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  1. Article ; Online: Diagnostic Accuracy of Abdominal Point of Care Ultrasound in Primary Care: Study Design and Protocol.

    Calvo Cebrián, Antonio / Alonso Roca, Rafael / Sánchez Barrancos, Ignacio Manuel

    POCUS journal

    2024  Volume 9, Issue 1, Page(s) 63–70

    Abstract: The aim of this study is to estimate the diagnostic accuracy of abdominal point of care ultrasound (POCUS) performed by family physicians (FPs) in primary care (PC), in comparison with the findings in the medical record (MR) at 12 months of follow-up. ... ...

    Abstract The aim of this study is to estimate the diagnostic accuracy of abdominal point of care ultrasound (POCUS) performed by family physicians (FPs) in primary care (PC), in comparison with the findings in the medical record (MR) at 12 months of follow-up. This study is conducted entirely in PC healthcare centers in Spain. Abdominal ultrasound scans performed by FPs (selected on the basis of their ultrasound knowledge and experience) are compared with the findings, or not, in the patient's MR after a 12-month follow-up period. The study will involve 100 FPs in Spain and an estimated sample size of 1334 patients who are to undergo abdominal POCUS at the indication of their physician. The results of the abdominal POCUS will be collected and compared with the findings of the MR. This comparison will be performed by another physician of the research team, different from their FP after one year of follow-up. The diagnostic accuracy of abdominal POCUS has been addressed in the hospital setting but not in PC. This lack of evidence can begin to be resolved with studies such as the one we present, designed for unselected populations such as those treated in PC and taking the patient's MR as the gold standard, which will allow us to make comparisons with the patient's clinical course.
    Language English
    Publishing date 2024-04-22
    Publishing country Canada
    Document type Journal Article
    ISSN 2369-8543
    ISSN (online) 2369-8543
    DOI 10.24908/pocus.v9i1.16987
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Modelo Point-of-Care Ultrasound en Atención Primaria: ¿herramienta de alta resolución?

    Calvo Cebrián, Antonio / López García-Franco, Alberto / Short Apellaniz, Jorge

    Atencion primaria

    2018  Volume 50, Issue 8, Page(s) 500–508

    Abstract: Point-of-Care Ultrasound is a method of performing a rapid clinical ultrasound, with the aim of responding to a clinical question immediately. This is not an ultrasound performed systematically as the radiologists do, nor does it pretend to replace it. ... ...

    Title translation Point of Care Ultrasound in Primary Care. Is it a high resolution tool?
    Abstract Point-of-Care Ultrasound is a method of performing a rapid clinical ultrasound, with the aim of responding to a clinical question immediately. This is not an ultrasound performed systematically as the radiologists do, nor does it pretend to replace it. It is useful in some kind of screening (abdominal aortic aneurysm) and is of special interest in ultrasound-guided procedures (joint infiltration by injection). It allows to adapt the derivations, minimising the uncertainty, ruling out certain pathologies due to its high diagnostic precision. It can also lead to overdiagnosis, if the examinations carried out are not limited to the organs on which our clinical suspicion is based. Ultrasound is one tool more in the diagnostic process, but its use must be limited to certain clinical situations. Its use in early detection of prevalent diseases in Primary Care should be properly evaluated. On the other hand with more evidence of a high diagnostic accuracy in a large list of pathological conditions.
    MeSH term(s) Aortic Aneurysm/diagnostic imaging ; Asymptomatic Diseases ; Humans ; Medical Overuse/prevention & control ; Point-of-Care Systems ; Primary Health Care/methods ; Primary Health Care/standards ; Risk Factors ; Ultrasonography/methods ; Ultrasonography/standards
    Language Spanish
    Publishing date 2018-03-31
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1200787-0
    ISSN 1578-1275 ; 0212-6567
    ISSN (online) 1578-1275
    ISSN 0212-6567
    DOI 10.1016/j.aprim.2017.11.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4054: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Usefulness of Lung Ultrasound Examinations Performed by Primary Care Physicians in Patients With Suspected COVID-19.

