Effect of a point-of-care ultrasound (POCUS) curriculum on emergency department soft tissue management.

IF 3.4 Q2 Medicine
Benjamin K Nti, Whitney Phillips, Elisa Sarmiento, Frances Russell
{"title":"Effect of a point-of-care ultrasound (POCUS) curriculum on emergency department soft tissue management.","authors":"Benjamin K Nti,&nbsp;Whitney Phillips,&nbsp;Elisa Sarmiento,&nbsp;Frances Russell","doi":"10.1186/s13089-022-00292-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pediatric emergency department (ED) visits for superficial skin and soft tissue infections (SSTI) have steadily been increasing and point-of-care ultrasound (POCUS) continues to be an effective modality to improve management and shorter ED length of stays (LOS).</p><p><strong>Objective: </strong>We sought to determine the impact of a soft tissue POCUS curriculum on POCUS utilization, ED LOS, and cost-effectiveness.</p><p><strong>Methods: </strong>This was a retrospective pre- and post-interventional study of pediatric patients aged 0 to 17 years. Patients presenting to ED with international classification of disease 9 or 10 code for abscess or cellulitis were included. Data were collected a year before and after curriculum implementation with a 1-year washout training period. Training included continuing medical education, greater than 25 quality assured examinations, and a post-test. We compared diagnostic imaging type, ED LOS, and mean charges in patients with SSTI.</p><p><strong>Results: </strong>We analyzed data on 119 total patients, 38 pre- and 81 post-intervention. We found a significant increase in the total number of POCUS examinations performed pre- to post-curriculum intervention, 26 vs. 59 (p = 0.0017). Mean total charges were significantly decreased from $3,762 (± 270) to $2,622 (± 158; p = 0.0009). There was a significant trend towards a decrease in average ED LOS 282 (standard error of mean [SEM] ± 19) vs 185 (± 13) minutes (p = 0.0001).</p><p><strong>Conclusions: </strong>Implementation of a soft tissue POCUS curriculum in a pediatric ED was associated with increased POCUS use, decreased LOS, and lower cost. These findings highlight the importance of POCUS education and implementation in the management of pediatric SSTI.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9587168/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ultrasound Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s13089-022-00292-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Pediatric emergency department (ED) visits for superficial skin and soft tissue infections (SSTI) have steadily been increasing and point-of-care ultrasound (POCUS) continues to be an effective modality to improve management and shorter ED length of stays (LOS).

Objective: We sought to determine the impact of a soft tissue POCUS curriculum on POCUS utilization, ED LOS, and cost-effectiveness.

Methods: This was a retrospective pre- and post-interventional study of pediatric patients aged 0 to 17 years. Patients presenting to ED with international classification of disease 9 or 10 code for abscess or cellulitis were included. Data were collected a year before and after curriculum implementation with a 1-year washout training period. Training included continuing medical education, greater than 25 quality assured examinations, and a post-test. We compared diagnostic imaging type, ED LOS, and mean charges in patients with SSTI.

Results: We analyzed data on 119 total patients, 38 pre- and 81 post-intervention. We found a significant increase in the total number of POCUS examinations performed pre- to post-curriculum intervention, 26 vs. 59 (p = 0.0017). Mean total charges were significantly decreased from $3,762 (± 270) to $2,622 (± 158; p = 0.0009). There was a significant trend towards a decrease in average ED LOS 282 (standard error of mean [SEM] ± 19) vs 185 (± 13) minutes (p = 0.0001).

Conclusions: Implementation of a soft tissue POCUS curriculum in a pediatric ED was associated with increased POCUS use, decreased LOS, and lower cost. These findings highlight the importance of POCUS education and implementation in the management of pediatric SSTI.

Abstract Image

Abstract Image

Abstract Image

即时超声(POCUS)课程对急诊科软组织管理的影响。
背景:儿科急诊科(ED)对浅表皮肤和软组织感染(SSTI)的访问一直在稳步增加,即时超声(POCUS)仍然是改善管理和缩短ED住院时间(LOS)的有效方式。目的:我们试图确定软组织POCUS课程对POCUS使用率、ED LOS和成本效益的影响。方法:这是一项0 - 17岁儿童患者介入前和介入后的回顾性研究。以国际疾病分类9或10码为脓肿或蜂窝织炎的ED患者包括在内。数据收集于课程实施前后一年,并进行为期一年的洗脱期培训。培训包括继续医学教育、25次以上有质量保证的考试和一次事后测试。我们比较了SSTI患者的诊断影像类型、ED LOS和平均收费。结果:我们分析了119例患者的数据,干预前38例,干预后81例。我们发现在课程干预前后进行POCUS检查的总次数显著增加,26次对59次(p = 0.0017)。平均总费用从3762美元(±270美元)显著下降到2622美元(±158美元);p = 0.0009)。平均ED LOS有明显的下降趋势,282(平均[SEM]标准误差±19)比185(±13)分钟(p = 0.0001)。结论:在儿科急诊科实施软组织POCUS课程可以增加POCUS的使用,降低LOS和降低成本。这些发现强调了POCUS教育和实施在儿童SSTI管理中的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Ultrasound Journal
Ultrasound Journal Health Professions-Radiological and Ultrasound Technology
CiteScore
6.80
自引率
2.90%
发文量
45
审稿时长
22 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信