ArticleThe ultrasound journal2019
Impact of an ultrasound-driven diagnostic protocol at early intensive-care stay: a randomized-controlled trial.
Article in The ultrasound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 28 papers.
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.
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.
Impact of a Multisystemic Ultrasound Protocol in Patients of Polyvalent Intensive Care Units. Multicenter Controlled Study
Effects of Point-of-Care Ultrasound in Multidisciplinary Medical Wards
The Impact of Point-of-care Ultrasound on Treatment Planning and Prognosis in the Intensive Care Unit
Who cites it
28 citing papers in PubMed, 61 citations in OpenAlex.
- Factors associated with early obstetric ultrasound uptake at a tertiary hospital in Northern Uganda: a cross-sectional study.BMJ open · 2026Article
- Mapping the Clinical Competencies Required for Nurses to Use Point-of-Care Ultrasound: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Point-of-care ultrasound to evaluate volume status in congestive heart failure.Journal of cardiovascular imaging · 2026Review
- Application of Digital, Web-Based, and Online Strategies in Point of Care Ultrasound (POCUS) Training: A Scoping Review.Health science reports · 2026Review
- Integrating Point-of-Care Ultrasound (PoCUS) in Plastic Surgery at an Academic-Community Hospital: Enhancing Patient Care and Resource Allocation.Plastic surgery (Oakville, Ont.) · 2026Article
- Review
- Painless Aortic Dissection With Bradycardia, Hypotension, and Lower Limb Weakness: A Case Report.Cureus · 2025Article
- Point-of-Care Ultrasound and Critical Care Ultrasound use Among Providers in Neurocritical Units: A National Survey.Neurocritical care · 2025Article
- Transfer of POCUS Skills of Anesthesia Trainees from the Simulation Laboratory to Clinical Practice: A Follow-Up Pilot Evaluation After ABC US Protocol Training.Diagnostics (Basel, Switzerland) · 2025Article
- When is synthetic sufficient? Ethical considerations and alternatives in simulation-based ultrasound education.Advances in simulation (London, England) · 2025Article
- Advancing Digital Education Technologies by Empowering Nurses With Point-of-Care Ultrasound: Protocol for a Mixed Methods Study.JMIR research protocols · 2024Article
- Teaching Medical Students Rapid Ultrasound for shock and hypotension (RUSH): learning outcomes and clinical performance in a proof-of-concept study.BMC medical education · 2024Observational
- Point-of-Care Cardiac Ultrasound Training Programme: Experience from the University Hospital Hradec Králové.Emergency medicine international · 2024Review
- Effects of nurse delivered thoracic ultrasound on management of adult intensive care unit patients: A prospective observational study.International journal of nursing studies advances · 2023Article
- Intensive care nurse-led point of care ultrasound in the assessment and management of the critically ill COVID-19 patient: A single centre case series.Nursing in critical care · 2023Article
- Review
- Association of Internal Medicine Point of Care Ultrasound (POCUS) with Length of Stay, Hospitalization Costs, and Formal Imaging: a Prospective Cohort Study.POCUS journal · 2023Article
- Venous Excess Ultrasound (VExUS Grading to Assess Perioperative Fluid Status for Noncardiac Surgeries: a Prospective Observational Pilot Study.POCUS journal · 2023Article
- The impact of lung ultrasound on clinical-decision making across departments: a systematic review.The ultrasound journal · 2022Review
- Potential for Use of Portable Ultrasound Devices in Rural and Remote Settings in Australia and Other Developed Countries: A Systematic Review.Journal of multidisciplinary healthcare · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoint-of-care ultrasound (POCUS) is a tool in increasing use, but there is still a lack of basics for its routine use and evidence of its impact in intensive care.
objectiveTo measure the impact of POCUS on resource utilization, diagnostic accuracy, and clinical management in medical-surgical intensive care units (ICUs).
methodsProspective, controlled study, in two polyvalent ICUs. The patients were randomly assigned to POCUS or control group.
interventionsPOCUS patients received systematic ultrasound examination of optic nerve, lung/pleura, heart, abdomen, and venous system, performed at the bedside by trained intensivists. Control patients were treated by critical care specialists who do not perform ultrasound in their clinical practice.
resultsWe included 80 patients, 40 per group. There were no significant differences in age, sex, APACHE II score, or admission diagnosis. POCUS group used fewer resources per patient in the first 5 days of hospitalization: chest radiography (2.6 ± 2.0 vs 4.1 ± 3.5, P = 0.01), additional ultrasound evaluations performed by a radiology specialist (0.6 ± 0.7 vs 1.1 ± 0.7, P = 0.002), and computed tomography studies (0.5 ± 0.6 vs 0.9 ± 0.7, P = 0.007). Time to perform any requested ultrasound evaluation after ICU admission was 2.1 ± 1.6 h versus 7.7 ± 6.7 h (P = 0.001). Systematic ultrasound evaluation led to better characterization of ICU admission diagnosis in 14 (35%) patients and change in clinical management in 24 (60%). POCUS group had lower fluid balance at 48 and 96 h after admission (P = 0.01) and spent less time mechanically ventilated (5.1 ± 5.7 days vs 8.8 ± 9.4, P = 0.03).
conclusionsSystematic application of POCUS may decrease utilization of conventional diagnostic imaging resources and time of mechanical ventilation, and facilitate meticulous intravenous fluid administration in critically ill patients during the first week of stay in the ICU. Trial registration ClinicalTrials.gov Identifier: NCT03608202.
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Registered trials
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.