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Point of care prehospital ultrasound in basic emergency services in Portugal

2022Research article Open access
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datacite.subject.fosCiências Médicas
dc.contributor.authorMiravent, Sérgio
dc.contributor.authorLobo, Manuel
dc.contributor.authorAlmeida, Rui Pedro de
dc.date.accessioned2025-02-20T11:26:57Z
dc.date.available2025-02-20T11:26:57Z
dc.date.issued2022
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.eng
dc.identifier.citationMIRAVENT, Sérgio ; LOBO, Manuel ; ALMEIDA, Rui Pedro de (2022) - Point of care prehospital ultrasound in basic emergency services in Portugal. Health Science Reports. 5, e847. DOI: 10.1002/hsr2.847
dc.identifier.doi10.1002/hsr2.847
dc.identifier.urihttp://hdl.handle.net/10400.11/10046
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.subjectPOCUS
dc.subjectPortugal
dc.subjectPURLS
dc.subjectRadiographer
dc.subjectRemote
dc.subjectUltrasound
dc.titlePoint of care prehospital ultrasound in basic emergency services in Portugaleng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.titleHealth Science Reports
oaire.citation.volume5
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLobo
person.givenNameManuel
person.identifier.orcid0000-0002-2529-1719
relation.isAuthorOfPublicationec07efc2-0cfd-4b45-85ea-ab2254dd1c9a
relation.isAuthorOfPublication.latestForDiscoveryec07efc2-0cfd-4b45-85ea-ab2254dd1c9a

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