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Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service

2023-05Journal article Open access
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dc.contributor.authorMiravent, Sérgio
dc.contributor.authorLobo, Manuel
dc.contributor.authorFigueiredo, Teresa
dc.contributor.authorJiménez, Carmen
dc.contributor.authorAlmeida, Rui
dc.date.accessioned2023-05-08T09:21:52Z
dc.date.available2023-05-08T09:21:52Z
dc.date.issued2023-05
dc.date.updated2023-05-08T09:12:21Z
dc.description.abstractBackground and Aims: The use of ultrasound screening is primarily facilitated by point‐of‐care ultrasound (POCUS) and its integration into healthcare systems is a result of the versatility of this imaging technique. This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with that of radiologists at referral hospital (RH) in Portugal. Methods: Twenty patients with right upper quadrant (RUQ) pain and suspected cholecystitis or biliary pathology underwent sonography screening using POCUS in the BES. They were then forwarded to the RH where a radiologist performed a conventional ultrasound exam on the same patients. The results of both exams were compared to determine if the findings obtained in the BES were confirmed by the radiologist in the RH. Results: In our sample, 60% of cases were related to biliary pathology, 20% were liver‐related, 10% had hepatopancreatic biliary etiology, and 10% had unknown etiology. A strong association between the sonographic findings in the BES and the RH was found in the variables “Sonographic Murphy sign” (V = 0.859; p = 0.001), “Cholelithiasis/Gallbladder sludge” (V = 0.840; p = 0.001), and “Intrahepatic biliary tract dilatation” (V = 0.717; p = 0.006). Adequate measures of agreement between the findings of the radiographer and radiologist were obtained for the “Sonographic Murphy sign” (k = 0.664; p = 0.001) and the presence of “Cholelithiasis/Gallbladder sludge” (k = 0.712; p = 0.000). Conclusion: Major biliary abnormalities were detected in patients with RUQ pain in BES using sonography. The correlation between the sonographic findings obtained by the sonographers at BES and those obtained by radiologists at the RH in Portugal was strong, showing that POCUS screening could be extended to other similar settings; however, more studies are needed.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1002/hsr2.1251pt_PT
dc.identifier.issn2398-8835
dc.identifier.slugcv-prod-3264913
dc.identifier.urihttp://hdl.handle.net/10400.1/19515
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAbdominal painpt_PT
dc.subjectPatientspt_PT
dc.subjectPOCUSpt_PT
dc.subjectRadiologistspt_PT
dc.subjectScreeningpt_PT
dc.subjectSonographerspt_PT
dc.subjectUltrasoundpt_PT
dc.titleEffectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency servicept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue5pt_PT
oaire.citation.startPage1251pt_PT
oaire.citation.titleHealth Science Reportspt_PT
oaire.citation.volume6pt_PT
person.familyNameMiravent
person.familyNameFigueiredo
person.familyNameAlmeida
person.givenNameSérgio
person.givenNameTeresa
person.givenNameRui
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.scopus-author-id55556024200
rcaap.cv.cienciaid0113-F406-B03C | Rui Pedro Pereira de Almeida
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication7c05ee8a-d45b-4438-899a-7c3cf65562aa
relation.isAuthorOfPublicationc128d047-dd07-42ce-9029-c52c5767145d
relation.isAuthorOfPublication61d38bec-7094-4511-9b37-d8d0ffb9586f
relation.isAuthorOfPublication.latestForDiscovery61d38bec-7094-4511-9b37-d8d0ffb9586f

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