Survey on lung ultrasound usage by portuguese pulmonologists

IF 0.8 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Bruno S. Silva, Beatriz Ferraz, Filipa Correia, Maria Inês Costa, Maria Esteves Brandão, Nuno Cortesão
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引用次数: 0

Abstract

Introduction: Lung ultrasound (LUS) performed by non-radiologist doctors has evolved over the last few decades, placing it as a useful diagnostic, prognostic and monitoring bedside tool in patients with respiratory disease. Despite its proven clinical applications, LUS training has not been standardized in Portugal. Objetctives: To characterize LUS learning processes and clinical usage amongst portuguese pulmonologists as well as to assess future needs. Methods: From August to November 2022 an online survey was sent to all members of the Portuguese Pulmonology Society. Degrees of confidence were assessed through Likert scales. Pearson’s chi-squared test and non-parametric tests were used. Outcomes were considered statistically significant if the probability of error was below 5% (p < 0.05). Results: 114 valid answers were obtained. Most responders (81%) had LUS training and 22% had attended other ultrasound-related courses. The majority had an ultrasound machine available. However, only 17% performed LUS > 3 times per week. Overall confidence in LUS usage for diagnostic purpose (median: 7/10), disease monitoring (median: 7/10) and support of invasive procedures (median: 8/10) were high. There was a significant relation between higher levels of confidence and regularly attending LUS courses and performing LUS > 3 times per week. The main reasons preventing regular use of LUS were availability/cost of courses, availability/cost of equipment and lack of time. Conclusions: Physician`s confidence degree on ultrasound utility is related to regular LUS training as well as regular usage. Costs involved with LUS training hamper its wider use.
葡萄牙肺科医生肺部超声使用情况调查
在过去的几十年里,由非放射科医生进行的肺超声(LUS)已经发展成为一种有用的诊断、预后和监测呼吸系统疾病患者的床边工具。尽管LUS的临床应用已得到证实,但在葡萄牙,LUS培训尚未标准化。目的:表征LUS学习过程和临床使用在葡萄牙肺科医生以及评估未来的需求。方法:于2022年8月至11月对葡萄牙肺脏学会所有会员进行在线调查。通过李克特量表评估信心程度。采用Pearson卡方检验和非参数检验。如果误差概率低于5%,则认为结果具有统计学意义(p <0.05)。结果:共获得有效答案114个。大多数应答者(81%)接受过LUS培训,22%参加过其他超声相关课程。大多数医院都有超声波机。然而,只有17%的人进行了LUS >每周3次。LUS用于诊断目的(中位数:7/10)、疾病监测(中位数:7/10)和支持侵入性手术(中位数:8/10)的总体置信度很高。较高的自信水平与定期参加LUS课程和执行LUS之间存在显著关系;每周3次。妨碍定期使用LUS的主要原因是课程的可得性/成本、设备的可得性/成本和时间的缺乏。结论:医师对超声效用的置信度与常规LUS训练及常规使用有关。美国法律培训的费用阻碍了其更广泛的使用。
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来源期刊
Ultrasound
Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.70
自引率
0.00%
发文量
55
期刊介绍: Ultrasound is the official journal of the British Medical Ultrasound Society (BMUS), a multidisciplinary, charitable society comprising radiologists, obstetricians, sonographers, physicists and veterinarians amongst others.
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