Clinical Impact of Point-of-Care Ultrasound in Internal Medicine Inpatients: A Systematic Review
| Autor: | Alistair Royse, David Canty, Doa El-Ansary, William Hoang, C. Royse, Ximena Cid-Serra |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Inpatients Acoustics and Ultrasonics Radiological and Ultrasound Technology business.industry Point of care ultrasound Point-of-Care Systems Biophysics MEDLINE Length of hospitalization CINAHL Cochrane Library Length of Stay Patient management Patient safety Clinical research Point-of-Care Testing Internal medicine Medicine Humans Radiology Nuclear Medicine and imaging business Ultrasonography |
| Zdroj: | Ultrasound in medicinebiology. 48(2) |
| ISSN: | 1879-291X |
| Popis: | The aim in this systematic review was to determine the effect of point-of-care ultrasound (POCUS) on the clinical decision-making process and patient outcomes in adults admitted to the general medicine ward. A comprehensive search was performed in MEDLINE (Ovid), EMBASE (Ovid), PubMed, the Cochrane Library, ClinicalTrials.gov, Scopus, LILACS and Cinahl. Articles had to fulfill the inclusion criteria of randomised or non-randomised studies assessing the impact of POCUS on the diagnosis, management, length of hospital stay or mortality of patients admitted to the internal medicine ward. Six studies were included involving a total of 1836 patients. The influence of POCUS on the diagnosis was reported as a change in the main diagnosis or the addition of a relevant diagnosis in up to 18% and 24% of the cases, respectively. Impact on the management plan was reported in 37% to 52.1% of the participants. Three studies documented the impact of POCUS on the length of stay. Two of them reported no difference between groups, and the other reported a significant reduction of 1 d of the hospital stay. In conclusion, POCUS appears to have positive effects on the clinical decision-making process with impacts on optimal patient management and possible reduction in the hospital length of stay. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|