Global Ultrasound Check for the Critically Lll (GUCCI)—a New Systematized Protocol Unifying Point-of-Care Ultrasound in Critically Ill Patients Based on Clinical Presentation [Retraction]

Tavares, João Galaz; Ivo, Rita; Gonzalez, Filipe; Lamas, T. E.; Mendes, João João

doi:10.2147/oaem.s378669

Cited by 6 publications

(5 citation statements)

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“…In approximately one in four patients, relevant alternative diagnoses were established and in one in five it caused a therapeutic modification. This high percentage of patients in whom multi-organ PoCUS was beneficial may seem too high, but similar results had been observed in the ED [15][16][17] and intensive care unit [18][19][20] patients. In a recent systematic review [21] about the usefulness of PoCUS in patients admitted to an internal medicine ward, PoCUS findings allowed a therapeutic adjustment in 20-40% of the patients and provided an unsuspected diagnosis in 34% of patients, similar to our study results.…”

Section: Discussionsupporting

confidence: 63%

Usefulness of Multi-Organ Point-Of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine

Casado-López¹,

Tung‐Chen²,

Torres-Arrese³

et al. 2022

Preprint

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Accumulated data show the utility of diagnostic multi-organ point-of-care ultrasound (PoCUS) in the assessment of patients admitted to an internal medicine ward. Assess whether multi-organ PoCUS (lung, cardiac, and abdomen) provides relevant diagnostic and/or therapeutic information in patients admitted for any reason to an internal medicine ward. Prospective, observational, and single-center study, at a secondary hospital. Multi-organ PoCUS was performed during the first 24 hours of admission. The sonographer had access to the patients’ medical history, physical examination, and basic complementary tests performed in the ED (laboratory, X-ray, electrocardiogram). We considered a relevant ultrasound finding if it implied a significant diagnostic and/or therapeutic change. In the second semester of 2019, 310 patients were enrolled (48.7% men, mean age 70.5 years). Relevant ultrasound findings were detected in 86 patients (27.7%) and in 60 (19.3%) triggered a therapeutic change. These findings were associated with older age (Mantel-Haenszel 2 = 25.6; p&lt; .001) and higher degree of dependency (Mantel Haenszel 2 = 5.7; p = .017). Multi-organ PoCUS provides relevant diagnostic information, complementing traditional physical exam, and facilitates therapy adjustment, regardless of the cause of admission. Multi-organ PoCUS to be useful need to be systematically integrated into the decision-making process in internal medicine.

show abstract

Section: Discussionsupporting

confidence: 63%

Usefulness of Multi-Organ Point-Of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine

Casado-López¹,

Tung‐Chen²,

Torres-Arrese³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…In approximately one in four patients, relevant alternative diagnoses were established and in one in five it caused a therapeutic modification. This high percentage of patients in whom multi-organ PoCUS was beneficial may seem too high, but similar results have been observed in ED [15][16][17] and intensive care unit [18][19][20] patients. In a recent systematic review [21] about the usefulness of PoCUS in patients admitted to an internal medicine ward, PoCUS findings allowed a therapeutic adjustment in 20-40% of the patients and provided an unsuspected diagnosis in 34% of patients, similar to our study results.…”

Section: Discussionsupporting

confidence: 61%

Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine

Casado-López¹,

Tung‐Chen²,

Torres-Arrese³

et al. 2022

JCM

View full text Add to dashboard Cite

Accumulated data show the utility of diagnostic multi-organ point-of-care ultrasound (PoCUS) in the assessment of patients admitted to an internal medicine ward. We assessed whether multi-organ PoCUS (lung, cardiac, and abdomen) provides relevant diagnostic and/or therapeutic information in patients admitted for any reason to an internal medicine ward. We conducted a prospective, observational, and single-center study, at a secondary hospital. Multi-organ PoCUS was performed during the first 24 h of admission. The sonographer had access to the patients’ medical history, physical examination, and basic complementary tests performed in the Emergency Department (laboratory, X-ray, electrocardiogram). We considered a relevant ultrasound finding if it implied a significant diagnostic and/or therapeutic change. In the second semester of 2019, we enrolled 310 patients, 48.7% were male and the mean age was 70.5 years. Relevant ultrasound findings were detected in 86 patients (27.7%) and in 60 (19.3%) triggered a therapeutic change. These findings were associated with an older age (Mantel–Haenszel χ2 = 25.6; p < 0.001) and higher degree of dependency (Mantel–Haenszel χ2 = 5.7; p = 0.017). Multi-organ PoCUS provides relevant diagnostic information, complementing traditional physical examination, and facilitates therapy adjustment, regardless of the cause of admission. Multi-organ PoCUS to be useful need to be systematically integrated into the decision-making process in internal medicine.

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“…Because lung ultrasound is simple and can effectively minimize radiation exposure, it has been widely used in recent years [16,17]. Some experts believe that ultrasound is more sensitive, accurate, and reliable than traditional X-ray in the diagnosis of neonatal lung diseases [18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Lung Ultrasound Score Predicts the Extravascular Lung Water Content in Low-Birth-Weight Neonates with Patent Ductus Arteriosus

et al. 2020

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Background:Patent ductus arteriosus (PDA) is a common congenital cardiac abnormality in premature infants. In low-birthweight infants weighing less than 2500 g, if the PDA continues to open, abnormal circulation hemodynamics and pulmonary edema may occur. This study aimed to investigate the role of lung ultrasound score in the assessment of pulmonary edema in low-weight neonates with PDA. Material/Methods:Two hundred and twenty-one neonates with low birth weight were selected as the subjects, children with PDA as the observation group, and children with closed ductus arteriosus as the control group. On the fourth postnatal day, lung ultrasound examination and 6-segment lung ultrasound scoring were performed. Results:All 221 infants (94 in the observation group, 127 controls) underwent ultrasound examinations of the lungs. Intergroup differences in gestational age, birth weight, length of hospital stay, and left ventricular ejection fraction were not statistically significant. There was a significant difference in lung ultrasound score (t=0.005, P=0.000) and aortic root ratio to left atrial (t=0.085, P=0.000), which was negatively correlated with gestational age (r=-0.235, P=0.000) and positively correlated with PDA diameter (r=0.261, P=0.011). Conclusions:Low-birth-weight children often have PDA. Its continued opening changes the circulation hemodynamics in children. Lung ultrasound score can semi-quantitatively evaluate the extravascular lung water content, identifying the need to intervene and follow up the hemodynamic significance of PDA over time.

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Global Ultrasound Check for the Critically Lll (GUCCI)—a New Systematized Protocol Unifying Point-of-Care Ultrasound in Critically Ill Patients Based on Clinical Presentation [Retraction]

Cited by 6 publications

References 0 publications

Usefulness of Multi-Organ Point-Of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine

Usefulness of Multi-Organ Point-Of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine

Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine

Lung Ultrasound Score Predicts the Extravascular Lung Water Content in Low-Birth-Weight Neonates with Patent Ductus Arteriosus

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