Using Critical Care Chest Ultrasonic Examination in Emergency Consultation: A Pilot Study |
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| Institution: | 1. Division of Pulmonary, Critical Care and Sleep Medicine, Thoracic Oncology, Pleural Diseases and Interventional Pulmonology Department, North University Hospital, Marseille, France;2. National Jewish Health, Thoracic Endoscopy Unit, Thoracic Oncology, Pleural Diseases and Interventional Pulmonology Department, North University Hospital, Marseille, France;1. Department of Ultrasound, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China;2. Department of Hepatobiliary Pancreatic Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China;3. Department of Pathology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China;1. King Khaled Eye Specialist Hospital and Research Center, Riyadh, Saudi Arabia;2. Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA;1. Jules Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California;2. Veterans Administration, Greater Los Angeles Healthcare System, Los Angeles, California;1. Centre for Chronic Disease Prevention & Management, College of Health & Biomedicine, Victoria University, Melbourne, Australia;2. Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Australia;1. Condensed Matter Science and Technology Institute, Harbin Institute of Technology, Harbin 150001, China;2. School of Civil Engineering, Harbin Institute of Technology, Harbin 150001, China;3. School of Chemistry and Chemical Engineering, Henan University of Technology, Zhengzhou 450001, China |
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| 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 a problem-need transfer to an intensive care unit (ICU). 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 CCUE). 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, final diagnosis, treatment response and X-ray/computed tomography examination; a delay in ICU transfer and ICU stay days (3.9 ± 1.2 vs. 5.4 ± 1.9 d, p < 0.05) and a higher diagnostic accuracy than the conventional group (p < 0.001). In conclusion, CCUE could help early diagnosis and therapy for the patient who may need to transfer to the ICU and reduce the ICU stay for in-hospital patients in emergent consultation. |
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| Keywords: | Critical care ultrasonography Lung ultrasonography Emergent consultation Outcome |
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