急性肾损伤患者护理点超声波检查的测试特征。

IF 3.4 Q2 Medicine
Mathilde Gaudreau-Simard, Tana Saiyin, Matthew D F Mcinnes, Sydney Ruller, Edward G Clark, Krista Wooller, Elaine Kilabuk, Alan J Forster, Michael Y Woo
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引用次数: 0

摘要

背景:急性肾损伤是一种常见疾病,与严重的发病率和死亡率相关。床旁超声检查(PoCUS)是一种在床旁进行的成像方式,用于评估急性肾损伤的阻塞性原因。人们对急性肾损伤患者的 PoCUS 检查特点知之甚少:我们的主要目的是描述本中心在检测急性肾损伤患者肾积水时使用 PoCUS 的检查特点。我们的次要目标是描述目前在该适应症中使用 PoCUS 的比例:结果:2019 年 6 月 1 日至 2021 年 4 月 30 日期间,共发现 7873 例患者,其中 4611 例符合纳入标准。其中,94 名患者(2%)接受了 PoCUS 检查,65 名患者同时接受了 PoCUS 和参考标准检查,共有 124 个肾脏被纳入我们的诊断准确性分析。我们队列中肾积水的发病率为 33% (95% CI 25-41%)。PoCUS 检测肾积水的灵敏度为 85%(95% CI 71-94%),特异度为 78%(95% CI 68-87%):我们描述了 PoCUS 检测急性肾损伤患者肾积水的检验特性。该检查的使用率较低,这为质量改进工作提供了机会,以提高其在该适应症中的使用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Test characteristics of point-of-care ultrasonography in patients with acute kidney injury.

Background: Acute kidney injury is a common disorder that is associated with significant morbidity and mortality. Point-of-care ultrasonography (PoCUS) is an imaging modality performed at the bedside and is used to assess for obstructive causes of acute kidney injury. Little is known about the test characteristics of PoCUS in patients with acute kidney injury.

Objective: Our primary objective was to describe the test characteristics of PoCUS for the detection of hydronephrosis in patients presenting with acute kidney injury at our centre. Our secondary objective was to describe the current rate of use of PoCUS for this indication.

Results: In total, 7873 patients were identified between June 1, 2019 and April 30, 2021, with 4611 meeting inclusion criteria. Of these, 94 patients (2%) underwent PoCUS, and 65 patients underwent both PoCUS and reference standard, for a total of 124 kidneys included in our diagnostic accuracy analysis. The prevalence of hydronephrosis in our cohort was 33% (95% CI 25-41%). PoCUS had a sensitivity of 85% (95% CI 71-94%) and specificity of 78% (95% CI 68-87%) for the detection of hydronephrosis.

Conclusion: We describe the test characteristics of PoCUS for the detection of hydronephrosis in a cohort of patients with acute kidney injury. The low uptake of this test presents an opportunity for quality improvement work to increase its use for this indication.

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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
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