Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2022
Earlier point-of-care ultrasound, shorter length of stay in patients with acute flank pain.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 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.
The Applications of Point-of-care Ultrasound in ED Unselected, Non-critical Patients
Effects of Point-of-Care Ultrasound in Multidisciplinary Medical Wards
Who cites it
16 citing papers in PubMed, 20 citations in OpenAlex.
- Impact of emergency physician performed ultrasound in the evaluation of adult patients with acute abdominal pain: a prospective randomized bicentric trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Trial
- PoCUS-first versus CT-only for non-traumatic abdominal pain: a propensity score-weighted cohort study on ED resource utilization.Internal and emergency medicine · 2026Article
- Can resident-performed POCUS and clinical predictors effectively risk-stratify emergency department patients with confirmed renal colic?International journal of emergency medicine · 2026Article
- Impact of a Basic and Advanced Point-of-Care Ultrasound Training Program on Emergency Medicine Faculty Usage.Cureus · 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
- Point-of-Care Ultrasound Within One Hour Associated with ED Flow and Resource Use in Non-Traumatic Abdominal Pain: A Retrospective Observational Study.Diagnostics (Basel, Switzerland) · 2025Article
- Article
- Renal screening sonography-A comparative study in a Portuguese basic emergency service.Journal of medical radiation sciences · 2025Article
- Impact of a POCUS-first versus CT-first approach on emergency department length of stay and time to surgical consultation in patients with acute cholecystitis: a retrospective study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Roadmap to success: Blueprint for enterprise-wide deployment of a point-of-care ultrasound platform, inclusive of governance, policy, education, credentialing, and quality assurance (Part 2).Journal of clinical imaging science · 2025Article
- Article
- Roadmap to success: Blueprint for enterprise-wide deployment of a point-of-care ultrasound platform, inclusive of governance, policy, education, credentialing, and quality assurance.Journal of clinical imaging science · 2024Article
- Point-of-Care Ultrasound-History, Current and Evolving Clinical Concepts in Emergency Medicine.Medicina (Kaunas, Lithuania) · 2023Review
- Minutes matter: Time it takes to perform point-of-care ultrasound.AEM education and training · 2023Article
- The Impact of Prehospital Point of Care Ultrasounds on Emergency Patients Length of Stay in Thailand.Journal of multidisciplinary healthcare · 2023Article
- The Benefits and Barriers of Using Point-of-Care Ultrasound in Primary Healthcare in the United States.Cureus · 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
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe effects of early integration of point-of-care ultrasound (PoCUS) into patient care are uncertain. This study aims to investigate the effects of early PoCUS on patients with acute flank pain.
methodsAdult non-traumatic patients with acute flank pain receiving PoCUS were enrolled. Expert physicians reviewed the medical records and made the "final diagnosis" for the cause of acute flank pain. The primary outcome was the relationship between the door to ultrasound (US) time and length of stay (LOS). The secondary outcomes included the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the sonographic diagnosis, compared with the final diagnosis.
resultsEight hundred and eighty-eight patients were included in the analysis. Patients receiving early PoCUS (≤120 min) had a shorter LOS (128 vs. 217 min, p < 0.0001). Patients in the late POCUS group (> 120 min) had a trend to receive more CT scans. The disease distribution, sensitivity, specificity, PPV, and NPV were similar in patients receiving early or late PoCUS for target diagnoses. After adjusting for the confounders, early PoCUS (OR, 2.77, 95% CIs, 1.93-3.98) had a positive impact on shorter LOS. In addition, the effect of early PoCUS became more prominent (OR, 4.91, 95% CIs, 3.39-7.13) on LOS in less than 3 h.
conclusionsEarly integration of PoCUS is significantly related to shorter LOS in patients with acute flank pain without increasing morbidity and mortality. Our results suggested "PoCUS early" in these patients to possibly alleviate emergency department crowding. Trial registration NCT04149041 at the ClinicalTrial.gov.
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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.