ArticleJournal of general internal medicine2019
Hospitalist-Operated Compression Ultrasonography: a Point-of-Care Ultrasound Study (HOCUS-POCUS).
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed, 54 citations in OpenAlex.
- Assessment of an Ultrasonography-Based Algorithm for Detecting the Causes of Acute Dyspnea in an Emergency Hospital.Medeniyet medical journal · 2026Article
- Positioning Statement on the Use of Point-of-Care Ultrasound in Cardiovascular Medicine - 2026.Arquivos brasileiros de cardiologia · 2026Article
- Taking the Next Step in Obstetric Critical Care: Cardiac and Lung POCUS Training for Obstetric Residents.POCUS journal · 2026Article
- Lowering DVT-Related ED Visits via a Primary Care POCUS Pathway.POCUS journal · 2026Article
- Deep Vein Thrombosis in Critically Ill Patients With COVID-19 Pneumonia: Incidence, Wells Score Diagnostic Performance, and Hospital Prognosis.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026Observational
- Point of care ultrasonography in physical therapists' clinical practice: a clinical perspective.The Journal of manual & manipulative therapy · 2025Review
- Value of clinical review for AI-guided deep vein thrombosis diagnosis with ultrasound imaging by non-expert operators.NPJ digital medicine · 2025Article
- Evaluating the benefits of machine learning for diagnosing deep vein thrombosis compared with gold standard ultrasound: a feasibility study.BJGP open · 2024Article
- Deep venous thrombosis (DVT) diagnostics: gleaning insights from point-of-care ultrasound (PoCUS) techniques in emergencies: a systematic review and meta-analysis.The ultrasound journal · 2024Review
- Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition.Journal of visualized experiments : JoVE · 2024Article
- Point-of-Care Ultrasound for the Diagnosis of Frequent Cardiovascular Diseases: A Review.Cureus · 2023Review
- Article
- Minutes matter: Time it takes to perform point-of-care ultrasound.AEM education and training · 2023Article
- Integrated Assessment of Heart, Lung and Lower Extremity Veins Using Hand-Held Ultrasound Device in COVID-19 Patients: Feasibility and Clinical Application.Diagnostics (Basel, Switzerland) · 2023Article
- Design and comparison of a hybrid to a traditional in-person point-of-care ultrasound course.The ultrasound journal · 2022Article
- Clinical Features and Management of COVID-19-Associated Hypercoagulability.Cardiac electrophysiology clinics · 2022Review
- An Introductory Curriculum for Internal Medicine Interns in Point-of-Care Ultrasound to Detect Lower Extremity Deep Vein Thrombosis.POCUS journal · 2022Article
- The Use of Point-of-Care Ultrasound (POCUS) in the Diagnosis of Deep Vein Thrombosis.Journal of clinical medicine · 2021Review
- Hematological Abnormalities in COVID-19: A Narrative Review.The American journal of tropical medicine and hygiene · 2021Review
- Design and evaluation of the I-SCAN faculty POCUS program.BMC medical education · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVenous thromboembolism includes deep vein thrombosis (DVT) and pulmonary embolism. Compression ultrasonography is the most common way to evaluate DVT and is typically performed by sonographers and interpreted by radiologists. Yet there is evidence that ultrasound examinations can be safely and accurately performed by clinicians at the bedside.
objectiveTo measure the operating characteristics of hospital medicine providers performing point-of-care ultrasound (POCUS) for evaluation of DVT.
designThis is a prospective cohort study enrolling a convenience sample of patients. Hospital medicine providers performed POCUS for DVT and the results were compared with the corresponding formal vascular study (FVS) interpreted by radiologists.
participantsHospitalized non-ICU patients at four tertiary care hospitals for whom a DVT ultrasound was ordered. MAIN MEASURES: The primary outcomes were the sensitivity, specificity, and predictive values of the POCUS compression ultrasound compared with a FVS. The secondary outcome was the elapsed time between order and the POCUS study compared with the time the FVS was ordered to when the formal radiology report was finalized. KEY
resultsOne hundred twenty-five limbs from 73 patients were scanned. The prevalence of DVT was 6.4% (8/125). The sensitivity of POCUS for DVT was 100% (95% CI 74-100%) and specificity was 95.8% (95% CI 91-98%) with a positive predictive value of 61.5% (95% CI 35-84%) and a negative predictive value of 100% (95% CI 98-100%). The median time from order to POCUS completion was 5.8 h versus 11.5 h median time from order until the radiology report was finalized (p = 0.001).
conclusionHospital medicine providers can perform compression-only POCUS for DVT on inpatients with accuracy similar to other specialties and settings, with results available sooner than radiology. The observed prevalence of DVT was lower than expected. POCUS may be reliable in excluding DVT but further study is required to determine how to incorporate a positive POCUS DVT result into clinical practice.
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