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PubMed | University of Medicine and Pharmacy, Cluj-Napoca and County Emergency University Hospital
Type: Journal Article | Journal: Medical ultrasonography | Year: 2016

The aim of this retrospective study was to identify the role of ultrasonography as a decision-making and screening tool inemergency patients with pathological changes.The study was carried out for 28 months in the EmergencyDepartment of the County Emergency University Hospital, Cluj-Napoca. An ultrasound examination was performed aspart of the clinical algorithm within the first hour of treating non-critical patients after they had been triaged. The diagnosticdecision based on the results of the ultrasound examination was compared with the final diagnosis on discharge from the EmergencyDepartment.In study were included 1565 patients with a mean age of 50.6119.21 years. Ultrasound changes were detected in a statistically significant number of patients from all the examined subgroups (p0.002). The concordance between clinical and ultrasound findings was of 54.06%. Of all the examined patients, 20.63% were referred to surgery department based on the results of the ultrasound examination. Surgery was the final therapeutic decision in 5.06% of all the patients with normal ultrasound findings.Ultrasonography as an integrated tool in the clinical examination algorithm allowed the identification of non-critical patients who required emergency surgery (20.63%). The integration of point-of-care ultrasound into the clinical examination allows the management of emergency patients through the ranking of decisions: hospital admission for surgery and medical treatment, other diagnostic investigations, referral to outpatient care and family physician.

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