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http://repositorio.pediatria.gob.mx:8180/handle/20.500.12103/2695| Título : | Pocket ultrasound device as a complement to physical examination for ascites evaluation and guided paracentesis |
| Creador: | Keil Ríos Daniel |
| Nivel de acceso: | Open access |
| Palabras clave : | Adulto Anciano Ascitis - diagnóstico Ascitis - terapia Estudios de Cohortes Medicina de Emergencia - métodos Tratamiento de Urgencia Diseño de Equipo femenino Humanos masculino Mediana Edad Paracentesis - instrumentación Paracentesis - métodos Seguridad del Paciente Examen Físico - instrumentación Examen Físico - métodos Estudios Retrospectivos Medición de Riesgo Resultado del Tratamiento Ultrasonografía Intervencional - instrumentación Adult Aged Ascites - diagnosis Ascites - therapy Cohort Studies Emergency Medicine- methods Emergency Treatment Equipment Design Female Humans Male Middle Aged Paracentesis - instrumentation Paracentesis - methods Patient Safety Physical Examination - instrumentation Physical Examination - methods Retrospective Studies Risk Assessment Treatment Outcome Ultrasonography, Interventional - instrumentation Ascitis; Computadora de mano; Paracentesis; Bolsillo; Ultrasonido Ascites; Handheld; Paracentesis; Pocket; Ultrasound |
| Descripción : | The pocket ultrasound device (PUD) is a new tool that may be of use in the early detection of ascites. Abdominal ultrasound-guided paracentesis has been reported to decrease the rate of complications due to the procedure, but must be performed in a healthcare setting; this new tool may be a useful on an ambulatory basis. The aim of this study was to determine the diagnostic usefulness of the PUD in the diagnosis of ascites and the safety of guided paracentesis. We conducted a retrospective study that included adult patients suspected of having ascites and in whom an evaluation was performed with the PUD to identify it. Concordance with abdominal ultrasound (AUS) was determined with the Kappa coefficient. Sensitivity (Se), specificity (Sp) and likelihood ratios (LR) were determined and compared with physical examination, AUS, computed tomography and procurement of fluid by paracentesis. Complications resulting from the guided paracentesis were analyzed. 89 participants were included and 40 underwent a paracentesis. The PUD for ascites detection had 95.8 % Se, 81.8 % Sp, 5.27 +LR and 0.05 -LR. It had a concordance with AUS of 0.781 (p < 0.001). Technical problems during the guided paracentesis were present in only two participants (5 %) and three patients (7.5 %) developed minor complications that required no further intervention. There were no severe complications or deaths. This study suggests that the PUD is a reliable tool for ascites detection as a complement to physical examination and appears to be a safe method to perform guided paracentesis. |
| Colaborador(es) u otros Autores: | Terrazas-Solís Hiram González-Garay Alejandro Sánchez-Ávila Juan Francisco García-Juárez Ignacio |
| Fecha de publicación : | 2016 |
| Tipo de publicación: | Artículo |
| Formato: | |
| Identificador del Recurso : | 10.1007/s11739-016-1406-x |
| Fuente: | Intern Emerg Med 11(3):461-466 |
| URI : | http://repositorio.pediatria.gob.mx:8180/handle/20.500.12103/2695 |
| Idioma: | spa |
| Aparece en las colecciones: | Artículos |
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