The effect of point-of-care ultrasonography on imaging studies in the medical ICU: a comparative study
Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imagi...
Gespeichert in:
| Veröffentlicht in: | Chest 2014-12, Vol.146 (6), p.1574-1577 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1577 |
|---|---|
| container_issue | 6 |
| container_start_page | 1574 |
| container_title | Chest |
| container_volume | 146 |
| creator | Oks, Margarita Cleven, Krystal L Cardenas-Garcia, Jose Schaub, Jennifer Ann Koenig, Seth Cohen, Rubin I Mayo, Paul H Narasimhan, Mangala |
| description | Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imaging modality, the other where it is used only for procedure guidance.
This study was a retrospective 3-month chart review comparing the use of chest radiographs, CT scans (chest and abdomen/pelvis), transthoracic echocardiography performed by the cardiology service, and DVT ultrasonography studies performed by the radiology service between two MICUs of similar size and acuity and staffing levels.
Total number of admissions, patient demographics, and disease acuity were similar between MICUs. Comparing the non-point-of-care ultrasonography MICU with the point-of-care ultrasonography MICU, there were 3.75 ± 4.6 vs 0.82 ± 1.85 (P < .0001) chest radiographs per patient, 0.10 ± 0.31 vs 0.04 ± 0.20 (P = .0007) chest CT scans per patient, 0.17 ± 0.44 vs 0.05 ± 0.24 (P < .0001) abdomen/pelvis CT scans per patient, 0.20 ± 0.47 vs 0.02 ± 0.14 (P < .0001) radiology service-performed DVT studies per patient, and 0.18 ± 0.40 vs 0.07 ± 0.26 (P < .0001) cardiology service-performed transthoracic echocardiography studies per patient, respectively.
The use of point-of-care ultrasonography in an MICU is associated with a significant reduction in the number of imaging studies performed by the radiology and cardiology services. |
| doi_str_mv | 10.1378/chest.14-0728 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1629963874</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1629963874</sourcerecordid><originalsourceid>FETCH-LOGICAL-p211t-6c8520656d0cbe244af71fa87a1eb59f5fa22f94c76de93977bf8fbf88d781a93</originalsourceid><addsrcrecordid>eNo1kD1PwzAYhC0kREthZEUeWVL8ldhmQxEflSqxtHP0xrFboyQOsYPUf08EZTjd8uh0dwjdUbKmXKpHc7QxranIiGTqAi2p5jTjueALdB3jJyGEUl1coQXLqRC55kvkdkeLrXPWJBwcHoLvUxZcZmC0eGrTCDH04TDCcDzh0GPfwcH3BxzT1Hgbse9xmhM623gDLd6U-ycM2IRugBGS_7a_5OkGXTpoo709-wrtX1925Xu2_XjblM_bbGCUpqwwKmekyIuGmNoyIcBJ6kBJoLbOtcsdMOa0MLJorOZaytopN0s1UlHQfIUe_nKHMXxN8xtV56OxbQu9DVOsaMG0LriSYkbvz-hUz_WrYZy3jafq_xv-A04mZVo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1629963874</pqid></control><display><type>article</type><title>The effect of point-of-care ultrasonography on imaging studies in the medical ICU: a comparative study</title><source>Journals@Ovid Ovid Autoload</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Oks, Margarita ; Cleven, Krystal L ; Cardenas-Garcia, Jose ; Schaub, Jennifer Ann ; Koenig, Seth ; Cohen, Rubin I ; Mayo, Paul H ; Narasimhan, Mangala</creator><creatorcontrib>Oks, Margarita ; Cleven, Krystal L ; Cardenas-Garcia, Jose ; Schaub, Jennifer Ann ; Koenig, Seth ; Cohen, Rubin I ; Mayo, Paul H ; Narasimhan, Mangala</creatorcontrib><description>Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imaging modality, the other where it is used only for procedure guidance.
This study was a retrospective 3-month chart review comparing the use of chest radiographs, CT scans (chest and abdomen/pelvis), transthoracic echocardiography performed by the cardiology service, and DVT ultrasonography studies performed by the radiology service between two MICUs of similar size and acuity and staffing levels.
Total number of admissions, patient demographics, and disease acuity were similar between MICUs. Comparing the non-point-of-care ultrasonography MICU with the point-of-care ultrasonography MICU, there were 3.75 ± 4.6 vs 0.82 ± 1.85 (P < .0001) chest radiographs per patient, 0.10 ± 0.31 vs 0.04 ± 0.20 (P = .0007) chest CT scans per patient, 0.17 ± 0.44 vs 0.05 ± 0.24 (P < .0001) abdomen/pelvis CT scans per patient, 0.20 ± 0.47 vs 0.02 ± 0.14 (P < .0001) radiology service-performed DVT studies per patient, and 0.18 ± 0.40 vs 0.07 ± 0.26 (P < .0001) cardiology service-performed transthoracic echocardiography studies per patient, respectively.
