Does the Integration of Personalized Ultrasound Change Patient Management in Critical Care Medicine? Observational Trials
Joint Authors
Walcher, Felix
Seeger, Florian Hartmut
Cuca, Colleen
Zechner, Peter M.
Campo delľ Orto, Marco
Breitkreutz, Raoul
Hamm, Christian Wilhelm
Stenger, Tanja
Source
Emergency Medicine International
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-18
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To test the influence of personalized ultrasound (PersUS) on patient management in critical care.
Design of the Study.
Prospective, observational, and critical care setting.
Four substudies compared PersUS and mobile ultrasound, work distribution, and diagnostic and procedural quality.
Patients and Interventions.
640 patient ultrasound exams including 548 focused diagnostic exams and 92 interventional procedures.
Main Outcome Measures.
Number of studies, physician’s judgement of feasibility, time of usage per patient, and referrals to echo lab.
Results.
Randomized availability of PersUS increased its application in ICU work shifts more than twofold from 33 to 68 exams mainly for detection and therapy of effusions.
Diagnostic and procedural quality was rated as excellent/very good in PersUS-guided puncture in 95% of cases.
Integrating PersUS within an initial physical examination of 48 randomized cases in an emergency department, PersUS extended the examination time by 100 seconds.
Interestingly, PersUS integration into 53 randomized regular ward rounds of 1007 patients significantly reduced average contact time per patient by 103 seconds from 8.9 to 7.2 minutes.
Moreover, it lowered the patient referral rate to an echo lab from 20% to 2% within the study population.
Conclusions.
We propose the development of novel ultrasound-based clinical pathways by integration of PersUS.
American Psychological Association (APA)
Breitkreutz, Raoul& Campo delľ Orto, Marco& Hamm, Christian Wilhelm& Cuca, Colleen& Zechner, Peter M.& Stenger, Tanja…[et al.]. 2013. Does the Integration of Personalized Ultrasound Change Patient Management in Critical Care Medicine? Observational Trials. Emergency Medicine International،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-510347
Modern Language Association (MLA)
Breitkreutz, Raoul…[et al.]. Does the Integration of Personalized Ultrasound Change Patient Management in Critical Care Medicine? Observational Trials. Emergency Medicine International No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-510347
American Medical Association (AMA)
Breitkreutz, Raoul& Campo delľ Orto, Marco& Hamm, Christian Wilhelm& Cuca, Colleen& Zechner, Peter M.& Stenger, Tanja…[et al.]. Does the Integration of Personalized Ultrasound Change Patient Management in Critical Care Medicine? Observational Trials. Emergency Medicine International. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-510347
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510347