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Point of care prehospital ultrasound in Basic Emergency Services in Portugal

2022-09Journal article Open access
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dc.contributor.authorLobo, Manuel José Cruz Duarte
dc.contributor.authorTavares, Sérgio
dc.contributor.authorAlmeida, Rui
dc.date.accessioned2022-09-21T13:59:15Z
dc.date.available2022-09-21T13:59:15Z
dc.date.issued2022-09
dc.date.updated2022-09-21T09:05:11Z
dc.description.abstractBackground and Aims: The Point of Care Ultrasound and Point‐of‐Care Ultrasound in Resource‐Limited Settings are differentiated diagnostic methods using ultrasound, essential in urgent patients screening, allowing better guidance in the diagnostic process and therapeutic approach. This study intends to observe the impact of these techniques in two Basic Emergency Services (SUB) in Portugal. Methods: A longitudinal study was carried out in two remote locations in Portugal (SUB N and SUB S). Data were collected by trained radiographers in each location, and a total of 972 exams were considered. Imaging findings were documented by exam type, the exam normality and the resolution after exam. χ 2 and Cramer's V tests were performed to check significant correlations between the variables. Results: Regarding the type of echographic findings, 289 (29.7%) were considered normal, 628 (64.6%) were classified as abnormal and 55 (5.7%) were considered inconclusive. As for the type of resolution, 58% had local resolution, 24% were referred to a hospital emergency service and 18% referred to ambulatory care. Regarding the Location versus Resolution after exam versus Findings variables, it was verified a stronger statistically significant association for the exams considered “Abnormal” (Cramer´s V = 0.414; p < 0.001). In the variables Location versus Findings versus Resolution after exam, it was verified a stronger statistical significance for “Referral to Ambulatory” (Cramer V = 0.443; p < 0.001) although Referral for Hospital (Cramer V = 0.252; p = 0.003) or Local Resolution (Cramer V = 0.252; p < 0.001) also had a moderate association strength. Conclusion: Ultrasonography is a useful diagnostic tool for patients screening, having an influence on patient management in remote settings. Given the limited literature in Portugal about this matter, further research and literature will be needed to support and complement the results of this study.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1002/hsr2.847pt_PT
dc.identifier.issn2398-8835
dc.identifier.slugcv-prod-3048190
dc.identifier.urihttp://hdl.handle.net/10400.1/18277
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectPOCUSpt_PT
dc.subjectPortugalpt_PT
dc.subjectPURLSpt_PT
dc.subjectRadiographerpt_PT
dc.subjectRemotept_PT
dc.subjectUltrasoundpt_PT
dc.titlePoint of care prehospital ultrasound in Basic Emergency Services in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue5pt_PT
oaire.citation.titleHealth Science Reportspt_PT
oaire.citation.volume5pt_PT
person.familyNameAlmeida
person.givenNameRui
person.identifier.ciencia-id0113-F406-B03C
person.identifier.orcid0000-0001-7524-9669
person.identifier.scopus-author-id55556024200
rcaap.cv.cienciaid0113-F406-B03C | Rui Pedro Pereira de Almeida
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication61d38bec-7094-4511-9b37-d8d0ffb9586f
relation.isAuthorOfPublication.latestForDiscovery61d38bec-7094-4511-9b37-d8d0ffb9586f

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