Screening for abdominal aortic aneurysm in asymptomatic at-risk patients using emergency ultrasound

Moore, Chris; Holliday, Richard; Hwang, James Q.; Osborne, Michael

doi:10.1016/j.ajem.2007.11.030

Cited by 40 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Forty-five articles were selected for in-depth full review. Twenty-seven articles were excluded because enrolled patients were non-ED, four papers were excluded because patients were asymptomatic, [29][30][31][32] four articles were excluded because they were not prospective studies, 15,[33][34][35] and two articles were excluded because there were no confirmatory diagnostic tests/procedures. 36,37 One study by Lanoix et al 38 was excluded because the data were republished in a later study, which was included in our review.…”

Section: Resultsmentioning

confidence: 99%

Systematic Review: Emergency Department Bedside Ultrasonography for Diagnosing Suspected Abdominal Aortic Aneurysm

Rubano

Mehta

Caputo

et al. 2013

Academic Emergency Medicine

129

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Systematic Review: Emergency Department Bedside Ultrasonography for Diagnosing Suspected Abdominal Aortic Aneurysm

Rubano

Mehta

Caputo

et al. 2013

Academic Emergency Medicine

129

View full text Add to dashboard Cite

show abstract

“…Recently, a portable, pocket-size ultrasound (US) device was released on the market. This type of device has been tested in applications in the areas of anaesthesiology, cardiology, critical care, dermatology, emergency medicine, neonatology, obstetrics and gynaecology, vascular surgery and rheumatology [1][2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Applicability of pocket ultrasound during the first trimester of pregnancy.

et al. 2015

View full text Add to dashboard Cite

Aim: To determine the applicability of pocket ultrasound as a complementary method for clinical evaluation during the first trimester of pregnancy. Material and methods: A prospective cross-sectional study was conducted with 86 pregnant women attended in an emergency. The same operator performed the first examination with pocket device Vscan (General Electric, Vingmed Ultrasound, Horten, Norway) and then repeated the exam using a traditional handset high resolution Voluson 730 Expert (General Electric Healthcare Ultrasound, Milwaukee, WI, USA). Data were recorded with individual diagnoses by means of yes/no binary as the visualization of variables: gestational sac, embryo, embryo heartbeat, topical or ectopic pregnancy. Concordance was calculated using the kappa coefficient with its respective 95% confidential intervals (CI). Results: There was no disagreement between the methods when compared the pocket and conventional ultrasounds. The best comparative result between the devices was as the visualization of the embryo heartbeat with kappa coefficient of 0.84 (95% CI 0.76 to 0.89). However, the pocket ultrasound had a low correlation for diagnosis of ectopic pregnancy, with kappa coefficient of −0.02 (95% CI −0.23 to 0.19). The smaller structure visualized and studied using the pocket ultrasound was an embryo of 3.4 mm. Conclusions: The method of pocket ultrasound has the potential to become a complementary and easy access for diagnostic tool in obstetric patients during the first trimester. However, in ectopic pregnancy cases the diagnosis should be realized by conventional ultrasound.

show abstract

“…The diagnosis is often made by physical examination of the abdomen, which reveals a pulsatile mass slightly to the left of the midline 44 . ES is a fast and accurate method for identifying patients with AAA, who may benefit from follow-up examinations or intervention 45 . Enabling rapid and accurate diagnosis of AAA is critical in an emergency setting.…”

Section: Abdominal Aorta Aneurysmmentioning

confidence: 99%