Abdominal ultrasound in the intensive care unit: a 3-year survey on 400 patients

Schacherer, Doris and Klebl, Frank and Goetz, Daniela and Buettner, Roland and Zierhut, Stephanie and Schoelmerich, Juergen and Langgartner, Julia (2007) Abdominal ultrasound in the intensive care unit: a 3-year survey on 400 patients. INTENSIVE CARE MEDICINE, 33 (5). pp. 841-844. ISSN 0342-4642, 1432-1238

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Abstract

Objective: This study analyzed 400 ultrasound examinations in the ICU to assess the indications of this imaging modality.Design and setting: Retrospective analysis on prospectively collected data on 400 patients in a tertiary care hospital. Patients and participants: The observational, prospective, clinical study examined 400 bedside abdominal ultrasound examinations performed in the ICU, of which 2% were performed emergently, 56% urgently, and 42% electively. Measurements and results: Environmental conditions impaired the examination slightly in 54%, moderately in 27%, and severely in 4%. Total time per study ranged from 1 to 45 min (median 10). New pathological findings were detected in 31% while 33% confirmed already known pathologies. In 53% there was no therapeutic consequence, in 27% treatment was continued based on the sonographic findings, in 10% an intervention was necessary, in 6% other therapeutic changes followed, and in 4% additional evaluation was deemed necessary. In 80% no other imaging test had to be performed. Conclusions: Ultrasound studies are deemed sufficient in a large proportion of patients and help to avoid other, more elaborate imaging studies. However, more focused indications for studies may help to improve cost-effectiveness.

Item Type: Article
Uncontrolled Keywords: STAPHYLOCOCCUS-AUREUS; DEVICE; TIME; ultrasound; sonography; imaging; ICU setting
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 04 Dec 2020 12:02
Last Modified: 04 Dec 2020 12:02
URI: https://pred.uni-regensburg.de/id/eprint/32822

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