Evidence map›Paper›PMID 37759172›Full record

Observational studyBMC geriatrics2023

Point-of-care ultrasound in geriatrics: a national survey of VA medical centers.

Maya Gogtay, Ryan S Choudhury, Jason P Williams, Michael J Mader, Kevin J Murray, Elizabeth K Haro, Brandy Drum, Edward O'Brien, Rahul Khosla, Jeremy S Boyd and 11 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Observational
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  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 12 institutions in 1 country.

Maya GogtaySouth Texas Veterans Health Care System, Department of Geriatrics, Gerontology and Palliative Medicine, San Antonio, TX, USA. drgogtay@gmail.com.
Ryan S ChoudhurySouth Texas Veterans Health Care System, Department of Geriatrics, Gerontology and Palliative Medicine, San Antonio, TX, USA.
Jason P WilliamsDivision of Hospital Medicine, Emory School of Medicine, Atlanta, GA, USA.
Michael J MaderSouth Texas Veterans Health Care System, Research Service, San Antonio, TX, USA.
Kevin J MurrayLouis Stokes Cleveland VA Medical Center, Cleveland, OH, USA.
Elizabeth K HaroMedicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA.
Brandy DrumHealth Analysis and Information Group, Department of Veterans Affairs, Milwaukee, WI, USA.
Edward O'BrienHealth Analysis and Information Group, Department of Veterans Affairs, Milwaukee, WI, USA.
Rahul KhoslaPulmonary and Critical Care Medicine, Veterans Affairs Medical Center, Washington, DC, USA.
Jeremy S BoydDepartment of Emergency Medicine, VA Tennessee Valley Healthcare System-Nashville, Nashville, TN, USA.
Brain BalesDepartment of Emergency Medicine, VA Tennessee Valley Healthcare System-Nashville, Nashville, TN, USA.
Erin WetherbeePulmonary Section, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.
Harald SauthoffMedicine Service, VA NY Harbor Healthcare System, New York, USA.
Christopher K SchottCritical Care Service, VA Pittsburgh Health Care Systems, Pittsburgh, PA, USA.
Zahir BasraiEmergency Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Dana ResopDepartment of Emergency Medicine, University of Wisconsin, Madison, WI, USA.
Brian P LucasMedicine Service, White River Junction VA Medical Center, White River Junction, VT, USA.
Sandra Sanchez-ReillySouth Texas Veterans Health Care System, Department of Geriatrics, Gerontology and Palliative Medicine, San Antonio, TX, USA.
Sara EspinosaSouth Texas Veterans Health Care System, Department of Geriatrics, Gerontology and Palliative Medicine, San Antonio, TX, USA.
Nilam J SoniMedicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA.
Robert NathansonMedicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA.
South Texas Veterans Health Care System · USVA Tennessee Valley Healthcare System · USAtlanta VA Medical Center · USGeorge Washington University · USLouis Stokes Cleveland VA Medical Center · USNew York University · USThe University of Texas Health Science Center at San Antonio · USUniversity of California, Los Angeles · USUniversity of Minnesota · USVA Pittsburgh Healthcare System · USWhite River Junction VA Medical Center · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

Short-term Clinical Deterioration After Acute Pulmonary EmbolismR01HS025979 · AHRQ · CAROLINAS MEDICAL CENTER · PI WEEKES, ANTHONY J · 2018 to 2020
$1.0M
Evaluation of Implementation of a National Point-of-care Ultrasound Training ProgramI50HX002263 · VA · SOUTH TEXAS VETERANS HEALTH CARE SYSTEM · PI SONI, NILAM · 2020 to 2021
–
AHRQ HHS R01 HS025979HSRD VA I50 HX002263
6 · The paper itself

Abstract

backgroundPoint-of-care ultrasound (POCUS) can aid geriatricians in caring for complex, older patients. Currently, there is limited literature on POCUS use by geriatricians. We conducted a national survey to assess current POCUS use, training desired, and barriers among Geriatrics and Extended Care ("geriatric") clinics at Veterans Affairs Medical Centers (VAMCs).

methodsWe conducted a prospective observational study of all VAMCs between August 2019 and March 2020 using a web-based survey sent to all VAMC Chiefs of Staff and Chiefs of geriatric clinics.

resultsAll Chiefs of Staff (n=130) completed the survey (100% response rate). Chiefs of geriatric clinics ("chiefs") at 76 VAMCs were surveyed and 52 completed the survey (68% response rate). Geriatric clinics were located throughout the United States, mostly at high-complexity, urban VAMCs. Only 15% of chiefs responded that there was some POCUS usage in their geriatric clinic, but more than 60% of chiefs would support the implementation of POCUS use. The most common POCUS applications used in geriatric clinics were the evaluation of the bladder and urinary obstruction. Barriers to POCUS use included a lack of trained providers (56%), ultrasound equipment (50%), and funding for training (35%). Additionally, chiefs reported time utilization, clinical indications, and low patient census as barriers.

conclusionsPOCUS has several potential applications for clinicians caring for geriatric patients. Though only 15% of geriatric clinics at VAMCs currently use POCUS, most geriatric chiefs would support implementing POCUS use as a diagnostic tool. The greatest barriers to POCUS implementation in geriatric clinics were a lack of training and ultrasound equipment. Addressing these barriers systematically can facilitate implementation of POCUS use into practice and permit assessment of the impact of POCUS on geriatric care in the future.

Indexed as

GeriatricsPoint-of-Care SystemsAgedAmbulatory Care FacilitiesGeriatriciansHospitalsHumansGeriatriciansPoint-of-care ultrasoundVeterans administration

Identifiers

PMID37759172
PMCPMC10537073
OpenAlexW4387106407

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.