2013, Number 5
<< Back Next >>
Rev Ciencias Médicas 2013; 17 (5)
Social impact of the diagnostic ultrasound in Pinar del Rio municipality
Rodríguez RJF, Boffill CA, Rodríguez CM, Rodríguez RI, Carbó OA
Language: Spanish
References: 20
Page: 85-96
PDF size: 156.62 Kb.
ABSTRACT
Introduction: the importance of ultrasound lies not only in the variety of tissues
and organs than can be explored, but also in its efficacy with cost-benefit.
Objective: to assess the social impact of diagnostic ultrasound in Pinar del Rio
municipality during 2009-2011.
Method: an observational, descriptive, cross-sectional and applied research with a
target group and the sample included 43914 patients who were examined during 3
years. To process data and to carry out the statistical analysis a univariable and
bivariable design was used to cerate a database in Access® and the statistical
package SPSS 14.0
®.
Results: the number of patients examined has gradually increased by years of
services up to a total of 43914 (100%), prevailing “Raul Sanchez” Outpatient Clinic
with 33% of the cases, despite the redistribution in 2011. The most requested
diagnostic ultrasounds were: digestive tract 61,8%, obstetric 53,2%, gynecologic
42,1% and genitourinary system 38,1%, the average waiting time (46% of them)
lasted less than 30 minutes. Diagnostic impressions matched up with
ultrasonographic findings 45,1%. Quality and resolution have reached more than
90%. The unitary cost of the ultrasound finally decreased. Satisfaction degree was
91,4%.
Conclusions: the social impact of diagnostic ultrasound in Pinar del Rio
municipality was achieved, considering the quality and assistance to these patients,
offering them an early diagnose according to their needs along with a better use of
medical resources.
REFERENCES
Vives Iglesias AE. Ultrasonido diagnóstico. Uso y relación con las competencias profesionales. Rev. Cuba. Med. Gen. Integr; 2007; 23(3).
Pombo I, García-Manero M, Mazaira J, Royo R Alcázar JL. Papel de la ecografía tridimensional en obstetricia. Rev Med Univ Navarra. 2005; 49(4): 17-22.
Sera Blanco RA, García Díaz M, Hernández Martínez Y. Exactitud del ultrasonido en el diagnóstico de malformaciones congénitas del segundo trimestre del embarazo. Rev cienc méd habana. 2010; 16(1):
Cuba. Ministerio de Salud Pública. Anuario estadístico de salud 2010. 2011.
Morin L, Lim KJ. Ultrasound in twin pregnancies. Obstet Gynaecol Can. 2011 Jun; 33(6):643-56.
Gagnon A, Wilson RD, Allen VM, Audibert F, Blight C, Brock JA, et al. Evaluation of prenatally diagnosed structural congenital anomalies. J Obstet Gynaecol Can. 2009 Sep; 31(9):875-81, 882-9.
Salomon LJ, Alfirevic Z, Berghella V, Bilardo C, Hernandez-Andrade E, Johnsen SL, et al. Practice guidelines for performance of the routine mid-trimester fetal ultrasound scan. Ultrasound in Obstetrics & Gynecology. 2011; 37:116-126.
Reddy UM, Filly RA, Copel JA. Prenatal imaging: ultrasonography and magnetic resonance imaging. Obstet Gynecol. 2008; 112(1):145-57.
Savío Benavides A, Oliva Rodríguez J, García Morejón C, García Guevara C, Arencibia Faire J, Ponce Bittar J. Diagnóstico ecocardiográfico de los tumores primarios del corazón en el feto. Rev Cubana Pediatr. 2009 Dic; 81(4): 1-9.
Reyes Puentes LM, Cabrera Hernández M, Rodríguez Ramírez E, Reyes Puentes T. Ecografía Abdominal: utilidad en el estudio imagenológico integral del paciente pediátrico con hipertensión portal. Rev Ciencias Médicas. 2010 Mar; 14(1): 104- 114.
Ramírez Simonó MR, Pérez González R, Rodríguez Collar TL, González López A. Utilidad del ultrasonido transrectal en el diagnóstico del cáncer prostático. Rev Cub Med Mil. 2007 Mar; 36(1).
Reyes Puentes LM, Cabrera Hernández M, Rodríguez Ramírez E, Reyes Puentes T. Estrategia de manejo imagenológico de la hipertensión portal pediátrica en Pinar del Río. Rev Ciencias Médicas. 2010 Jun; 14(2): 34-40.
Berland de León NJ, Parrilla Delgado ME. Ultrasonido Doppler dúplex y color en el estudio de los pacientes con hepatopatías crónicas. Rev cubana med. 2010 Dic; 49(4): 412-430.
Reardon R, Heegaard B, Plummer D, et al. Ultrasound is a necessary skill for emergency physicians. Acad Emerg Med. 2008; 13:334-5.
La Torre A, Visioli CB. Neonatal ultrasound training: does it need more? Ultrasound. 2010; 18: 102-104.
McGuinness A, Snaith B, Wilson W, Wolstenhulme E . A cohort study to evaluate emergency medicine ultrasound by non-sonographers in clinical practice. Ultrasound. November 2011; 19(4): 214-220.
Purnell VE, Desai S, Husain J, Dodgeon J. Is bladder ultrasound indicated as part of the routine investigation of haematuria? Ultrasound. November 2011; 19(4): 209-213.
Blake MB, Singh A, Setty BN, Slattery J, Kalra M et al. Pearls and Pitfalls in Interpretation of Abdominal and Pelvic PET-CT1. RadioGraphics. 2006; 26:1335- 1353.
Venables H. Practical applications of ultrasound: getting the best out of your ultrasound machine. Ultrasound. February 2011; 19(1): 50-55.
Wilkey S. Point-of-care ultrasound training. Ultrasound. 2010; 18:103.