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Renal screening sonography—a comparative study in a portuguese basic emergency service

2024-06-18Journal article Open access
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dc.contributor.authorJiménez, Carmen
dc.contributor.authorBarbancho, Narciso
dc.contributor.authorLobo, Manuel Duarte
dc.contributor.authorJoão Mário Gonçalves
dc.contributor.authorCorina Hasnas
dc.contributor.authorMiravent, Sérgio
dc.contributor.authorFigueiredo, Teresa
dc.contributor.authorAlmeida, Rui
dc.contributor.authorGomes, Carla Marisa
dc.contributor.authorRatusneac, Ion
dc.date.accessioned2024-08-01T11:43:51Z
dc.date.available2024-08-01T11:43:51Z
dc.date.issued2024-06-18
dc.description.abstractRenal Point-of-Care Ultrasound (POCUS) is a screening modality that aids in clinical decision-making for patients with suspected renal colic. This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with the imaging findings at the Referral Hospital (RH). Methods: Thirty-one patients suspected of having renal pathology underwent initial sonography screening with POCUS at the BES and were subsequently referred to the RH for additional imaging examinations. The results of both examinations were compared to verify whether the findings from the BES were confirmed by the radiologist in the RH and to ensure that the patient referrals from BES to RH were appropriate. Results: In our sample, the majority of patients (80%) exhibited varying degrees of pyelocaliceal distension, with nearly half (48%) patients presenting obstructions. A strong association between the sonographic findings in the BES and the RH was found in the variables ‘Dilatation of pyelocaliceal system’ (V = 0.895; P = 0.00), ‘Simple cystic formation’ (V = 0.878; P = 0.000), respectively. There was a statistically significant correlation between BES and RH findings, indicating a strong association between these two variables, respectively (k = 0.890; P = 0.000) and (k = 0.870; P = 0.000). There was also a strong statistically significant correlation in the ultrasonographic findings between BES and RH performers (k = 0.890; P = 0.000 and k = 0.870; P = 0.000). In this research, an achieved sensitivity of 96% and a specificity of 85% were demonstrated in the identification of pyelocaliceal dilatation. Conclusion: Renal POCUS screening successfully detected abnormalities in the urinary system of patients suspected of having renal colic. The sonographic findings at the BES had a good correlation with the complementary imaging results obtained at the RH in Portugal. These results suggest that Radiographers/Sonographers can have an important role in the preliminary assessment of urgent renal pathology in remote areas, contributing to a correct referral and early treatment.por
dc.identifier.doi10.1002/jmrs.802
dc.identifier.issn2051-3895
dc.identifier.urihttp://hdl.handle.net/10400.1/25765
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relation.ispartofJournal of Medical Radiation Sciences
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPatients
dc.subjectPOCUS
dc.subjectPpyelocaliceal
dc.subjectRenal
dc.subjectScreening
dc.subjectSonographers
dc.subjectUltrasound
dc.titleRenal screening sonography—a comparative study in a portuguese basic emergency serviceeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage9
oaire.citation.startPage1
oaire.citation.titleJournal of Medical radiation Sciences
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMiravent
person.familyNameFigueiredo
person.familyNameAlmeida
person.familyNameGomes
person.familyNameRatusneac
person.givenNameSérgio
person.givenNameTeresa
person.givenNameRui
person.givenNameCarla Marisa
person.givenNameIon
person.identifier.ciencia-id0F1C-9505-9066
person.identifier.ciencia-id0113-F406-B03C
person.identifier.orcid0000-0002-1345-5747
person.identifier.orcid0000-0002-0569-4764
person.identifier.orcid0000-0001-7524-9669
person.identifier.orcid0000-0002-3832-7979
person.identifier.orcid0009-0008-9860-5855
person.identifier.scopus-author-id55556024200
relation.isAuthorOfPublication7c05ee8a-d45b-4438-899a-7c3cf65562aa
relation.isAuthorOfPublicationc128d047-dd07-42ce-9029-c52c5767145d
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relation.isAuthorOfPublication.latestForDiscovery7c05ee8a-d45b-4438-899a-7c3cf65562aa

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