Reliability of the measurement of the abdominal aortic diameter by novice operators using a pocket-sized ultrasound system

Bonnafy, T.; Lacroix, Philippe; Desormais, Iléana; Labrunie, Anaïs; Marin, Benoît; Leclerc, Aurélien; Oueslati, Aida; Rolle, F.; Vignon, Philippe; Aboyans, Victor

doi:10.1016/j.acvd.2013.08.004

Cited by 36 publications

(36 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bonnafy et al [40] found that abdominal aortic measurements performed by trained medical students were similar to those obtained by experts. Durham [41] describes three situations where hand-held ultrasound administered by non-experts has saved time and had clinical benefits: ectopic pregnancy, AAA, and pericardial effusion.…”

Section: Discussionmentioning

confidence: 91%

Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare

et al. 2017

View full text Add to dashboard Cite

We determined the feasibility of abdominal aortic aneurysm (AAA) screening program led by family physicians in public primary healthcare setting using hand-held ultrasound device. The potential study population was 11,214 men aged ≥ 60 years attended by three urban, public primary healthcare centers. Participants were recruited by randomly-selected telephone calls. Ultrasound examinations were performed by four trained family physicians with a hand-held ultrasound device (Vscan®). AAA observed were verified by confirmatory imaging using standard ultrasound or computed tomography. Cardiovascular risk factors were determined. The prevalence of AAA was computed as the sum of previously-known aneurysms, aneurysms detected by the screening program and model-based estimated undiagnosed aneurysms. We screened 1,010 men, with mean age of 71.3 (SD 6.9) years; 995 (98.5%) men had normal aortas and 15 (1.5%) had AAA on Vscan®. Eleven out of 14 AAA-cases (78.6%) had AAA on confirmatory imaging (one patient died). The total prevalence of AAA was 2.49% (95%CI 2.20 to 2.78). The median aortic diameter at diagnosis was 3.5 cm in screened patients and 4.7 cm (p<0.001) in patients in whom AAA was diagnosed incidentally. Multivariate logistic regression analysis identified coronary heart disease (OR = 4.6, 95%CI 1.3 to 15.9) as the independent factor with the highest odds ratio. A screening program led by trained family physicians using hand-held ultrasound was a feasible, safe and reliable tool for the early detection of AAA.

show abstract

Section: Discussionmentioning

confidence: 91%

Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare

et al. 2017

View full text Add to dashboard Cite

show abstract

“…It may be true that compared to a certified experienced technician, a POCUS novice will produce tests with lower sensitivity and specificity (8–10). However, some research has shown that this is not always the case (11). We advocate that bedside ultrasound should not be considered an alternative to formal technician-acquired radiologist-interpreted ultrasound studies, and its test characteristics should not be compared with these exams (12).…”

Section: Discussionmentioning

confidence: 99%

Faculty development in point of care ultrasound for internists

Maw

Jalali

Jannat‐Khah

et al. 2016

Medical Education Online

View full text Add to dashboard Cite

Lack of general medicine faculty expertise is a likely contributor to the slow adoption of point of care ultrasound (POCUS) by internal medicine (IM) residency training programs. We developed a 10-week faculty development program, during which 15 faculty members participated in 2 hours and 10 hours of online didactic and hands-on training, respectively. Pre–post comparisons showed that there were statistically significant improvements in faculty participants' ability to interpret images (p<0.001), perceived understanding of the capabilities and limitations of POCUS (p=0.003), comfort using POCUS to make clinical decisions (p=0.003), and perceptions regarding the extent to which POCUS can improve patient care (p=0.026). The next challenge for IM programs is to improve access to ultrasound machines and provide follow-up workshops to facilitate further development of skills and integration of POCUS into daily practice by general medicine faculty.

show abstract

“…Screening for abdominal aortic aneurysms in elderly patients may be integrated into the clinical examination performed by cardiologists [10,32], and is accessible after a short period of training [33]. Accuracy with pocket-echocardiography is generally good [10,32,33] ( Table 1).…”

Section: Abdominal Aortic Aneurysmsmentioning

confidence: 99%

Pocket-sized focused cardiac ultrasound: Strengths and limitations

Mirabel

Celermajer²,

Beraud

et al. 2015

Archives of Cardiovascular Diseases

View full text Add to dashboard Cite

Focused cardiac ultrasound (FCU) has emerged in recent years and has created new possibilities in the clinical assessment of patients both in and out of hospital. The increasing portability of echocardiographic devices, with some now only the size of a smartphone, has widened the spectrum of potential indications and users, from the senior cardiologist to the medical student. However, many issues still need to be addressed, especially the acknowledgment of the advantages and limitations of using such devices for FCU, and the extent of training required in this rapidly evolving field. In recent years, an increasing number of studies involving FCU have been published with variable results. This review outlines the evidence for the use of FCU with pocket-echo to address specific questions in daily clinical practice.

show abstract

Reliability of the measurement of the abdominal aortic diameter by novice operators using a pocket-sized ultrasound system

Abstract: In order to screen for abdominal aortic aneurysm, the abdominal aortic diameter can be accurately measured by non-specialist physicians with pocket-sized ultrasound devices after a short period of training.

Cited by 36 publications

References 18 publications

Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare

Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare

Faculty development in point of care ultrasound for internists

Pocket-sized focused cardiac ultrasound: Strengths and limitations

Contact Info

Product

Resources

About