2018, Number 1
Surgeon-performed emergency ultrasonography on patients admitted to the Emergency Department
Díaz PO, Berty GH, Martínez MML, Rodríguez VR, Álvarez AA
Language: Spanish
References: 0
Page: 33-39
PDF size: 88.96 Kb.
ABSTRACT
Introduction: The use of ultrasonography at the emergency department is worldwide considered an important tool for the initial evaluation of patients with surgical pathologies. In our country, due to different issues, it is difficult to carry out this procedure quickly.Objective: To determine if the use of ultrasonography by general surgeons is an effective diagnostic method in patients admitted to the emergency department.
Method: An observational, descriptive, longitudinal, prospective study was carried out in the Emergency Department of Dr. Miguel Enríquez University Hospital, from January 1st to April 30, 2017, on a total of 96 patients. Ultrasonographic studies were performed on patients who presented criteria for its usage. The coincidence between clinical, surgical and ultrasonographic diagnosis was determined.
Results: 96 patients, with a predominance of the female sex (50, 52.1%) were analyzed. The most frequent clinical diagnosis found was traumatic affections (41, 42.7%). A better coincidence between clinical and ultrasonographic diagnosis was achieved in traumatic (p=0.021) and gynecological (p=0.034) conditions. General speaking, all the variables presented fair coincidence between the postoperative and ultrasonographic diagnosis.
Conclusions: The usage of ultrasonography by surgeons turned out to be a favorable study to complement the diagnosis in patients seen in the emergency department.