Impact of point-of-care ultrasound on disposition time of patients presenting with lower extremity deep vein thrombosis, done by emergency physicians

Autor: Javad Seyedhosseini, Arash Fadavi, Elnaz Vahidi, Morteza Saeedi, Mehdi Momeni
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Turkish Journal of Emergency Medicine, Vol 18, Iss 1, Pp 20-24 (2018)
Druh dokumentu: article
ISSN: 2452-2473
DOI: 10.1016/j.tjem.2017.12.003
Popis: Background: Point-of-care venous compression ultrasound (VCU) is highly accurate in deep vein thrombosis (DVT) diagnosis; however, waiting to perform this exam by radiologists, may cause delay in patients' disposition. Objective: To compare the effect of point-of-care VCU on patients' disposition time, done by emergency physician versus radiologists. Methods: A total of 50 patients suspected of having lower extremity DVT, were randomized into 2 equal groups and they underwent a point-of-care VCU performed either by an emergency physician (emergency medicine (EM) group) or a radiologist (radiology group). The mean time of patients' disposition and management were compared between the two groups. Results: The EM group consisted of 16 males and 9 females while the radiology group consisted of 13 males and 12 females. The median time elapsed from triage to performing ultrasonography and the median time elapsed from triage to final disposition were significantly lower in the EM group than those in the radiology group (50 min vs. 142 min, and 69 min vs. 260 min, respectively; p
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