Emergency Sonography for the Elderly

Chang, Wen Han; Huang, Chien Hsuan; Chien, Ding-Kuo; Huang, Meng; Tsai, Weide; Chang, Kuo Song; Tsai, Cheng Ho

doi:10.1016/j.ijge.2011.01.001

Cited by 6 publications

(3 citation statements)

References 118 publications

(63 reference statements)

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“…Fonseca et al reported that increase in utilisation varied by geographic location and did not appear to be illness-related, demonstrating the under- or over-utilisation of these two items depending on the area the patients were treated. Transthoracic and heart ultrasound remain the gold standard methods to investigate chronic heart failure, pericardial effusion, haemothorax in traumatic elderly patients and non-traumatic pleural effusions [ 7 , 19 , 20 ]. It is therefore possible that over-utilisation and/or changes in policies in the management of chronic heart disease may have contributed to the increase in utilisation observed during the study period.…”

Section: Discussionmentioning

confidence: 99%

“…Concurrently, there was a clear increase in utilisation of abdominal vascular ultrasound in the older population, and particularly in older men (i.e., ≥ 75 years old). Abdominal vascular ultrasound can be ordered to evaluate the possibility of abdominal aorta aneurysm, and particularly the presence of thrombus [ 19 ]. This condition is more common in elderly men than in women (ratio of 7:1) and is usually diagnosed by physical examination of the abdomen and ultrasound [ 19 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal vascular ultrasound can be ordered to evaluate the possibility of abdominal aorta aneurysm, and particularly the presence of thrombus [ 19 ]. This condition is more common in elderly men than in women (ratio of 7:1) and is usually diagnosed by physical examination of the abdomen and ultrasound [ 19 , 30 ]. The specific investigation of abdominal aorta aneurysm, could potentially explain the difference in utilisation of abdominal vascular ultrasound between men and women in the older population.…”

Section: Discussionmentioning

confidence: 99%

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Trends in utilisation of ultrasound by older Australians (2010–2019)

et al. 2023

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Background Older people have increasingly complex healthcare needs, often requiring appropriate access to diagnostic imaging, an essential component of their health and disease management planning. Ultrasound is a safe imaging tool used to diagnose several conditions commonly experienced by older people such as deep vein thrombosis. Purpose To evaluate the utilisation of major ultrasound services by Australians ≥ 65 years old between 2009- and 2019. Methods This population-based and yearly cross-sectional study of ultrasound utilisation per 1,000 Australians ≥ 65 years old was conducted using publicly available data sources. Overall, examination site and age- and sex-specific incidence rate (IR) of ultrasound per 1,000 people, adjusted incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were calculated using negative binomial regression models. Results Over the study period, the crude utilisation of ultrasound increased by 83% in older Australians. Most ultrasound examinations were conducted on extremities (39%) and the chest (21%), with 25% of all ultrasounds investigating the vascular system. More men than women use ultrasounds of the chest (184/1,000 vs 268/1,000 people), particularly echocardiograms (177/1,000 vs 261/1,000 people), and abdomen (88/1,000 vs 92/1,000 people), especially in those ≥ 85 years old. Hip and pelvic ultrasound were used more by women than men (212/1,000 vs 182/1,000 people). There were increases in vascular abdominal (IRR:1.07, 95%CI:1.06–1.08) and extremeties (IRR:1.06, 95%CI:1.05–1.07) ultrasounds over the study period, particularly in ≥ 75 years old men. Conclusions Ultrasound is a common and increasingly used diagnostic tool for conditions commonly experienced by older Australians.

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Section: Discussionmentioning

confidence: 99%