Trial reportMedicina (Kaunas, Lithuania)2019
Usefulness of Protocolized Point-of-Care Ultrasonography for Patients with Acute Renal Colic Who Visited Emergency Department: A Randomized Controlled Study.
Trial report in Medicina (Kaunas, Lithuania), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sample Size of Trials Investigating the Impact of Point-of-Care Ultrasound-Guided Strategies on Patient Outcomes: A Systematic Review.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025Pooled it
- Development and Evaluation of a Kidney Point-Of-Care Ultrasound (POCUS) Training Program for Nephrology Fellows: A Quality Improvement Study.Canadian journal of kidney health and disease · 2025Article
- Pre-hospital Identification of a Giant Bladder Calculus through Screening Sonography: A Case Report.Current medical imaging · 2025Article
- Point-of-care ultrasound Usage and accuracy within a Canadian urology division.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Ultrasound accuracy in evaluating renal calculi in Maysan province.Journal of medicine and life · 2024Article
- A Real-World Cost-Effectiveness Study Evaluating Imaging Strategies for the Diagnostic Workup of Renal Colic in the Emergency Department.Medicina (Kaunas, Lithuania) · 2023Article
- Can Untrained Patients Perform Their Own Skin and Soft Tissue Ultrasound Examination by Teleguidance?POCUS journal · 2023Article
- Evaluation, management, and analysis of demographic and radiological characteristics of patients with renal colic at a tertiary hospital in Somalia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Prospective, multicentre observational study of point-of-care ultrasound practice in emergency departments across Australia and New Zealand: The POCUS-ED Registry.Emergency medicine Australasia : EMA · 2022Observational
- Article
- The Accuracy of Point-of-Care Ultrasound Performed by Emergency Physicians in Detecting Hydronephrosis in Patients with Renal Colic.Sultan Qaboos University medical journal · 2022Article
- What are the clinical effects of the different emergency department imaging options for suspected renal colic? A scoping review.Journal of the American College of Emergency Physicians open · 2021Article
- Mapping Trends and Hotspots Regarding the Use of Ultrasound in Emergency Medicine: A Bibliometric Analysis of Global Research.Frontiers in public health · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesUltrasonography is useful in evaluating patients with renal colic and it has high sensitivity and specificity for diagnosing ureter stones by revealing hydronephrosis. We evaluated the efficacy of point-of-care ultrasonography protocol in managing patients with acute renal colic who visited the emergency department (ED). MATERIALS AND
methodsBetween March 2019 and July 2019, patients who visited the ED because of renal colic were randomly assigned by date of visit either to the conventional group (CG), who underwent routine diagnostic work-up without ultrasonography, or to the ultrasonography group (UG), who underwent bedside ultrasonography as an initial diagnostic testing. When hydronephrosis was detected in the UG group, a confirmatory non-contrast abdomen computed tomography scan was promptly performed. The ED length of stay, complications, and missed or delayed high-risk diagnosis were evaluated.
resultsIn total, 128 of 147 analyzed patients were confirmed to have ureter stones. The ED length of stay was significantly lower in the UG group than in the CG group (mean 172 min; 95% confidence interval (CI): 151-194 min vs. mean 234 min; 95% CI: 216-252 min). The medical cost was also remarkably lower in the UG group than in the CG group (259 USD vs. 319 USD;
conclusionsWe found that protocolized point-of-care ultrasonography in patients with acute renal colic who visited the ED can more effectively reduce the length of stay and medical cost without 30-day complication than usual clinical practice.
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