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Using Critical care chest ultrasonic examination in emergency consultation: a pilot study

Authors
Journal
Ultrasound in Medicine & Biology
0301-5629
Publisher
Elsevier
Identifiers
DOI: 10.1016/j.ultrasmedbio.2014.09.010
Keywords
  • Critical Care Ultrasonography
  • Lung Ultrasonography
  • Emergent Consultation
  • Outcome
Disciplines
  • Medicine

Abstract

Abstract The purpose of this study was to investigate the effects of critical care chest ultrasonic examination (CCUE) by intensivist on the diagnosis and treatment decisions in emergent consultation for patients who may have problem need transfer to intensive care unit . A total of 130 patients who required emergent consultation in the ordinary wards were included in this study. Patients were randomly divided into conventional group (n=63)and CCUE group (n=67,added critical care chest ultrasonic examination).The two groups showed no significant differences in general clinical information or final diagnosis (P > 0.05). The CCUE group had a shorter time to preliminary diagnosis, time to final diagnosis, time to treatment response, time to X-ray/CT examination, delay in ICU transfer, and ICU stay days(3.9 ± 1.2 vs 5.4 ± 1.9 days, P < 0.05) and a higher diagnostic accuracy than the conventional group (P < 0.001). In conclusions, CCUE could help early diagnosis and therapy for the patient who may have problem need transfer to intensive care unit , and reduce the ICU stay for in-hospital patients in emergent consultation

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