Retrospective Review of Ocular Point-of-Care Ultrasound for Detection of Retinal Detachment
| Autor: | Bradley H. Jacobsen, Amy Patel, Shadi Lahham, Sari Lahham, John C. Fox, Sophia C. Spann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent genetic structures Point-of-Care Systems lcsh:Medicine Sensitivity and Specificity 03 medical and health sciences Young Adult retinal detachment 0302 clinical medicine Ophthalmology Ultrasound medicine Humans 030212 general & internal medicine Child Depression (differential diagnoses) Ocular ultrasound Aged Retrospective Studies Ultrasonography Original Research Aged 80 and over Retrospective review Retina business.industry Point of care ultrasound lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid Retinal detachment 030208 emergency & critical care medicine Retrospective cohort study Ultrasound Ocular ultrasound retinal detachment General Medicine Emergency department lcsh:RC86-88.9 Middle Aged medicine.disease eye diseases medicine.anatomical_structure Emergency Medicine Female sense organs Technology In Emergency Medicine business Emergency Service Hospital |
| Zdroj: | Western Journal of Emergency Medicine, Vol 17, Iss 2, Pp 196-200 (2016) Jacobsen, Bradley; Lahham, Sari; Lahham, Shadi; Patel, Amy; Spann, Sophia; & Fox, John C.(2016). Retrospective Review of Ocular Point-of-Care Ultrasound for Detection of Retinal Detachment. Western Journal of Emergency Medicine, 17(2). doi: 10.5811/westjem.2015.12.28711. Retrieved from: http://www.escholarship.org/uc/item/46f4c3r4 Western Journal of Emergency Medicine |
| ISSN: | 1936-9018 |
| DOI: | 10.5811/westjem.2015.12.28711. |
| Popis: | Introduction: Retinal detachment is an ocular emergency that commonly presents to the emergency department (ED). Ophthalmologists are able to accurately make this diagnosis with a dilated fundoscopic exam, scleral depression or ophthalmic ultrasound when a view to the retina is obstructed. Emergency physicians (EPs) are not trained to examine the peripheral retina, and thus ophthalmic ultrasound can be used to aid in diagnosis. We assessed the accuracy of ocular point-of-care ultrasound (POCUS) in diagnosing retinal detachment. Methods: We retrospectively reviewed charts of ED patients with suspected retinal detachment who underwent ocular POCUS between July 2012 and May 2015. Charts were reviewed for patients presenting to the ED with ocular complaints and clinical concern for retinal detachment. We compared ocular POCUS performed by EPs against the criterion reference of the consulting ophthalmologist’s diagnosis. Results: We enrolled a total of 109 patients. Of the 34 patients diagnosed with retinal detachment by the ophthalmologists, 31 were correctly identified as having retinal detachment by the EP using ocular POCUS. Of the 75 patients who did not have retinal detachment, 72 were ruled out by ocular POCUS by the EP. This resulted in a POCUS sensitivity of 91% (95% CI [76-98]) and specificity of 96% (95% CI [89-99]). Conclusion: This retrospective study suggests that ocular POCUS performed by EPs can aid in the diagnosis of retinal detachment in ED. |
| Databáze: | OpenAIRE |
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