护理点超声波在急性期后和长期护理中的应用:范围审查。

IF 4.2 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Lior Abramson MD , Chelsea Perfect MD , Sarah Cantrell MLIS , Yuriy S. Bronshteyn MD , Mamata Yanamadala MBBS , Gwendolen T. Buhr MD
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引用次数: 0

摘要

目的:护理点超声检查(POCUS)是超声造影的一种新兴应用,正在被纳入许多医疗专科的患者护理中。急性期后和长期护理(PALTC)环境有机会采用 POCUS 作为诊断辅助工具,以改善患者的预后。我们的目标是:(1)描述目前 POCUS 在 PALTC 中的使用情况;(2)研究如何在 PALTC 环境中推进 POCUS 的使用:设计:范围综述:环境和参与者:PALTC 机构和住院医师:由一名医学图书管理员在 MEDLINE、Embase、CINAHL Complete 和 Web of Science 数据库中检索有关在 PALTC 中使用 POCUS 的研究。所有研究均经过两个阶段的双重独立审查。我们纳入了所有由床边医疗服务提供者获取并解释 POCUS 的研究设计:结果:六项研究符合纳入标准。大多数研究都是在养老院和社区爆发 COVID19 时进行的。使用 POCUS 检查的器官系统为肺部和血管。研究表明,肺部超声在评估 COVID19 继发性肺损伤方面具有不同的诊断和预后作用。血管超声测量对预测水合状态没有帮助:在 PALTC 中实施 POCUS 是可行的,但目前的文献仅限于在两个器官系统中使用。这些结果表明了在 PALTC 中推广 POCUS 的潜力。要确定在这种医疗环境中使用 POCUS 是否能改善患者的预后,还需要进一步的工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Point-of-Care Ultrasound in Post-acute and Long-Term Care: A Scoping Review

Objectives

Point-of-care ultrasound (POCUS) is an emerging application of ultrasonography that is being integrated into patient care in many medical specialties. The post-acute and long-term care (PALTC) setting has opportunities to adopt POCUS as a diagnostic aid to improve patient outcomes. We aim (1) to describe the current use of POCUS in PALTC and (2) to examine how the use of POCUS can advance in PALTC settings.

Design

Scoping review.

Setting and Participants

PALTC facilities and residents.

Methods

The MEDLINE, Embase, CINAHL Complete, and Web of Science databases were searched by a medical librarian for studies on the use of POCUS in PALTC. All studies underwent dual, independent review during 2 phases of screening. We included all study designs where POCUS was obtained and interpreted by a provider at the bedside.

Results

Six studies met inclusion criteria. Most studies were conducted in the setting of COVID19 outbreaks in nursing homes and communities. The organ systems examined using POCUS were lung and vasculature. Lung ultrasound was shown to have variable diagnostic and prognostic utility in assessing lung injury secondary to COVID19. Ultrasound measurements of the vasculature were not useful for predicting hydration status.

Conclusion and Implications

Implementation of POCUS in PALTC is feasible, but current literature is limited to use in only 2 organ systems. These results suggest potential for expanding POCUS in PALTC. Further work is required to ascertain if POCUS use can improve patient outcomes in this health care setting.
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来源期刊
CiteScore
11.10
自引率
6.60%
发文量
472
审稿时长
44 days
期刊介绍: JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality
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