    Calvo-Cebrián, Antonio / Alonso-Roca, Rafael / Rodriguez-Contreras, Francisco Javier / Rodríguez-Pascual, Maria de Las Nieves / Calderín-Morales, Maria Del Pino

    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

    2020  Volume 40, Issue 4, Page(s) 741–750

    Abstract: Objectives: In patients with suspected coronavirus disease 2019 (COVID-19) consulting primary care (PC) centers, clinical criteria may not be sensitive enough to detect many cases in which complications first occur. We intended to assess whether lung ... ...

    Abstract Objectives: In patients with suspected coronavirus disease 2019 (COVID-19) consulting primary care (PC) centers, clinical criteria may not be sensitive enough to detect many cases in which complications first occur. We intended to assess whether lung ultrasound (LUS) examinations performed by PC physicians are a useful tool to detect lung injury and may help in decisions about hospital referral.
    Methods: This study included 61 patients with moderate symptoms suggesting COVID-19 who were evaluated with LUS by PC physicians and then referred to a hospital during the current pandemic peak in Madrid. We analyzed association of a simple self-designed LUS severity scale (grade 0, normal; grade 1, multiple separated B-lines, pleural irregularity, or both; and grade 2, coalescent B-lines, consolidations, pleural effusion, or a combination thereof) with the main outcome indicating adequacy of hospital referral, and also with chest x-ray (CXR) findings.
    Results: The proposed LUS severity scale was significantly associated with the main outcome of appropriate referral (P = 0.001): the higher the scale, the higher the percentage of adequate referrals. The LUS scale was also associated with a CXR severity scale (P = 0.034). The presence of coalescent B-lines was the only independent LUS finding significantly associated with the appropriate-referral outcome (P =0 .008) and also with a higher probability of hospital admission (P = 0.02) and with several CXR findings.
    Conclusions: This study supports the use of LUS in PC as a tool to assess patients with suspected COVID-19. Its use can reduce uncertainty during clinical evaluations of moderate patients, facilitate early detection of lung involvement, allow early appropriate referral, and avoid unnecessary referral.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; COVID-19/diagnostic imaging ; Female ; Humans ; Lung/diagnostic imaging ; Male ; Middle Aged ; Physicians, Primary Care ; Ultrasonography
    Keywords covid19
    Language English
    Publishing date 2020-08-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 604829-8
    ISSN 1550-9613 ; 0278-4297
    ISSN (online) 1550-9613
    ISSN 0278-4297
    DOI 10.1002/jum.15444
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1793: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 495: Show issues

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  4. Article ; Online: Lung Ultrasound Performed by Primary Care Physicians for Clinically Suspected Community-Acquired Pneumonia: A Multicenter Prospective Study.

    Rodríguez-Contreras, Francisco Javier / Calvo-Cebrián, Antonio / Díaz-Lázaro, Juncal / Cruz-Arnés, Miguel / León-Vázquez, Fernando / Del Carmen Lobón-Agúndez, María / Palau-Cuevas, Francisco Javier / Henares-García, Paloma / Gavilán-Martínez, Fernando / Fernández-Plaza, Sandra / Prieto-Zancudo, Carmelo

    Annals of family medicine

    2022  Volume 20, Issue 3, Page(s) 227–236

    Abstract: Purpose: We investigated whether lung ultrasound (US) performed in primary care is useful and feasible for diagnosing community-acquired pneumonia (CAP) compared with chest radiography, as most previous research has been conducted in hospital settings.!# ...

