Novice Accuracy in Ultrasound and Stethoscope Study (NAUSS).

Autor:	Howell CM; Christopher M. Howell, DSc, MSc, MPAS, PA-C, MBA , is an associate professor in the College of Arts and Science at Miami University in Oxford, Ohio.; Andrea L. Kaelin, MD , is an associate professor and emergency medicine residency ultrasound director at Wright State University in Dayton, Ohio.; Brian M. Pennington, MD , is an assistant professor of emergency medicine, Grandview Medical Center, Department of Emergency Medicine, in Dayton, Ohio.; Jake D. Sillaman, MPAS, PA-C , is a physician assistant at Kettering Physician Network Heart and Vascular in Kettering, Ohio.; Megan R. Bonk, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio.; Vanessa S. Rogers, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio., Kaelin AL; Christopher M. Howell, DSc, MSc, MPAS, PA-C, MBA , is an associate professor in the College of Arts and Science at Miami University in Oxford, Ohio.; Andrea L. Kaelin, MD , is an associate professor and emergency medicine residency ultrasound director at Wright State University in Dayton, Ohio.; Brian M. Pennington, MD , is an assistant professor of emergency medicine, Grandview Medical Center, Department of Emergency Medicine, in Dayton, Ohio.; Jake D. Sillaman, MPAS, PA-C , is a physician assistant at Kettering Physician Network Heart and Vascular in Kettering, Ohio.; Megan R. Bonk, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio.; Vanessa S. Rogers, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio., Pennington BM; Christopher M. Howell, DSc, MSc, MPAS, PA-C, MBA , is an associate professor in the College of Arts and Science at Miami University in Oxford, Ohio.; Andrea L. Kaelin, MD , is an associate professor and emergency medicine residency ultrasound director at Wright State University in Dayton, Ohio.; Brian M. Pennington, MD , is an assistant professor of emergency medicine, Grandview Medical Center, Department of Emergency Medicine, in Dayton, Ohio.; Jake D. Sillaman, MPAS, PA-C , is a physician assistant at Kettering Physician Network Heart and Vascular in Kettering, Ohio.; Megan R. Bonk, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio.; Vanessa S. Rogers, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio., Sillaman JD; Christopher M. Howell, DSc, MSc, MPAS, PA-C, MBA , is an associate professor in the College of Arts and Science at Miami University in Oxford, Ohio.; Andrea L. Kaelin, MD , is an associate professor and emergency medicine residency ultrasound director at Wright State University in Dayton, Ohio.; Brian M. Pennington, MD , is an assistant professor of emergency medicine, Grandview Medical Center, Department of Emergency Medicine, in Dayton, Ohio.; Jake D. Sillaman, MPAS, PA-C , is a physician assistant at Kettering Physician Network Heart and Vascular in Kettering, Ohio.; Megan R. Bonk, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio.; Vanessa S. Rogers, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio., Bonk MR; Christopher M. Howell, DSc, MSc, MPAS, PA-C, MBA , is an associate professor in the College of Arts and Science at Miami University in Oxford, Ohio.; Andrea L. Kaelin, MD , is an associate professor and emergency medicine residency ultrasound director at Wright State University in Dayton, Ohio.; Brian M. Pennington, MD , is an assistant professor of emergency medicine, Grandview Medical Center, Department of Emergency Medicine, in Dayton, Ohio.; Jake D. Sillaman, MPAS, PA-C , is a physician assistant at Kettering Physician Network Heart and Vascular in Kettering, Ohio.; Megan R. Bonk, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio.; Vanessa S. Rogers, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio., Rogers VS; Christopher M. Howell, DSc, MSc, MPAS, PA-C, MBA , is an associate professor in the College of Arts and Science at Miami University in Oxford, Ohio.; Andrea L. Kaelin, MD , is an associate professor and emergency medicine residency ultrasound director at Wright State University in Dayton, Ohio.; Brian M. Pennington, MD , is an assistant professor of emergency medicine, Grandview Medical Center, Department of Emergency Medicine, in Dayton, Ohio.; Jake D. Sillaman, MPAS, PA-C , is a physician assistant at Kettering Physician Network Heart and Vascular in Kettering, Ohio.; Megan R. Bonk, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio.; Vanessa S. Rogers, MPAS, PA-C , is an assistant professor in the Physician Assistant Program at Kettering College in Kettering, Ohio.
Jazyk:	angličtina
Zdroj:	The journal of physician assistant education : the official journal of the Physician Assistant Education Association [J Physician Assist Educ] 2022 Sep 01; Vol. 33 (3), pp. 229-233.
DOI:	10.1097/JPA.0000000000000453
Abstrakt:	Introduction: The purpose of this noninferiority study was the accurate determination of valvular heart disease, using bedside echocardiogram as compared to stethoscope, by a novice clinician examiner. Methods: We conducted a single university, single program study to investigate the use of bedside ultrasound in the hands of a novice clinical user, defined as someone with fewer than 2 years of clinical education. We enrolled 8 examinees with evidence of valvular heart disease to be assessed by 13 subjects. Results: Descriptive statistics revealed echocardiogram accuracy of 56% compared to 44% accuracy with stethoscope, though not statistically significant. Interestingly, 31% of subjects obtained equal measures with both instruments. Correlation proficiency between both modalities was also observed. Discussion: There is no statistically significant difference in novice examiner diagnostic accuracy using point-of-care echocardiograms for examination of valvular heart disease when compared with a stethoscope. Competing Interests: The authors declare no conflict of interest. (Copyright © 2022 Physician Assistant Education Association.)
Databáze:	MEDLINE
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