Evidence map›Paper›PMID 26825858›Full record

Observational studyCritical care medicine2016

Focused Critical Care Echocardiography: Development and Evaluation of an Image Acquisition Assessment Tool.

Jonathan Gaudet, Jason Waechter, Kevin McLaughlin, André Ferland, Tomás Godinez, Colin Bands, Paul Boucher, Jocelyn Lockyer

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Competence of anesthesiology residents following a longitudinal point-of-care ultrasound curriculum.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022
    Observational
  8. Automated estimation of echocardiogram image quality in hospitalized patients.The international journal of cardiovascular imaging · 2021
    Article
  9. Review
  10. Article
  11. Cardiac point-of-care to cart-based ultrasound translation using constrained CycleGAN.International journal of computer assisted radiology and surgery · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jonathan Gaudet1Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. 2Department of Anesthesia, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. 3Division of Nephrology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. 4Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Jason Waechter
Kevin McLaughlin
André Ferland
Tomás Godinez
Colin Bands
Paul Boucher
Jocelyn Lockyer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLittle attention has been placed on assessment tools to evaluate image acquisition quality for focused critical care echocardiography. We designed a novel assessment tool to objectively evaluate the image acquisition skills of critical care trainees learning focused critical care echocardiography and examined the tool for evidence of validity.

designProspective observational study.

settingMedical-surgical ICUs at a tertiary care teaching hospital. SUBJECTS: Trainees in our critical care medicine fellowship program.

interventionsSix trainees completed a focused critical care echocardiography training curriculum followed by performing 20 transthoracic echocardiograms on patients receiving invasive mechanical ventilation. At three assessment intervals (the 1st and 2nd examinations, 10th and 11th examinations, and 19th and 20th examinations), echocardiograms performed by trainees were compared with those of critical care physicians certified in echocardiography and scored according to the focused critical care echocardiography assessment tool. The primary outcome was an efficiency score (overall assessment tool score divided by examination time). Differences in mean efficiency scores between echocardiographers of differing skill levels and changes in trainees' mean efficiency scores with increasing focused critical care echocardiography experience were compared by using t tests. MEASUREMENTS AND MAIN

resultsOn the initial assessment, mean efficiency scores (SD) for trainees and experienced physicians were 1.55 (0.95) versus 2.78 (1.38), respectively (p = 0.02), and for the second and third assessments, the corresponding efficiency ratings for trainees and experienced physicians were 2.48 (0.97) versus 4.55 (1.32) (p < 0.01) and 2.61 (1.37) versus 4.17 (2.12) (p = 0.04), respectively.

conclusionsTrainees' efficiency in focused critical care echocardiography image acquisition improved quickly in the first 10 studies, yet, it could not match with the performance of experienced physicians after 20 focused critical care echocardiography studies. The focused critical care echocardiography assessment tool demonstrated evidence of validity and could discern changes in trainees' image acquisition performance with increasing experience.

Indexed as

Clinical CompetenceCritical CareEchocardiographyFemaleHumansInternship and ResidencyMaleMiddle AgedProcess Assessment, Health CareProspective StudiesQuality Assurance, Health CareWorkload

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.