Point of Care Ultrasonography in the Management of Non-Traumatic Acute Abdominal Pain in Adult Patients in the Emergency Department: A Single-Center Retrospective Study in a General Hospital

被引:1
作者
Hary, T. [1 ]
Amiot, F. [1 ]
Laborne, F-X [2 ]
Delomas, T. [3 ]
机构
[1] CHU Caen, Ave Cote Nacre, F-14000 Caen, France
[2] Ctr Hosp Sud Francilien, 40 Ave Serge Dassault, F-91100 Corbeil Essonnes, France
[3] Ctr Hosp Mem St Lo, 715 Rue Henri Dunant, F-50000 St Lo, France
来源
ANNALES FRANCAISES DE MEDECINE D URGENCE | 2021年 / 11卷 / 05期
关键词
Abdominal pain; Point of care ultrasonography; Emergency; Abdominopelvic computed tomography; PHYSICIAN-PERFORMED ULTRASOUND; MEDICINE. FRENCH SOCIETY; COMPUTED-TOMOGRAPHY; SFMU GUIDELINES; LEVEL;
D O I
10.3166/afmu-2021-0353
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To determine if point of care ultrasonography (POCUS) has an impact on the management of non-traumatic acute abdominal pain. Methods: This was a single-center retrospective study, including patients who were admitted in the emergency room of the hospital of Saint-Lo, France, for non-traumatic acute abdominal pain, between 01 June 2019 and 31 October 2019. The data collected were the number of subsequent imaging tests performed, the length of stay, the hospitalization rate, the diagnosis, and the reconsultation rate within 30 days. The primary outcome was the realization of an imaging test (among radiologist ultrasonography, abdominopelvic scanner, and plain abdominal X ray) in patients who underwent a point of care ultrasonography (POCUS group) as compared to those who did not (non-POCUS group). Results: One thousand fifty-three patients were included. Sixteen percent of those patients underwent POCUS. There were significantly fewer prescriptions for radiologist ultrasonography in the POCUS group (4% in the POCUS group versus 9% in the non-POCUS group, OR = 0.45, IC 95%: [0.17-1.00], P = 0.04). There was no significant difference between the two groups concerning the length of stay, hospitalization, reconsultation rates and diagnosis agreement. Conclusion: POCUS in the exploration of non-traumatic acute abdominal pain reduced the prescription of radiologist ultrasonography, without reducing the length of stay and the agreement between the emergency and the hospitalization diagnosis.
引用
收藏
页码:295 / 302
页数:8
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