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Renal screening sonography. A comparative study in a Portuguese basic emergency service

2024Research article Open access
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datacite.subject.fosCiências Médicas
dc.contributor.authorMiravent, Sérgio
dc.contributor.authorJiménez, Carmen
dc.contributor.authorBarbancho, Narciso
dc.contributor.authorLobo, Manuel
dc.contributor.authorFigueiredo, Teresa
dc.contributor.authorGomes, Carla
dc.contributor.authorRatusneac, Ion
dc.contributor.authorGonçalves, João Mário
dc.contributor.authorHasnas, Corina
dc.contributor.authorAlmeida, Rui Pedro de
dc.date.accessioned2025-02-20T12:23:57Z
dc.date.available2025-02-20T12:23:57Z
dc.date.issued2024
dc.description.abstractIntroduction: 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 renal sonography screening with sonographer reporting 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, most patients (80%) exhibited varying degrees of pyelocaliceal distension, with nearly half (48%) 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=0.000), “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). In this research, an achieved sensitivity of 96% and a specificity of 85% were demonstrated in the identification of pyelocaliceal dilatation. Conclusion: Renal sonographer reporting screening successfully detected abnormalities in the urinary system of patients suspected of having renal colic. The sonographic data obtained at the BES demonstrated a strong correlation with the additional imaging findings from 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.eng
dc.identifier.citationMIRAVENT, Sérgio [et al. ] (2024) - Renal screening sonography. A comparative study in a Portuguese basic emergency service. Journal of Medical Radiation Science. 0, . 1-9. DOI: 10.1002/jmrs.802
dc.identifier.doi10.1002/jmrs.802
dc.identifier.urihttp://hdl.handle.net/10400.11/10049
dc.language.isoeng
dc.peerreviewedyes
dc.publisherJohn Wiley and Sons
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectPatients
dc.subjectPyelocaliceal
dc.subjectPOCUS
dc.subjectRenal
dc.subjectSonographers
dc.subjectUltrasound
dc.subjectScreening
dc.titleRenal screening sonography. A comparative study in a Portuguese basic emergency servicepor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage9
oaire.citation.issue0
oaire.citation.startPage1
oaire.citation.titleJournal of Medical Radiation Sciences
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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