Assessing left ventricular systolic function by emergency physician using point of care echocardiography compared to expert: systematic review and meta-analysis

Albaroudi, Bilal; Haddad, Mahmoud; Albaroudi, Omar; Abdel-Rahman, Manar E.; Jarman, Robert; Harris, Tim

doi:10.1097/mej.0000000000000866

Cited by 24 publications

(15 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FoCUS can add complementary information to routine physical examinations. It is a known concept for emergency medicine specialists [ 18 – 20 ]. Pervious limited investigations assessed point-of-care echocardiography training in emergency and internal medicine, and pediatric residents reported promising results [ 3 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of short-course point-of-care echocardiography training on the performance of medical interns in children

et al. 2022

View full text Add to dashboard Cite

Background Point-of-care ultrasound (POCUS) can add complementary information to physical examination. Despite its development in several medical specialties, there is a lack of similar studies on children by medical interns and cardiologists. Therefore, investigators aimed to assess the effect of short-course training on the performance of medical interns in point-of-care echocardiography in children. Methods This analytic cross-sectional study was conducted on 161 hospitalized children in 17 Shahrivar children’s hospital, Iran, from January 2021 to May 2021. Seven interns (trainees) participated in a short course of point-of-care echocardiography to assess left ventricular ejection fraction (LVEF), inferior vena cava collapsibility index (IVCCI), and the presence of pericardial effusion (PEff). Each patient underwent point-of-care echocardiography by one of the trainees. Then, in less than one hour, the echocardiography was performed by a single cardiologist. Agreement between the cardiologist and trainees was examined using Cohen’s kappa coefficient and Prevalence-Adjusted Bias-Adjusted Kappa (PABAK). For numerical variables, the agreement was examined using the concordance correlation coefficient (CCC) and intraclass correlation coefficient (ICC). Results Results showed that the cardiologist and trainees detected LVEF >50, IVCCI >50%, and the absence of PEff in most of the participants. A good agreement in terms of ICC and CCC for LVEF (0.832 and 0.831, respectively) and a good agreement in terms of ICC and CCC for IVCCI (0.878 and 0.877, respectively) were noted. Using categorical scoring of LVEF and IVCCI showed 94.4% and 87.6% complete agreement, respectively. Furthermore, using categorical scoring of LVEF and IVCCI, Cohen’s kappa coefficient was 0.542 (moderate) and 0.619 (substantial), respectively. The PABAK for LVEF and IVCCI were 0.886 (almost perfect) and 0.752 (substantial), respectively. For PEff, Cohen’s kappa and PABAK were 0.797 (moderate) and 0.988 (almost perfect), respectively, and the complete agreement was noted in 160 patients (99.4%). Conclusions This study showed that a short teaching course could help medical interns to assess LVEF, IVCCI, and PEff in children. Therefore, it seems that adding this course to medical interns’ curricula can be promising.

show abstract

Section: Discussionmentioning

confidence: 99%

The effect of short-course point-of-care echocardiography training on the performance of medical interns in children

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Indeed, it allows physicians to orientate the etiology of shock, to identify LV systolic dysfunction and to guide the administration of catecholamines. Of note, a recent metanalysis reported a substantial agreement between emergency department-based clinician sonographers and expert sonographers for assessing LVEF using visual estimation [33,34].…”

Section: Place Of Ultrasoundsmentioning

confidence: 99%

Myocardial dysfunction after cardiac arrest: tips and pitfalls

Ortuno

Géri

Bouguoin

et al. 2022

European Journal of Emergency Medicine

View full text Add to dashboard Cite

Postcardiac arrest shock (PCAS) is defined by hemodynamic instability occurring in the first hours after cardiac arrest (CA) and is a major cause of mortality among patients hospitalized after CA. It includes vasoplegia and myocardial dysfunction. This postcardiac arrest myocardial dysfunction is supposed to recover within the 3 days. However, there are many unknowns regarding its definition, its prognosis value and its management. In this review dedicated to emergency physicians, we choose to address tips and pitfalls they should know regarding this prevalent syndrome.

show abstract

“…First, improving early diagnosis of AHF using appropriate tools is required. In this context, point-of-care ultrasound seems promising looking at its performances and its bedside availability [4,[7][8][9]. Second, the role that may have prehospital care have to be investigated, in order to start appropriate treatment of AHF before hospital arrival [10].…”

mentioning

confidence: 99%