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Point-of-care Ultrasound as a Useful Tool for Assessment of Undifferentiated Dyspnea in Rapid Response Team Consultation

Point-of-care Ultrasound as a Useful Tool for Assessment of Undifferentiated Dyspnea in Rapid Response Team Consultation
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摘要 Objective The purpose of this study is to evaluate the role of point-of-care ultrasound( POCUS) in assessm ent of patients with dyspnea in Rapid Response Team( RRT)consultation. 53 patients were included and their pre-POCUS, post-POCUS and final diagnoses were docum ented. Com pared with pre-POCUS diagnoses,the accuracy of postPOCUS diagnoses increased significantly from 37.7% up to 79.2%,P<0.01( final diagnoses as golden standard). When stratified by etiology, we can see that POCUS im proved the diagnostic sensitivity and specificity in m ost of the diseases. But still there were 11 patients in whom POCUS fail to diagnose. And in those POCUS-fail group the m ortality seem ed higher than in POCUS achieved group. In conclusion POCUS is a convenient and useful diagnostic tool which can im prove the diagnostic accuracy of patients with sudden onset of dyspnea in RRT consultation. Objective The purpose of this study is to evaluate the role of point-of-care ultrasound( POCUS) in assessm ent of patients with dyspnea in Rapid Response Team( RRT)consultation. 53 patients were included and their pre-POCUS, post-POCUS and final diagnoses were docum ented. Com pared with pre-POCUS diagnoses,the accuracy of postPOCUS diagnoses increased significantly from 37.7% up to 79.2%,P<0.01( final diagnoses as golden standard). When stratified by etiology, we can see that POCUS im proved the diagnostic sensitivity and specificity in m ost of the diseases. But still there were 11 patients in whom POCUS fail to diagnose. And in those POCUS-fail group the m ortality seem ed higher than in POCUS achieved group. In conclusion POCUS is a convenient and useful diagnostic tool which can im prove the diagnostic accuracy of patients with sudden onset of dyspnea in RRT consultation.
机构地区 ICU Department
出处 《中华肺部疾病杂志(电子版)》 CAS 2018年第3期318-325,共8页 Chinese Journal of Lung Diseases(Electronic Edition)
关键词 POINT-OF-CARE ULTRASOUND Rapid Response Team Critical Care DYSPNEA ADVERSE Event Point-of-care Ultrasound Rapid Response Team Critical Care Dyspnea Adverse Event
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