoori

ABSTRACT

IntroductionSonography 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.ObjectiveThis 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.Methods103 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.ResultsMean 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).ConclusionUsing early sonography in assessing the patients with undifferentiated acute dyspnea in emergency department decreases the patient turnover time while increasing the diagnostic accuracy. More... »

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1-7

References to SciGraph publications

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  • 2013-04-13. Point-of-care multiorgan ultrasonography for the evaluation of undifferentiated hypotension in the emergency department in INTENSIVE CARE MEDICINE
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  • 2010-05-05. Lung ultrasound: a new tool for the emergency physician in INTERNAL AND EMERGENCY MEDICINE
  • 2019-08-28. Impact of ultrasound on management for dyspnea presentations in a Rwandan emergency department in THE ULTRASOUND JOURNAL
  • 2014-04-27. Immediate versus delayed integrated point-of-care-ultrasonography to manage acute dyspnea in the emergency department in THE ULTRASOUND JOURNAL
  • 2016-06-03. Focused cardiopulmonary ultrasound for assessment of dyspnea in a resource-limited setting in THE ULTRASOUND JOURNAL
  • 2011-10-28. Diagnostic accuracy and reproducibility of pleural and lung ultrasound in discriminating cardiogenic causes of acute dyspnea in the Emergency Department in INTERNAL AND EMERGENCY MEDICINE
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    http://scigraph.springernature.com/pub.10.1007/s40477-021-00582-y

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    http://dx.doi.org/10.1007/s40477-021-00582-y

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34050914


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