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The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country
PURPOSE: Cardiac, lung, and inferior vena cava (IVC) ultrasound are commonly performed in the care of emergency patients especially patient presented with hypotension or shock. However, the literature indicated the limitation of IVC to assess shocked patients. This study aims to determine the effica...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9554831/ https://www.ncbi.nlm.nih.gov/pubmed/36250194 http://dx.doi.org/10.1016/j.ejro.2022.100446 |
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author | Ienghong, Kamonwon Cheung, Lap Woon Tiamkao, Somsak Bhudhisawasdi, Vajarabhongsa Apiratwarakul, Korakot |
author_facet | Ienghong, Kamonwon Cheung, Lap Woon Tiamkao, Somsak Bhudhisawasdi, Vajarabhongsa Apiratwarakul, Korakot |
author_sort | Ienghong, Kamonwon |
collection | PubMed |
description | PURPOSE: Cardiac, lung, and inferior vena cava (IVC) ultrasound are commonly performed in the care of emergency patients especially patient presented with hypotension or shock. However, the literature indicated the limitation of IVC to assess shocked patients. This study aims to determine the efficacy of combined cardiac and lung ultrasound for evaluation the etiology of shock. MATERIALS AND METHODS: A cross-sectional study was conducted on patient with shock at emergency department, Srinagarind Hospital, Thailand, from January to December 2021. Adult shocked patients who met the criteria were included in this study. Ultrasound and emergency department medical records were documented and analyzed as sensitivity, specificity, predictive value, negative predictive value, diagnostic accuracy, and Cohen's kappa coefficient (κ). RESULTS: One hundred and two who met the criteria were enrolled. Combined cardiac and lung scans were found to be accurate 99.02% and 93.04% in obstructive and cardiogenic shock. In patients with obstructive shock was the almost perfect agreement, (κ) = 0.85. However, distributive, and hypovolemic shock had the low concordance with the final hospital diagnosis, (κ) = 0.37 and 0.43, respectively. CONCLUSIONS: The integration of cardiac and lung ultrasound can be effectively used to narrow differential diagnosis of shock. |
format | Online Article Text |
id | pubmed-9554831 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-95548312022-10-13 The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country Ienghong, Kamonwon Cheung, Lap Woon Tiamkao, Somsak Bhudhisawasdi, Vajarabhongsa Apiratwarakul, Korakot Eur J Radiol Open Article PURPOSE: Cardiac, lung, and inferior vena cava (IVC) ultrasound are commonly performed in the care of emergency patients especially patient presented with hypotension or shock. However, the literature indicated the limitation of IVC to assess shocked patients. This study aims to determine the efficacy of combined cardiac and lung ultrasound for evaluation the etiology of shock. MATERIALS AND METHODS: A cross-sectional study was conducted on patient with shock at emergency department, Srinagarind Hospital, Thailand, from January to December 2021. Adult shocked patients who met the criteria were included in this study. Ultrasound and emergency department medical records were documented and analyzed as sensitivity, specificity, predictive value, negative predictive value, diagnostic accuracy, and Cohen's kappa coefficient (κ). RESULTS: One hundred and two who met the criteria were enrolled. Combined cardiac and lung scans were found to be accurate 99.02% and 93.04% in obstructive and cardiogenic shock. In patients with obstructive shock was the almost perfect agreement, (κ) = 0.85. However, distributive, and hypovolemic shock had the low concordance with the final hospital diagnosis, (κ) = 0.37 and 0.43, respectively. CONCLUSIONS: The integration of cardiac and lung ultrasound can be effectively used to narrow differential diagnosis of shock. Elsevier 2022-10-08 /pmc/articles/PMC9554831/ /pubmed/36250194 http://dx.doi.org/10.1016/j.ejro.2022.100446 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ienghong, Kamonwon Cheung, Lap Woon Tiamkao, Somsak Bhudhisawasdi, Vajarabhongsa Apiratwarakul, Korakot The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country |
title | The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country |
title_full | The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country |
title_fullStr | The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country |
title_full_unstemmed | The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country |
title_short | The diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – Resourced limited country |
title_sort | diagnostic capabilities of the combined cardiac and lung point of care ultrasound in shocked patients at the emergency department – resourced limited country |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9554831/ https://www.ncbi.nlm.nih.gov/pubmed/36250194 http://dx.doi.org/10.1016/j.ejro.2022.100446 |
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