Reliability of Neck Mass Point-of-Care Ultrasound by Pediatric Emergency Physicians.
Adolescent
Child
Child, Preschool
Cohort Studies
Emergency Service, Hospital
Female
Head and Neck Neoplasms
/ diagnostic imaging
Humans
Infant
Lymph Nodes
/ diagnostic imaging
Lymphadenopathy
/ diagnostic imaging
Male
Neck
/ diagnostic imaging
Pediatrics
Physicians
Point-of-Care Systems
Reproducibility of Results
Retrospective Studies
Salivary Gland Diseases
/ diagnostic imaging
Salivary Glands
/ diagnostic imaging
Ultrasonography
/ methods
neck mass
pediatric emergency medicine
point-of-care ultrasound
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
06
11
2018
revised:
18
02
2019
accepted:
24
02
2019
pubmed:
3
4
2019
medline:
24
3
2020
entrez:
3
4
2019
Statut:
ppublish
Résumé
Neck masses are a common reason for presentations to the pediatric emergency department (PED). We sought to determine the agreement and time difference between point-of-care ultrasound (POCUS) imaging by pediatric emergency physicians compared to radiology department imaging for children with neck masses in the PED. We performed a retrospective study of patients aged 0 to 18 years presenting to our tertiary PED who received both POCUS by a pediatric emergency physician and radiology department imaging. Charts were reviewed for POCUS diagnoses, final diagnoses, and imaging time metrics. Seventy-five patients met the study criteria. In 58 of 75 cases there was agreement between the POCUS diagnosis and final diagnosis (κ = 0.71; 95% confidence interval, 0.6-0.83). There was agreement in 25 of the 28 cases in which POCUS examinations were performed by PED physicians with fellowship training in POCUS (κ = 0.87; 95% confidence interval, 0.72-1.00). The results for POCUS were generated in a median of 115 minutes (interquartile range, 68-185 minutes) before radiology department imaging results. Point-of-care ultrasound imaging by pediatric emergency physicians for children with neck masses is a promising new POCUS application that may be able to save time in the PED.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2893-2900Informations de copyright
© 2019 by the American Institute of Ultrasound in Medicine.
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