Accuracy of bedside emergency physician performed ultrasound in diagnosing different causes of acute abdominal pain: a prospective study

Hasani, Seyyed Abbas; Fathi, Marzieh; Daadpey, Marzieh; Zare, Mohammad; Tavakoli, Nader; Abbasi, Saeed

doi:10.1016/j.clinimag.2015.01.011

Cited by 28 publications

(33 citation statements)

References 21 publications

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“…In our study, patients with co-morbidities presented a higher percentage of US changes compared with normal US (3-50% versus 0-6%, the extreme being represented by vascular emergencies with 50% vs. 6%). Hasani et al also showed that 41.3% of the patients with acute abdominal pain, who underwent an emergency ultrasound examination, had co-morbidities [19]. The percentage of normal US was 34% (39.3% in case of radiologist with experience) for acute nonspecific abdominal pain, concordant with the study's Hasani and the errors were at a reduced rate (2.27%) in our study compared with theirs (7%) [19].…”

Section: Discussionsupporting

confidence: 80%

“…Hasani et al also showed that 41.3% of the patients with acute abdominal pain, who underwent an emergency ultrasound examination, had co-morbidities [19]. The percentage of normal US was 34% (39.3% in case of radiologist with experience) for acute nonspecific abdominal pain, concordant with the study's Hasani and the errors were at a reduced rate (2.27%) in our study compared with theirs (7%) [19]. Literature data shows that experience and training in US examination (normal US -34% for highly experienced emergency physician in our study, 51.3% for emergency physicians, 39.3% for radiologists) can improve the accuracy and usefulness of the method [19].…”

Section: Discussionmentioning

confidence: 99%

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Ultrasonography as an integrated tool in clinical decision-making in the Emergency Department

et al. 2016

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The aim of this retrospective study was to identify the role of ultrasonography as a decision-making and screening tool in emergency patients with pathological changes. Material and method: The study was carried out for 28 months in the Emergency Department of the County Emergency University Hospital, Cluj-Napoca. An ultrasound examination was performed as part of the clinical algorithm within the first hour of treating non-critical patients after they had been triaged. The diagnostic decision based on the results of the ultrasound examination was compared with the final diagnosis on discharge from the Emergency Department. Results: In study were included 1565 patients with a mean age of 50.61±19.21 years. Ultrasound changes were detected in a statistically significant number of patients from all the examined subgroups (p≤0.002). The concordance between clinical and ultrasound findings was of 54.06%. Of all the examined patients, 20.63% were referred to surgery department based on the results of the ultrasound examination. Surgery was the final therapeutic decision in 5.06% of all the patients with normal ultrasound findings. Conclusions: Ultrasonography as an integrated tool in the clinical examination algorithm allowed the identification of non-critical patients who required emergency surgery (20.63%). The integration of point-of-care ultrasound into the clinical examination allows the management of emergency patients through the ranking of decisions: hospital admission for surgery and medical treatment, other diagnostic investigations, referral to outpatient care and family physician.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Ultrasonography as an integrated tool in clinical decision-making in the Emergency Department

et al. 2016

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“…Two studies, one retrospective and the second prospective, of US evaluation specifically of patients with atypical presentation of appendicitis, atypical lab results [59], or nonspecific abdominal pain [60] were identified in the current literature. The first demonstrated US sensitivity, specificity, PPV, NPV, and accuracy of 71.4%, 78.5%, 94.8%, 33.3%, and 72.5%, respectively.…”

Section: Tc-99m Wbc Scan Abdomen and Pelvismentioning

confidence: 99%

ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis

García

Camacho

Karolyi

et al. 2018

Journal of the American College of Radiology

109

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Appendicitis remains the most common surgical pathology responsible for right lower quadrant (RLQ) abdominal pain presenting to emergency departments in the United States, where the incidence continues to increase. Appropriate imaging in the diagnosis of appendicitis has resulted in decreased negative appendectomy rate from as high as 25% to approximately 1% to 3%. Contrast-enhanced CT remains the primary and most appropriate imaging modality to evaluate this patient population. MRI is approaching CT in sensitivity and specificity as this technology becomes more widely available and utilization increases. Unenhanced MRI and ultrasound remain the diagnostic procedures of choice in the pregnant patient. MRI and ultrasound continue to perform best in the hands of experts.

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“…POCUS is used as a non-invasive tool for rapid assessment of abdominal pain in emergency setting. 9,10 Physicians should consider that it is a rule in technique and the most important part of an effective POCUS is to focus on the prediagnosis obtained from history and physical examination. 11 We performed POCUS with the pre-diagnosis of renal or pelvic disorder in a 15-year-old girl with recurrent abdominal pain, anorexia and menstrual cycle irregularity.…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound as a Diagnostic Tool for Nutcracker Syndrome in Pediatric Emergency Department

Er¹,

Polat²,

Çiçek³

et al. 2018

cayd

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Abdominal pain is one of the most common causes of admission to pediatric emergency department. Point-of care ultrasonography combined with appropriate history and physical examination provides rapid and accurate management of abdominal pain in emergency setting. Here, we report a 15-year-old girl with abdominal pain who was diagnosed with Nutcracker syndrome by the guidance of pointof-care ultrasound findings.

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Accuracy of bedside emergency physician performed ultrasound in diagnosing different causes of acute abdominal pain: a prospective study

Cited by 28 publications

References 21 publications

Ultrasonography as an integrated tool in clinical decision-making in the Emergency Department

Ultrasonography as an integrated tool in clinical decision-making in the Emergency Department

ACR Appropriateness Criteria® Right Lower Quadrant Pain-Suspected Appendicitis

Point-of-Care Ultrasound as a Diagnostic Tool for Nutcracker Syndrome in Pediatric Emergency Department

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