Point-of-care ultrasound versus radiology department pelvic ultrasound on emergency department length of stay

被引:32
作者
Wilson, Sean P. [1 ]
Connolly, Kiah [1 ]
Lahham, Shadi [1 ]
Subeh, Mohammad [1 ]
Fischetti, Chanel [1 ]
Chiem, Alan [2 ]
Aspen, Ariel [1 ]
Anderson, Craig [1 ]
Fox, John C. [1 ]
机构
[1] Univ Calif Irvine, Dept Emergency Med, Irvine, CA 92697 USA
[2] Univ Calif Los Angeles, Dept Emergency Med, Los Angeles, CA 90095 USA
关键词
Point-of-care ultrasound; Pelvic ultrasound; Length of stay; Intrauterine pregnancy; ECTOPIC PREGNANCY; TRANSVAGINAL ULTRASONOGRAPHY; PATIENT SATISFACTION; PHYSICIANS; DIAGNOSIS; SONOGRAPHY; TIME; MANAGEMENT; ACCURACY; RISK;
D O I
10.5847/wjem.j.1920-8642.2016.03.003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
BACKGROUND: The study aimed to compare the time to overall length of stay (LOS) for patients who underwent point-of-care ultrasound (POCUS) versus radiology department ultrasound (RDUS). METHODS: This was a prospective study on a convenience sample of patients who required pelvic ultrasound imaging as part of their emergency department (ED) assessment. RESULTS: We enrolled a total of 194 patients who were on average 32 years-old. Ninety-eight (51%) patients were pregnant (<20 weeks). Time to completion of RDUS was 66 minutes longer than POCUS (95% CI 60-73, P<0.01). Patients randomized to the RDUS arm experienced a 120 minute longer ED length of stay (LOS) (95% CI 66-173, P<0.01) CONCLUSION: In patients who require pelvic ultrasound as part of their diagnostic evaluation, POCUS resulted in a significant decrease in time to ultrasound and ED LOS.
引用
收藏
页码:178 / 182
页数:5
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