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

2022Research article Open access
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datacite.subject.fosCiências Médicas
dc.contributor.authorMiravent, Sérgio
dc.contributor.authorFigueiredo, Teresa
dc.contributor.authorJiménez, Carmen
dc.contributor.authorAlmeida, Rui Pedro de
dc.contributor.authorLobo, Manuel
dc.date.accessioned2025-02-20T11:55:01Z
dc.date.available2025-02-20T11:55:01Z
dc.date.issued2022
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.eng
dc.identifier.citationMIRAVENT, Sérgio [et al.] (2023) - Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service. Health Science Reports. 6, e1251. DOI: 10.1002/hsr2.1251
dc.identifier.doi10.1002/hsr2.1251
dc.identifier.urihttp://hdl.handle.net/10400.11/10048
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.relation.hasversionwileyonlinelibrary.com/journal/hsr2
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAbdominal pain
dc.subjectPatients
dc.subjectPOCUS
dc.subjectRadiologists
dc.subjectScreening
dc.subjectSonographers
dc.subjectUltrasound
dc.titleEffectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency servicepor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.titleHealth Science Reports
oaire.citation.volume6
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLobo
person.givenNameManuel
person.identifier.orcid0000-0002-2529-1719
relation.isContributorOfPublicationec07efc2-0cfd-4b45-85ea-ab2254dd1c9a
relation.isContributorOfPublication.latestForDiscoveryec07efc2-0cfd-4b45-85ea-ab2254dd1c9a

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