Using remote consultation to enhance diagnostic accuracy of bedside transthoracic echocardiography during COVID‐19 pandemic
| Autor: | Lixue Yin, Huanxing Li, Jing Luo, Jing Lu, Rui Shi, Jun Lin, Yang Ge |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) telehealth Diagnostic accuracy heart 030204 cardiovascular system & hematology Left ventricular hypertrophy 03 medical and health sciences 0302 clinical medicine Cohen's kappa tele‐ultrasonography medicine Humans Radiology Nuclear Medicine and imaging Clinical significance 030212 general & internal medicine Pandemics tele‐echocardiography Remote Consultation business.industry SARS-CoV-2 pandemic COVID-19 Reproducibility of Results Gold standard (test) Original Articles medicine.disease Echocardiography Emergency medicine Original Article telemedicine Cardiology and Cardiovascular Medicine business Kappa |
| Zdroj: | Echocardiography (Mount Kisco, N.y.) |
| ISSN: | 1540-8175 0742-2822 |
| Popis: | Objective The aim of this study was to evaluate the clinical significance of remote consultation over bedside transthoracic echocardiography (RC‐B‐TTE) for patients with coronavirus disease 2019 (COVID‐19). Methods Five frontline echocardiographers performed and interpreted B‐TTE for 30 patients with COVID‐19 in the isolation wards, and the on‐site B‐TTE reports (OSR) were generated. Then remote consultation over the 30 B‐TTE studies was conducted by two experienced echocardiographic consultants while blinded to the OSR, and the corresponding remote consultation reports (RCR) were generated. Subsequently, the five frontline echocardiographers were convened together to discuss the difference between the OSR and RCR, and to confirm the correct interpretation and the misdiagnosis using a “majority‐vote” consensus as the diagnostic “gold standard”. Afterwards the reasons for the misdiagnosis were given by the frontline echocardiographers themselves. The inter‐rater agreement between the OSR and the “gold standard” was assessed using Kappa coefficient and percent agreement. Results Complete correctness of the 30 copies of the RCR were determined by the 5 frontline echocardiographers. The reliability of the OSR in the findings of cardiac chamber dilation, left ventricular hypertrophy and pulmonary hypertension were weak (Kappa |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text