{"title":"急诊医师床边超声检查应用评价","authors":"K. Kokulu, E. Sert, H. Mutlu","doi":"10.29058/mjwbs.854292","DOIUrl":null,"url":null,"abstract":"Aim: Bedside ultrasonography (US) is a frequently used tool to facilitate diagnosis and treatment in emergency departments (EDs). The primary aim of our study was to evaluate the characteristics of emergency physicians’ use of bedside US. Our secondary aim was to analyze factors affecting the regular use of bedside US. Material and Methods: This was a descriptive cross-sectional survey study conducted with physicians working in EDs. The study was carried out using a 15-item questionnaire in 2020, and the results were analyzed with the Statistical Package for the Social Sciences software. Results: The questionnaire was sent to 965 physicians working in the EDs of 48 different hospitals, and the data of 684 (71.5%) that responded to all items in the questionnaire were included in the study. The EDs of the hospitals included in the study had at least one US device, and 82% of them were equipped with three probes. It was observed that 152 (22.2%) of the emergency physicians did not use US at all, and 532 (77.8%) used US regularly, albeit rarely. The most common area of use for US in the ED was focused assessment with sonography in trauma, followed by procedural guidance [432 (63.2%) and 308 (45%), respectively]. Of the physicians who did not use bedside US regularly, 33.3% (n=96) stated that they did not use it due to their lack of training. In addition, the interest of emergency physicians in US education was measured as 7±3 points. It was observed that the conditions associated with frequent use of bedside US were gender, inclusion of US training during residency, and duration of the availability of an US machine in the emergency clinic. Conclusion: This study showed that emergency physicians had a high interest in using bedside US. The greatest obstacle to the use of US was insufficient training. Therefore, emergency physicians should be offered regular US training programs sand those that have not received US training should be encouraged to participate in such programs.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":"254 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of Bedside Ultrasonography Use of Emergency Physicians\",\"authors\":\"K. Kokulu, E. Sert, H. Mutlu\",\"doi\":\"10.29058/mjwbs.854292\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Aim: Bedside ultrasonography (US) is a frequently used tool to facilitate diagnosis and treatment in emergency departments (EDs). The primary aim of our study was to evaluate the characteristics of emergency physicians’ use of bedside US. Our secondary aim was to analyze factors affecting the regular use of bedside US. Material and Methods: This was a descriptive cross-sectional survey study conducted with physicians working in EDs. The study was carried out using a 15-item questionnaire in 2020, and the results were analyzed with the Statistical Package for the Social Sciences software. Results: The questionnaire was sent to 965 physicians working in the EDs of 48 different hospitals, and the data of 684 (71.5%) that responded to all items in the questionnaire were included in the study. The EDs of the hospitals included in the study had at least one US device, and 82% of them were equipped with three probes. It was observed that 152 (22.2%) of the emergency physicians did not use US at all, and 532 (77.8%) used US regularly, albeit rarely. The most common area of use for US in the ED was focused assessment with sonography in trauma, followed by procedural guidance [432 (63.2%) and 308 (45%), respectively]. Of the physicians who did not use bedside US regularly, 33.3% (n=96) stated that they did not use it due to their lack of training. In addition, the interest of emergency physicians in US education was measured as 7±3 points. It was observed that the conditions associated with frequent use of bedside US were gender, inclusion of US training during residency, and duration of the availability of an US machine in the emergency clinic. Conclusion: This study showed that emergency physicians had a high interest in using bedside US. The greatest obstacle to the use of US was insufficient training. Therefore, emergency physicians should be offered regular US training programs sand those that have not received US training should be encouraged to participate in such programs.\",\"PeriodicalId\":309460,\"journal\":{\"name\":\"Medical Journal of Western Black Sea\",\"volume\":\"254 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-05-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Journal of Western Black Sea\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.29058/mjwbs.854292\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Journal of Western Black Sea","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.29058/mjwbs.854292","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:床边超声(US)是急诊科(ed)常用的辅助诊断和治疗的工具。本研究的主要目的是评估急诊医生使用床边US的特点。我们的第二个目的是分析影响床边US常规使用的因素。材料和方法:这是一项描述性横断面调查研究,由在急诊室工作的医生进行。本研究于2020年使用15项问卷进行,并使用Statistical Package for The Social Sciences软件对结果进行分析。结果:共向48家不同医院的965名急诊科医生发放了问卷,684名(71.5%)回答了问卷所有条目的医生的数据被纳入研究。参与研究的医院急诊室至少有一个美国装置,其中82%配备了三个探针。我们观察到152名(22.2%)急诊医生根本不使用US, 532名(77.8%)急诊医生经常使用US,尽管很少使用。超声在急诊科最常见的应用领域是创伤超声集中评估,其次是程序指导[分别为432(63.2%)和308(45%)]。在不经常使用床边US的医生中,33.3% (n=96)表示他们由于缺乏培训而不使用US。此外,急诊医生对美国教育的兴趣测量为7±3分。据观察,与频繁使用床边医疗器械相关的条件是性别、住院医师期间是否接受医疗器械培训以及急诊诊所是否有医疗器械。结论:本研究表明急诊医师对使用床边超声有很高的兴趣。使用US的最大障碍是训练不足。因此,急诊医师应定期接受美国培训,并鼓励未接受过美国培训的急诊医师参加此类培训。
Evaluation of Bedside Ultrasonography Use of Emergency Physicians
Aim: Bedside ultrasonography (US) is a frequently used tool to facilitate diagnosis and treatment in emergency departments (EDs). The primary aim of our study was to evaluate the characteristics of emergency physicians’ use of bedside US. Our secondary aim was to analyze factors affecting the regular use of bedside US. Material and Methods: This was a descriptive cross-sectional survey study conducted with physicians working in EDs. The study was carried out using a 15-item questionnaire in 2020, and the results were analyzed with the Statistical Package for the Social Sciences software. Results: The questionnaire was sent to 965 physicians working in the EDs of 48 different hospitals, and the data of 684 (71.5%) that responded to all items in the questionnaire were included in the study. The EDs of the hospitals included in the study had at least one US device, and 82% of them were equipped with three probes. It was observed that 152 (22.2%) of the emergency physicians did not use US at all, and 532 (77.8%) used US regularly, albeit rarely. The most common area of use for US in the ED was focused assessment with sonography in trauma, followed by procedural guidance [432 (63.2%) and 308 (45%), respectively]. Of the physicians who did not use bedside US regularly, 33.3% (n=96) stated that they did not use it due to their lack of training. In addition, the interest of emergency physicians in US education was measured as 7±3 points. It was observed that the conditions associated with frequent use of bedside US were gender, inclusion of US training during residency, and duration of the availability of an US machine in the emergency clinic. Conclusion: This study showed that emergency physicians had a high interest in using bedside US. The greatest obstacle to the use of US was insufficient training. Therefore, emergency physicians should be offered regular US training programs sand those that have not received US training should be encouraged to participate in such programs.