ArticleCritical care explorations2019
Impact of Point-of-Care Ultrasound in the Emergency Department on Care Processes and Outcomes in Critically Ill Nontraumatic Patients.
Article in Critical care explorations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed.
- Prognostic Impact of Point-of-Care Ultrasound in Patients With Suspected Cardiogenic Shock - A Systematic Review.Circulation reports · 2025Article
- Article
- Assessing the clinical relevance of point-of-care ultrasound for hospitalists: Influence on clinical reasoning and decision-making.PloS one · 2025Article
- Advancing Digital Education Technologies by Empowering Nurses With Point-of-Care Ultrasound: Protocol for a Mixed Methods Study.JMIR research protocols · 2024Article
- The Outcomes of the Initial Misclassification of Undifferentiated Hypotension in the Emergency Department: A Prospective Observational Study.Journal of clinical medicine · 2024Article
- Point-of-Care Ultrasound in the Emergency Department: Training, Perceptions, Applications, and Barriers from Different Healthcare Professionals.Journal of acute medicine · 2024Article
- Does Point-of-Care Ultrasound Affect Fluid Resuscitation Volume in Patients with Septic Shock: A Retrospective Review.Emergency medicine international · 2024Article
- [Recommendations for Education in Sonography in Prehospital Emergency Medicine (pPOCUS): Consensus paper of DGINA, DGAI, BAND, BV-ÄLRD, DGU, DIVI and DGIIN].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Review
- Focused Cardiac Ultrasound Findings of Fluid Tolerance and Fluid Resuscitation in Septic Shock.Critical care explorations · 2023Article
- [Recommendations for Education in Sonography in Prehospital Emergency Medicine (pPOCUS): Consensus paper of DGINA, DGAI, BAND, BV-ÄLRD, DGU, DIVI and DGIIN].Die Anaesthesiologie · 2023Review
- Point-of-Care Ultrasonography in Internal Medicine: Limitations and Pitfalls for Novice Users.Cureus · 2023Review
- Point-of-Care Ultrasound: A Multimodal Tool for the Management of Sepsis in the Emergency Department.Medicina (Kaunas, Lithuania) · 2023Review
- Modern Paediatric Emergency Department: Potential Improvements in Light of New Evidence.Children (Basel, Switzerland) · 2023Review
- Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review.Journal of clinical medicine · 2023Review
- Listen Before You Auscultate: An Active-Learning Approach to Bedside Cardiac Assessment.MedEdPORTAL : the journal of teaching and learning resources · 2023Article
- Machines that save lives in the intensive care unit: the ultrasonography machine.Intensive care medicine · 2022Review
- Point-of-care ultrasound for critically-ill patients: A mini-review of key diagnostic features and protocols.World journal of critical care medicine · 2022Review
- Review
- Point-of-Care Tests' Role in Time Metrics of Urgent Interventions in Emergency Department; a Systematic Review of Literature.Archives of academic emergency medicine · 2022Review
- Pick Up Your Probes: A Call for Clinically Oriented Point-of-Care Ultrasound Research in COVID-19.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Outcomes data on point-of-care ultrasound (POCUS) in critically ill patients are lacking. This study examines the association between POCUS in the emergency department and outcomes in critically ill patients.
designRetrospective cohort study of critically ill emergency department patients in two academic emergency departments. All emergency department patients admitted to the intensive care unit or that die in the emergency department were entered prospectively into a registry.
settingTwo academic emergency departments. PATIENTS: All adult (> 18 years old) non-trauma patients with hemodynamic instability [shock index (heart rate/systolic blood pressure) > 0.6] between November 1, 2013-October 31, 2016, were included.
interventionsCohorts were assigned as follows: no POCUS (cohort 1), POCUS prior to a key intervention (cohort 2), and POCUS after a key intervention (cohort 3). A key intervention was either a fluid bolus or vasoactive drug initiation. MEASUREMENTS AND MAIN
resultsMultivariable logistic regression was used to evaluate the association between POCUS use and the primary outcome of in-hospital mortality. We conducted several sensitivity analyses including propensity score matching and inverse-probability-weighted regression-adjustment along with multiple imputation to account for non-random assignment of POCUS as well as bias due to missing data. Of the 7,734 eligible patients, 2,293 patients were excluded. The remaining 5,441 patients were included in the analysis: 4165 in Cohort 1, 614 in Cohort 2, and 662 in Cohort 3. Mortality was 22%, 29%, and 26%, respectively (
conclusionsPOCUS use prior to interventions appears to be associated with care delays and increased in-hospital mortality compared to critically ill patients with no POCUS. Further explorations of the impact of POCUS in the emergency department appear warranted.
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