The use of point-of-care ultrasonography in an MICU is associated with a significant reduction in the number of imaging studies performed by the radiology and cardiology services.</description><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.14-0728</identifier><identifier>PMID: 25144593</identifier><language>eng</language><publisher>United States</publisher><subject><![CDATA[Aged ; Aged, 80 and over ; Cohort Studies ; Cost Savings ; Critical Care - methods ; Echocardiography - statistics & numerical data ; Female ; Hospital Costs ; Humans ; Incidence ; Intensive Care Units - organization & administration ; Male ; Middle Aged ; Patient Outcome Assessment ; Point-of-Care Systems - statistics & numerical data ; Radiography, Thoracic - statistics & numerical data ; Retrospective Studies ; Tomography, X-Ray Computed - statistics & numerical data ; Treatment Outcome ; Ultrasonography, Doppler - statistics & numerical data ; United States]]></subject><ispartof>Chest, 2014-12, Vol.146 (6), p.1574-1577</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25144593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oks, Margarita</creatorcontrib><creatorcontrib>Cleven, Krystal L</creatorcontrib><creatorcontrib>Cardenas-Garcia, Jose</creatorcontrib><creatorcontrib>Schaub, Jennifer Ann</creatorcontrib><creatorcontrib>Koenig, Seth</creatorcontrib><creatorcontrib>Cohen, Rubin I</creatorcontrib><creatorcontrib>Mayo, Paul H</creatorcontrib><creatorcontrib>Narasimhan, Mangala</creatorcontrib><title>The effect of point-of-care ultrasonography on imaging studies in the medical ICU: a comparative study</title><title>Chest</title><addtitle>Chest</addtitle><description>Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imaging modality, the other where it is used only for procedure guidance.
This study was a retrospective 3-month chart review comparing the use of chest radiographs, CT scans (chest and abdomen/pelvis), transthoracic echocardiography performed by the cardiology service, and DVT ultrasonography studies performed by the radiology service between two MICUs of similar size and acuity and staffing levels.
Total number of admissions, patient demographics, and disease acuity were similar between MICUs. Comparing the non-point-of-care ultrasonography MICU with the point-of-care ultrasonography MICU, there were 3.75 ± 4.6 vs 0.82 ± 1.85 (P < .0001) chest radiographs per patient, 0.10 ± 0.31 vs 0.04 ± 0.20 (P = .0007) chest CT scans per patient, 0.17 ± 0.44 vs 0.05 ± 0.24 (P < .0001) abdomen/pelvis CT scans per patient, 0.20 ± 0.47 vs 0.02 ± 0.14 (P < .0001) radiology service-performed DVT studies per patient, and 0.18 ± 0.40 vs 0.07 ± 0.26 (P < .0001) cardiology service-performed transthoracic echocardiography studies per patient, respectively.
The use of point-of-care ultrasonography in an MICU is associated with a significant reduction in the number of imaging studies performed by the radiology and cardiology services.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cohort Studies</subject><subject>Cost Savings</subject><subject>Critical Care - methods</subject><subject>Echocardiography - statistics & numerical data</subject><subject>Female</subject><subject>Hospital Costs</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intensive Care Units - organization & administration</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Outcome Assessment</subject><subject>Point-of-Care Systems - statistics & numerical data</subject><subject>Radiography, Thoracic - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed - statistics & numerical data</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler - statistics & numerical data</subject><subject>United States</subject><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kD1PwzAYhC0kREthZEUeWVL8ldhmQxEflSqxtHP0xrFboyQOsYPUf08EZTjd8uh0dwjdUbKmXKpHc7QxranIiGTqAi2p5jTjueALdB3jJyGEUl1coQXLqRC55kvkdkeLrXPWJBwcHoLvUxZcZmC0eGrTCDH04TDCcDzh0GPfwcH3BxzT1Hgbse9xmhM623gDLd6U-ycM2IRugBGS_7a_5OkGXTpoo709-wrtX1925Xu2_XjblM_bbGCUpqwwKmekyIuGmNoyIcBJ6kBJoLbOtcsdMOa0MLJorOZaytopN0s1UlHQfIUe_nKHMXxN8xtV56OxbQu9DVOsaMG0LriSYkbvz-hUz_WrYZy3jafq_xv-A04mZVo</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Oks, Margarita</creator><creator>Cleven, Krystal L</creator><creator>Cardenas-Garcia, Jose</creator><creator>Schaub, Jennifer Ann</creator><creator>Koenig, Seth</creator><creator>Cohen, Rubin I</creator><creator>Mayo, Paul H</creator><creator>Narasimhan, Mangala</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201412</creationdate><title>The effect of point-of-care ultrasonography on imaging studies in the medical ICU: a comparative study</title><author>Oks, Margarita ; Cleven, Krystal L ; Cardenas-Garcia, Jose ; Schaub, Jennifer Ann ; Koenig, Seth ; Cohen, Rubin I ; Mayo, Paul H ; Narasimhan, Mangala</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-6c8520656d0cbe244af71fa87a1eb59f5fa22f94c76de93977bf8fbf88d781a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cohort Studies</topic><topic>Cost Savings</topic><topic>Critical Care - methods</topic><topic>Echocardiography - statistics & numerical data</topic><topic>Female</topic><topic>Hospital Costs</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intensive Care Units - organization & administration</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Outcome Assessment</topic><topic>Point-of-Care Systems - statistics & numerical data</topic><topic>Radiography, Thoracic - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed - statistics & numerical data</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler - statistics & numerical data</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oks, Margarita</creatorcontrib><creatorcontrib>Cleven, Krystal L</creatorcontrib><creatorcontrib>Cardenas-Garcia, Jose</creatorcontrib><creatorcontrib>Schaub, Jennifer Ann</creatorcontrib><creatorcontrib>Koenig, Seth</creatorcontrib><creatorcontrib>Cohen, Rubin I</creatorcontrib><creatorcontrib>Mayo, Paul H</creatorcontrib><creatorcontrib>Narasimhan, Mangala</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oks, Margarita</au><au>Cleven, Krystal L</au><au>Cardenas-Garcia, Jose</au><au>Schaub, Jennifer Ann</au><au>Koenig, Seth</au><au>Cohen, Rubin I</au><au>Mayo, Paul H</au><au>Narasimhan, Mangala</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of point-of-care ultrasonography on imaging studies in the medical ICU: a comparative study</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2014-12</date><risdate>2014</risdate><volume>146</volume><issue>6</issue><spage>1574</spage><epage>1577</epage><pages>1574-1577</pages><eissn>1931-3543</eissn><abstract>Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imaging modality, the other where it is used only for procedure guidance.
This study was a retrospective 3-month chart review comparing the use of chest radiographs, CT scans (chest and abdomen/pelvis), transthoracic echocardiography performed by the cardiology service, and DVT ultrasonography studies performed by the radiology service between two MICUs of similar size and acuity and staffing levels.
Total number of admissions, patient demographics, and disease acuity were similar between MICUs. Comparing the non-point-of-care ultrasonography MICU with the point-of-care ultrasonography MICU, there were 3.75 ± 4.6 vs 0.82 ± 1.85 (P < .0001) chest radiographs per patient, 0.10 ± 0.31 vs 0.04 ± 0.20 (P = .0007) chest CT scans per patient, 0.17 ± 0.44 vs 0.05 ± 0.24 (P < .0001) abdomen/pelvis CT scans per patient, 0.20 ± 0.47 vs 0.02 ± 0.14 (P < .0001) radiology service-performed DVT studies per patient, and 0.18 ± 0.40 vs 0.07 ± 0.26 (P < .0001) cardiology service-performed transthoracic echocardiography studies per patient, respectively.
The use of point-of-care ultrasonography in an MICU is associated with a significant reduction in the number of imaging studies performed by the radiology and cardiology services.</abstract><cop>United States</cop><pmid>25144593</pmid><doi>10.1378/chest.14-0728</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | EISSN: 1931-3543 |
| ispartof | Chest, 2014-12, Vol.146 (6), p.1574-1577 |
| issn | 1931-3543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1629963874 |
| source | Journals@Ovid Ovid Autoload; MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Cohort Studies Cost Savings Critical Care - methods Echocardiography - statistics & numerical data Female Hospital Costs Humans Incidence Intensive Care Units - organization & administration Male Middle Aged Patient Outcome Assessment Point-of-Care Systems - statistics & numerical data Radiography, Thoracic - statistics & numerical data Retrospective Studies Tomography, X-Ray Computed - statistics & numerical data Treatment Outcome Ultrasonography, Doppler - statistics & numerical data United States |
| title | The effect of point-of-care ultrasonography on imaging studies in the medical ICU: a comparative study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-11-30T13%3A37%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20effect%20of%20point-of-care%20ultrasonography%20on%20imaging%20studies%20in%20the%20medical%20ICU:%20a%20comparative%20study&rft.jtitle=Chest&rft.au=Oks,%20Margarita&rft.date=2014-12&rft.volume=146&rft.issue=6&rft.spage=1574&rft.epage=1577&rft.pages=1574-1577&rft.eissn=1931-3543&rft_id=info:doi/10.1378/chest.14-0728&rft_dat=%3Cproquest_pubme%3E1629963874%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1629963874&rft_id=info:pmid/25144593&rfr_iscdi=true |