Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2020
Point-of-care ultrasound induced changes in management of unselected patients in the emergency department - a prospective single-blinded observational trial.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- The ABCDEFG point-of-care ultrasound protocol for acute non-traumatic abdominal pain: a prospective observational study.Journal of ultrasound · 2026Observational
- Effects of point-of-care ultrasonography on clinical decisions for suspected hypervolemia: a cross-sectional study of two independent samples.Clinics (Sao Paulo, Brazil) · 2026Article
- Impact of Point-of-Care Ultrasound on the Management of Abdominal Pain in the Emergency Department: A Quasi-Experimental Study.Journal of clinical medicine · 2026Article
- Rapid bedside multimodal ultrasound screening for acute type A aortic dissection: a perspective.Frontiers in cardiovascular medicine · 2026Article
- Evaluating the Diagnostic Accuracy of Point-of-Care Ultrasound in Acute Abdominal Pain in the Emergency Setting.Cureus · 2025Article
- Screening Sonography in the Prehospital Setting: A Case Report on Transforming Clinical Decisions.Cureus · 2025Article
- Agreement between carotid and LVOT non-invasive cardiac output measurements in ED septic shock patients: a prospective observational study.Scientific reports · 2025Observational
- The Expanding Point of Care Ultrasound (POCUS) Paradigm.POCUS journal · 2025Article
- Patient satisfaction using handheld ultrasound at emergency department in Jordan University Hospital.International journal of emergency medicine · 2024Article
- Utility of ultrasound in the diagnostic work-up of suspected pulmonary embolism: an open-label multicentre randomized controlled trial (the PRIME study).The Lancet regional health. Europe · 2024Article
- Ultrasound-guided puncture into newborn rat brain.Ibrain · 2023Article
- The Impact of Prehospital Point of Care Ultrasounds on Emergency Patients Length of Stay in Thailand.Journal of multidisciplinary healthcare · 2023Article
- Comment on: should lung ultrasound be always performed in older patients with possible COVID-19 disease.European geriatric medicine · 2022Article
- Earlier point-of-care ultrasound, shorter length of stay in patients with acute flank pain.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Usefulness of Multi-Organ Point-of-Care Ultrasound as a Complement to the Decision-Making Process in Internal Medicine.Journal of clinical medicine · 2022Article
- Ultrasonographic findings in patients with abdominal symptoms or trauma presenting to an emergency room in rural Tanzania.PloS one · 2022Observational
- The Role of Ultrasound as a Diagnostic and Therapeutic Tool in Experimental Animal Models of Stroke: A Review.Biomedicines · 2021Review
- Lung Ultrasound in COVID-19 Pneumonia: Correlations with Chest CT on Hospital admission.Respiration; international review of thoracic diseases · 2020Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundPoint-of-Care ultrasound (POCUS) changes the management in specific groups of patients in the Emergency Department (ED). It seems intuitive that POCUS holds an unexploited potential on a wide variety of patients. However, little is known about the effect of ultrasound on the broad spectrum of unselected patients in the ED. This study aimed to identify the effect on the clinical management if POCUS was applied on unselected patients. Secondarily the study aimed to identify predictors of ultrasound changing management.
methodsThis study was a blinded observational single center trial. A basic whole body POCUS protocol was performed in extension to the physical examination. The blinded treating physicians were interviewed about the presumptive diagnosis and plan for the patient. Subsequently the physicians were unblinded to the POCUS results and asked to choose between five options regarding the benefit from POCUS results.
resultsA total of 403 patients were enrolled in this study. The treating physicians regarded POCUS examinations influence on the diagnostic workup or treatment as following: 1) No new information: 249 (61.8%), 2) No further action: 45 (11.2%), 3) Further diagnostic workup needed: 52 (12.9%), 4) Presumptive diagnosis confirmed 38 (9.4%), and 5) Immediate treatment needed: 19 (4.7%). Predictors of beneficial ultrasound were: (a) triage > 1, (b) patient comorbidities (cardiac disease, hypertension or lung disease), or (c) patients presenting with abdominal pain, dyspnea, or syncope.
conclusionPOCUS was found to be potentially beneficial in 27.0% of all patients. High triage score, known cardiac disease, hypertension, pulmonary diseases, a clinical presentation with abdominal pain, dyspnea, or syncope are predictors of this. Future research should focus on patient-important outcomes when applying POCUS on these patients.
trial registrationThe trail was registered prior to patient inclusion with the Danish Data Protection Agency (https://www.datatilsynet.dk/ Case no: 1-16-02-603-14) and Clinical Trials (www.clinicaltrials.gov/ Protocol ID: DNVK1305018).
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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.