The Effect of Point-of-Care Ultrasonography on Imaging Studies in the Medical ICU

A Comparative Study

Margarita Oks, Krystal L. Cleven, Jose Cardenas-Garcia, Jennifer Ann Schaub, Seth Koenig, Rubin I. Cohen, Paul H. Mayo, Mangala Narasimhan

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

BACKGROUND:Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imaging modality, the other where it is used only for procedure guidance. METHODS:This study was a retrospective 3-month chart review comparing the use of chest radiographs, CT scans (chest and abdomen/pelvis), transthoracic echocardiography performed by the cardiology service, and DVT ultrasonography studies performed by the radiology service between two MICUs of similar size and acuity and staffing levels. RESULTS:Total number of admissions, patient demographics, and disease acuity were similar between MICUs. Comparing the non-point-of-care ultrasonography MICU with the point-of-care ultrasonography MICU, there were 3.75 ± 4.6 vs 0.82 ± 1.85 (P<.0001) chest radiographs per patient, 0.10 ± 0.31 vs 0.04 ± 0.20 (P=.0007) chest CT scans per patient, 0.17 ± 0.44 vs 0.05 ± 0.24 (P<.0001) abdomen/pelvis CT scans per patient, 0.20 ± 0.47 vs 0.02 ± 0.14 (P<.0001) radiology service-performed DVT studies per patient, and 0.18 ± 0.40 vs 0.07 ± 0.26 (P<.0001) cardiology service-performed transthoracic echocardiography studies per patient, respectively. CONCLUSIONS:The use of point-of-care ultrasonography in an MICU is associated with a significant reduction in the number of imaging studies performed by the radiology and cardiology services.

Original languageEnglish (US)
Pages (from-to)1574-1577
Number of pages4
JournalChest
Volume146
Issue number6
DOIs
StatePublished - Dec 1 2014

Fingerprint

Point-of-Care Systems
Ultrasonography
Thorax
Cardiology
Radiology
Pelvis
Abdomen
Echocardiography
Patient Admission
Diagnostic Imaging
Demography

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Oks, M., Cleven, K. L., Cardenas-Garcia, J., Schaub, J. A., Koenig, S., Cohen, R. I., ... Narasimhan, M. (2014). The Effect of Point-of-Care Ultrasonography on Imaging Studies in the Medical ICU: A Comparative Study. Chest, 146(6), 1574-1577. https://doi.org/10.1378/chest.14-0728
Oks, Margarita ; Cleven, Krystal L. ; Cardenas-Garcia, Jose ; Schaub, Jennifer Ann ; Koenig, Seth ; Cohen, Rubin I. ; Mayo, Paul H. ; Narasimhan, Mangala. / The Effect of Point-of-Care Ultrasonography on Imaging Studies in the Medical ICU : A Comparative Study. In: Chest. 2014 ; Vol. 146, No. 6. pp. 1574-1577.
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abstract = "BACKGROUND:Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imaging modality, the other where it is used only for procedure guidance. METHODS:This study was a retrospective 3-month chart review comparing the use of chest radiographs, CT scans (chest and abdomen/pelvis), transthoracic echocardiography performed by the cardiology service, and DVT ultrasonography studies performed by the radiology service between two MICUs of similar size and acuity and staffing levels. RESULTS:Total number of admissions, patient demographics, and disease acuity were similar between MICUs. Comparing the non-point-of-care ultrasonography MICU with the point-of-care ultrasonography MICU, there were 3.75 ± 4.6 vs 0.82 ± 1.85 (P<.0001) chest radiographs per patient, 0.10 ± 0.31 vs 0.04 ± 0.20 (P=.0007) chest CT scans per patient, 0.17 ± 0.44 vs 0.05 ± 0.24 (P<.0001) abdomen/pelvis CT scans per patient, 0.20 ± 0.47 vs 0.02 ± 0.14 (P<.0001) radiology service-performed DVT studies per patient, and 0.18 ± 0.40 vs 0.07 ± 0.26 (P<.0001) cardiology service-performed transthoracic echocardiography studies per patient, respectively. CONCLUSIONS:The use of point-of-care ultrasonography in an MICU is associated with a significant reduction in the number of imaging studies performed by the radiology and cardiology services.",
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Oks, M, Cleven, KL, Cardenas-Garcia, J, Schaub, JA, Koenig, S, Cohen, RI, Mayo, PH & Narasimhan, M 2014, 'The Effect of Point-of-Care Ultrasonography on Imaging Studies in the Medical ICU: A Comparative Study', Chest, vol. 146, no. 6, pp. 1574-1577. https://doi.org/10.1378/chest.14-0728

The Effect of Point-of-Care Ultrasonography on Imaging Studies in the Medical ICU : A Comparative Study. / Oks, Margarita; Cleven, Krystal L.; Cardenas-Garcia, Jose; Schaub, Jennifer Ann; Koenig, Seth; Cohen, Rubin I.; Mayo, Paul H.; Narasimhan, Mangala.

In: Chest, Vol. 146, No. 6, 01.12.2014, p. 1574-1577.

Research output: Contribution to journalArticle

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T1 - The Effect of Point-of-Care Ultrasonography on Imaging Studies in the Medical ICU

T2 - A Comparative Study

AU - Oks, Margarita

AU - Cleven, Krystal L.

AU - Cardenas-Garcia, Jose

AU - Schaub, Jennifer Ann

AU - Koenig, Seth

AU - Cohen, Rubin I.

AU - Mayo, Paul H.

AU - Narasimhan, Mangala

PY - 2014/12/1

Y1 - 2014/12/1

N2 - BACKGROUND:Point-of-care ultrasonography performed by frontline intensivists offers the possibility of reducing the use of traditional imaging in the medical ICU (MICU). We compared the use of traditional radiographic studies between two MICUs: one where point-of-care ultrasonography is used as a primary imaging modality, the other where it is used only for procedure guidance. METHODS:This study was a retrospective 3-month chart review comparing the use of chest radiographs, CT scans (chest and abdomen/pelvis), transthoracic echocardiography performed by the cardiology service, and DVT ultrasonography studies performed by the radiology service between two MICUs of similar size and acuity and staffing levels. RESULTS:Total number of admissions, patient demographics, and disease acuity were similar between MICUs. Comparing the non-point-of-care ultrasonography MICU with the point-of-care ultrasonography MICU, there were 3.75 ± 4.6 vs 0.82 ± 1.85 (P<.0001) chest radiographs per patient, 0.10 ± 0.31 vs 0.04 ± 0.20 (P=.0007) chest CT scans per patient, 0.17 ± 0.44 vs 0.05 ± 0.24 (P<.0001) abdomen/pelvis CT scans per patient, 0.20 ± 0.47 vs 0.02 ± 0.14 (P<.0001) radiology service-performed DVT studies per patient, and 0.18 ± 0.40 vs 0.07 ± 0.26 (P<.0001) cardiology service-performed transthoracic echocardiography studies per patient, respectively. CONCLUSIONS:The use of point-of-care ultrasonography in an MICU is associated with a significant reduction in the number of imaging studies performed by the radiology and cardiology services.

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Oks M, Cleven KL, Cardenas-Garcia J, Schaub JA, Koenig S, Cohen RI et al. The Effect of Point-of-Care Ultrasonography on Imaging Studies in the Medical ICU: A Comparative Study. Chest. 2014 Dec 1;146(6):1574-1577. https://doi.org/10.1378/chest.14-0728