    Abstract Purpose: We investigated whether lung ultrasound (US) performed in primary care is useful and feasible for diagnosing community-acquired pneumonia (CAP) compared with chest radiography, as most previous research has been conducted in hospital settings.
    Methods: We undertook a prospective observational cohort study of lung US performed in 12 primary care centers. Patients aged 5 years and older with symptoms suggesting CAP were examined with lung US (by 21 family physicians and 7 primary care pediatricians) and chest radiograph on the same day. We compared lung US findings with the radiologist's chest radiograph report as the reference standard, given that the latter is the most common imaging test performed for suspected CAP in primary care. The physicians had varied previous US experience, but all received a 5-hour lung US training program.
    Results: The study included 82 patients. Compared with chest radiography, positive lung US findings (consolidation measuring >1 cm or a focal/asymmetrical B-lines pattern) showed a sensitivity of 87.8%, a specificity of 58.5%, a positive likelihood-ratio of 2.12, and a negative likelihood-ratio of 0.21. Findings were similar regardless of the physicians' previous US training or experience. We propose a practical algorithm whereby patients having consolidation measuring greater than 1 cm or normal findings on lung US could skip chest radiography, whereas patients with a B-lines pattern without consolidation (given its low specificity) would need chest radiography to ensure appropriate management. Lung US was generally performed in 10 minutes or less.
    Conclusion: Point-of-care lung US in primary care could be useful for investigating suspected CAP (avoiding chest radiography in most cases) and is likely feasible in daily practice, as short training programs appear sufficient and little time is needed to perform the scan.
    MeSH term(s) Community-Acquired Infections/diagnostic imaging ; Emergency Service, Hospital ; Humans ; Lung/diagnostic imaging ; Physicians, Primary Care ; Pneumonia/diagnostic imaging ; Point-of-Care Systems ; Prospective Studies ; Radiography, Thoracic ; Sensitivity and Specificity ; Ultrasonography/methods
    Language English
    Publishing date 2022-05-23
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 2171425-3
    ISSN 1544-1717 ; 1544-1709
    ISSN (online) 1544-1717
    ISSN 1544-1709
    DOI 10.1370/afm.2796
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6065: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Usefulness of Lung Ultrasound Examinations Performed by Primary Care Physicians in Patients With Suspected COVID-19

    Calvo-Cebrián, Antonio / Alonso-Roca, Rafael / Rodriguez-Contreras, Francisco Javier / Rodríguez-Pascual, Maria de Las Nieves / Calderín-Morales, Maria Del Pino

    J. ultrasound med

    Abstract: OBJECTIVES: In patients with suspected coronavirus disease 2019 (COVID-19) consulting primary care (PC) centers, clinical criteria may not be sensitive enough to detect many cases in which complications first occur. We intended to assess whether lung ... ...

    Abstract OBJECTIVES: In patients with suspected coronavirus disease 2019 (COVID-19) consulting primary care (PC) centers, clinical criteria may not be sensitive enough to detect many cases in which complications first occur. We intended to assess whether lung ultrasound (LUS) examinations performed by PC physicians are a useful tool to detect lung injury and may help in decisions about hospital referral. METHODS: This study included 61 patients with moderate symptoms suggesting COVID-19 who were evaluated with LUS by PC physicians and then referred to a hospital during the current pandemic peak in Madrid. We analyzed association of a simple self-designed LUS severity scale (grade 0, normal; grade 1, multiple separated B-lines, pleural irregularity, or both; and grade 2, coalescent B-lines, consolidations, pleural effusion, or a combination thereof) with the main outcome indicating adequacy of hospital referral, and also with chest x-ray (CXR) findings. RESULTS: The proposed LUS severity scale was significantly associated with the main outcome of appropriate referral (P = 0.001): the higher the scale, the higher the percentage of adequate referrals. The LUS scale was also associated with a CXR severity scale (P = 0.034). The presence of coalescent B-lines was the only independent LUS finding significantly associated with the appropriate-referral outcome (P =0 .008) and also with a higher probability of hospital admission (P = 0.02) and with several CXR findings. CONCLUSIONS: This study supports the use of LUS in PC as a tool to assess patients with suspected COVID-19. Its use can reduce uncertainty during clinical evaluations of moderate patients, facilitate early detection of lung involvement, allow early appropriate referral, and avoid unnecessary referral.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #731596
    Database COVID19

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  6. Article ; Online: Usefulness of Lung Ultrasound Examinations Performed by Primary Care Physicians in Patients With Suspected COVID ‐19

    Calvo‐Cebrián, Antonio / Alonso‐Roca, Rafael / Rodriguez‐Contreras, Francisco Javier / Rodríguez‐Pascual, Maria de las Nieves / Calderín‐Morales, Maria del Pino

    Journal of Ultrasound in Medicine ; ISSN 0278-4297 1550-9613

    2020  

    Keywords Radiological and Ultrasound Technology ; Radiology Nuclear Medicine and imaging ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    DOI 10.1002/jum.15444
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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