Estudio sobre la utilidad de la ecografía “point of care” en manos de cirujanos de urgencias

  1. I. Martínez-Casas 1
  2. A. Landaluce-Olavarría 2
  3. B. Ugarte-Sierra 2
  4. L. Ponchietti 3
  5. T. Nimmesgern 3
  6. F. M. Jiménez-Armenteros 1
  7. J. M. Capitán-Vallvey 1
  1. 1 Complejo Hospitalario de Jaén. Jaén.
  2. 2 Hospital Universitario de Galdakao. Galdakao, Vizcaya
  3. 3 Hospital Universitario de Torrevieja. Torrevieja, Alicante.
Erakutsi afiliazioak +
Aldizkaria:
Cirugía Andaluza

ISSN: 2695-3811,  1130-3212

Argitalpen urtea: 2019

Alea: 30

Zenbakia: 1

Orrialdeak: 83-86

Mota: Artikulua

DOI: 10.37351/2019301.13 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Beste argitalpen batzuk: Cirugía Andaluza

Garapen Iraunkorreko Helburuak

Laburpena

Introduction: recently, Point of Care Ultrasound (POCUS) has extended its applications. The aim of the study was to analyse the value of POCUS in the hands of surgeons for daily practice decision making. Methods: prospective observational study, five surgeons in two hospitals performed POCUS to diagnose patients with acute abdomen or soft tissue infection. POCUS results were collected in a prospective database and compared with posterior conventional radiologist-performed results (either US or CT) and/or diagnosis at surgery. χ2 and Student t test were used for statistical analysis. Sensitivity, specificity, positive and negative predictive values were calculated to compare with standard. Results: during 16 months, 228 POCUS were performed in the study period to patients aged 44,5±22 years old. POCUS were divided in categories according to suspected diagnosis: RLQ pain (104), LLQ pain (13), RUQ pain (49), hernia (19), bowel obstruction (7), soft tissue infections (26) and postoperative abdominal complication (10). 75% of patients have posterior conventional radiologist test. Surgery was finally performed in 120 patients (30% without radiologist confirmation). Overall success rate for POCUS was 87%, without significative differences between centers. POCUS success rate was different when considering suspected diagnosis separately (p=0.018). Matches’ percentage between POCUS and radiologist diagnosis was 82%. POCUS success rate in patients operated straight after test was 85%. Finally, POCUS showed 90% sensitivity, 91% specificity, 95% PPV and 84% NPV. for surgical disease diagnosis. Conclusions: POCUS in the hands of ACS offers similar results than conventional radiologist-performed tests for surgical disease diagnosis and it’s useful in the decision making process.

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