Can Untrained Patients Perform Their Own Skin and Soft Tissue Ultrasound Examination by Teleguidance?

Autor:	Saati A; Department of Cardiovascular Medicine Section of Vascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation Cleveland, OH USA., Au A; Department of Emergency Medicine, Thomas Jefferson University Philadelphia, PA USA., Joshi AU; Digital Health Intelligence, MDisrupt, Founder, Nagamed LLC., Davis R; Department of Internal Medicine, Thomas Jefferson University Philadelphia, PA USA., West FM; Department of Internal Medicine, Division of Pulmonary, Allergy, & Critical Care Medicine, Thomas Jefferson University Philadelphia, PA USA., Lewiss RE; Department of Emergency Medicine, University of Alabama at Birmingham Birmingham, AL USA.
Jazyk:	angličtina
Zdroj:	POCUS journal [POCUS J] 2023 Nov 27; Vol. 8 (2), pp. 159-164. Date of Electronic Publication: 2023 Nov 27 (Print Publication: 2023).
DOI:	10.24908/pocus.v8i2.16454
Abstrakt:	Objectives: This pilot study aims to determine if patients untrained in performing ultrasound can self-scan to obtain images under remote clinician teleguidance during a simulated telehealth encounter. This study also seeks to describe the patients' comfort level and barriers to performing an ultrasound examination on themselves using a handheld ultrasound device. Methods: This was a single center prospective observational cohort study conducted over a 4-month period in 2021. Patients were eligible if they had no prior training in the use of ultrasound and in the use of teleguidance. They voluntarily consented to participate at a single ambulatory internal medicine clinic. Results: 20 participants were enrolled and underwent teleguidance to ultrasound their own skin and soft tissues at the antecubital fossae. Six second video clips were evaluated by 2 subject matter experts using the Point of Care Ultrasound Image Quality scale. A score >7 was considered adequate for diagnostic interpretation. The average score was 10.15/14, with a minimum score of 5/14, and maximum score of 14/14 and a standard deviation (SD) of 2.39 using a two tailed Z-score. Setting alpha at 0.05 the 95% CI was (5.47-14.83). Conclusion: In a pilot study of 20 participants with no ultrasound experience, untrained healthy volunteers were able to perform technically acceptable and interpretable ultrasound scans using teleguidance by a trained clinician. Competing Interests: This work has not been presented at meetings, no grant support was received. REL serves on the Medical Advisory Board for EchoNous, on the board of PURE, on the board of Society for Clinical Ultrasound Fellowships (SCUF), and previously received equipment support from Phillips Healthcare and Butterfly Network. Otherwise, there are no disclosures of relevant commercial interests. (Copyright (c) 2023 Ammar Saati, Arthur Au, Aditi Joshi, Rebecca Davis, Frances Mae West, Resa E Lewiss.)
Databáze:	MEDLINE
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