Accuracy of ED Bedside Ultrasound for Identification of gallstones: retrospective analysis of 575 studies.
| Autor: | Scruggs W; Department of Emergency Medicine, University of California Irvine, School of Medicine., Fox JC, Potts B, Zlidenny A, McDonough J, Anderson CL, Larson J, Barajas G, Langdorf MI |
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| Jazyk: | angličtina |
| Zdroj: | The western journal of emergency medicine [West J Emerg Med] 2008 Jan; Vol. 9 (1), pp. 1-5. |
| Abstrakt: | Study Objective: To determine the ability of emergency department (ED) physicians to diagnose cholelithiasis with bedside ultrasound. Methods: ED gallbladder ultrasounds recorded over 37 months were compared to radiology ultrasound interpretation. Results: Of 1,690 ED gallbladder ultrasound scans performed during this period, radiology ultrasound was performed in 575/1690 (34%) cases. ED physician bedside interpretation was 88% sensitive [95% CI, 84-91] and 87% specific [95% CI, 82-91], while positive predictive value (PPV) was 91% [88-94%] and negative predictive value (NPV) was 83% [78-87%], using radiology interpretation as the criterion reference. Conclusion: ED physician ultrasound of the gallbladder for cholelithiasis is both sensitive and specific. |
| Databáze: | MEDLINE |
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