Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine
Accumulated data show the utility of diagnostic multi-organ point-of-care ultrasound (PoCUS) in the assessment of patients admitted to an internal medicine ward. We assessed whether multi-organ PoCUS (lung, cardiac, and abdomen) provides relevant diagnostic and/or therapeutic information in patients...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/8/2256 |
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| author | Irene Casado-López Yale Tung-Chen Marta Torres-Arrese Davide Luordo-Tedesco Arantzazu Mata-Martínez Jose Manuel Casas-Rojo Esther Montero-Hernández Gonzalo García De Casasola-Sánchez |
| author_facet | Irene Casado-López Yale Tung-Chen Marta Torres-Arrese Davide Luordo-Tedesco Arantzazu Mata-Martínez Jose Manuel Casas-Rojo Esther Montero-Hernández Gonzalo García De Casasola-Sánchez |
| author_sort | Irene Casado-López |
| collection | DOAJ |
| description | Accumulated data show the utility of diagnostic multi-organ point-of-care ultrasound (PoCUS) in the assessment of patients admitted to an internal medicine ward. We assessed whether multi-organ PoCUS (lung, cardiac, and abdomen) provides relevant diagnostic and/or therapeutic information in patients admitted for any reason to an internal medicine ward. We conducted a prospective, observational, and single-center study, at a secondary hospital. Multi-organ PoCUS was performed during the first 24 h of admission. The sonographer had access to the patients’ medical history, physical examination, and basic complementary tests performed in the Emergency Department (laboratory, X-ray, electrocardiogram). We considered a relevant ultrasound finding if it implied a significant diagnostic and/or therapeutic change. In the second semester of 2019, we enrolled 310 patients, 48.7% were male and the mean age was 70.5 years. Relevant ultrasound findings were detected in 86 patients (27.7%) and in 60 (19.3%) triggered a therapeutic change. These findings were associated with an older age (Mantel–Haenszel χ<sup>2</sup> = 25.6; <i>p</i> < 0.001) and higher degree of dependency (Mantel–Haenszel χ<sup>2</sup> = 5.7; <i>p</i> = 0.017). Multi-organ PoCUS provides relevant diagnostic information, complementing traditional physical examination, and facilitates therapy adjustment, regardless of the cause of admission. Multi-organ PoCUS to be useful need to be systematically integrated into the decision-making process in internal medicine. |
| first_indexed | 2024-03-09T10:33:16Z |
| format | Article |
| id | doaj.art-9aa0af1b42364b59a50dea5f66e1434a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T10:33:16Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9aa0af1b42364b59a50dea5f66e1434a2023-12-01T21:07:20ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01118225610.3390/jcm11082256Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal MedicineIrene Casado-López0Yale Tung-Chen1Marta Torres-Arrese2Davide Luordo-Tedesco3Arantzazu Mata-Martínez4Jose Manuel Casas-Rojo5Esther Montero-Hernández6Gonzalo García De Casasola-Sánchez7Department of Internal Medicine, Hospital Infanta Cristina, Parla, 28981 Madrid, SpainDepartment of Internal Medicine, Hospital Universitario La Paz, 28046 Madrid, SpainDepartment of Emergency Medicine, Hospital Universtario Fundación de Alcorcón, Alcorcón, 28922 Madrid, SpainDepartment of Internal Medicine, Hospital Infanta Cristina, Parla, 28981 Madrid, SpainDepartment of Emergency Medicine, Hospital Universtario Fundación de Alcorcón, Alcorcón, 28922 Madrid, SpainDepartment of Internal Medicine, Hospital Infanta Cristina, Parla, 28981 Madrid, SpainDepartment of Internal Medicine, Hospital Universitario Puerta de Hierro Majadahonda, IDIPHISA, 28222 Madrid, SpainDepartment of Emergency Medicine, Hospital Universtario Fundación de Alcorcón, Alcorcón, 28922 Madrid, SpainAccumulated data show the utility of diagnostic multi-organ point-of-care ultrasound (PoCUS) in the assessment of patients admitted to an internal medicine ward. We assessed whether multi-organ PoCUS (lung, cardiac, and abdomen) provides relevant diagnostic and/or therapeutic information in patients admitted for any reason to an internal medicine ward. We conducted a prospective, observational, and single-center study, at a secondary hospital. Multi-organ PoCUS was performed during the first 24 h of admission. The sonographer had access to the patients’ medical history, physical examination, and basic complementary tests performed in the Emergency Department (laboratory, X-ray, electrocardiogram). We considered a relevant ultrasound finding if it implied a significant diagnostic and/or therapeutic change. In the second semester of 2019, we enrolled 310 patients, 48.7% were male and the mean age was 70.5 years. Relevant ultrasound findings were detected in 86 patients (27.7%) and in 60 (19.3%) triggered a therapeutic change. These findings were associated with an older age (Mantel–Haenszel χ<sup>2</sup> = 25.6; <i>p</i> < 0.001) and higher degree of dependency (Mantel–Haenszel χ<sup>2</sup> = 5.7; <i>p</i> = 0.017). Multi-organ PoCUS provides relevant diagnostic information, complementing traditional physical examination, and facilitates therapy adjustment, regardless of the cause of admission. Multi-organ PoCUS to be useful need to be systematically integrated into the decision-making process in internal medicine.https://www.mdpi.com/2077-0383/11/8/2256point-of-care ultrasoundinternal medicinelung ultrasoundechocardiographyabdominal ultrasound |
| spellingShingle | Irene Casado-López Yale Tung-Chen Marta Torres-Arrese Davide Luordo-Tedesco Arantzazu Mata-Martínez Jose Manuel Casas-Rojo Esther Montero-Hernández Gonzalo García De Casasola-Sánchez Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine Journal of Clinical Medicine point-of-care ultrasound internal medicine lung ultrasound echocardiography abdominal ultrasound |
| title | Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine |
| title_full | Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine |
| title_fullStr | Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine |
| title_full_unstemmed | Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine |
| title_short | Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine |
| title_sort | usefulness of multi organ point of care ultrasound as a complement to the decision making process in internal medicine |
| topic | point-of-care ultrasound internal medicine lung ultrasound echocardiography abdominal ultrasound |
| url | https://www.mdpi.com/2077-0383/11/8/2256 |
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