提高准确性:点护理超声快速确认中心静脉放置在新生儿-一项观察性研究。

IF 1.1 4区 医学 Q2 PEDIATRICS
Aril Bhatia, Arjun Verma, Sourabh Singh, Madhu Mathur, Manika Chhabra, Jyoti More Dhage
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引用次数: 0

摘要

评估点护理超声诊断的准确性相对于单个或多个检查x线所做的确认中心线位置。本横断面观察性研究于2023年3月至2024年3月在三级新生儿重症监护病房进行。即时超声(USG)和x线片对接受中央静脉置管的婴儿进行检查。通过敏感性、特异性、PPV、NPV、阳性似然比、阴性似然比评价USG的诊断准确性。在160条中心线中,109条(68.1%)和102条(63.8%)中心线分别被定义为x线片和POCUS上的最佳位置。POCUS对中心线尖端位置的敏感性为93.58%,特异性为82.35%。阳性预测值为91.89%,阴性预测值为85.71%。阳性似然比为5.3%,阴性似然比为0.08%。POCUS对x线摄影的总体准确度为90%[95%置信区间(CI) 84.27-94.18]。研究还显示,与平均持续时间为19分钟的x射线相比,床边POCUS所需的时间明显缩短,平均持续时间为4分钟。护理点超声可作为床边x线检查的替代方法来确定导管尖端位置,诊断准确率为90%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing accuracy: point-of-care ultrasound for rapid confirmation of central line placement in neonates-an observational study.

To assess the diagnostic accuracy of point-of-care ultrasound against single or multiple check X-rays done to confirm central line position. This cross-sectional observational study was conducted in a tertiary neonatal intensive care unit from March 2023 to March 2024. Point-of-care Ultrasound (USG) and radiograph were performed on infants who underwent central line placement. Diagnostic accuracy of USG was presented by sensitivity, specificity, PPV, NPV, positive likelihood ratio, and negative likelihood ratio. Of the 160 central lines, 109 (68.1%) vs. 102(63.8%) central lines were defined as optimally placed on the radiograph and POCUS, respectively. The sensitivity and specificity of POCUS in confirming central line tip position were 93.58% and82.35%, respectively. The positive predictive value and the negative predictive value were 91.89% and 85.71%, respectively. The positive likelihood ratio was 5.3%, and the negative likelihood ratio was 0.08%. Overall accuracy of POCUS to radiography was 90% [95% confidence interval (CI) 84.27-94.18]. The study also revealed that a significantly shorter time was required in bedside POCUS with a mean duration of 4 minutes as compared to X-ray where the mean duration was 19 minutes. Point-of-care ultrasound can be used as an alternative to bedside radiographic examination in confirming the catheter tip position with diagnostic accuracy of 90%.

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来源期刊
Journal of Tropical Pediatrics
Journal of Tropical Pediatrics 医学-热带医学
CiteScore
4.00
自引率
0.00%
发文量
97
审稿时长
6-12 weeks
期刊介绍: The Journal of Tropical Pediatrics provides a link between theory and practice in the field. Papers report key results of clinical and community research, and considerations of programme development. More general descriptive pieces are included when they have application to work preceeding elsewhere. The journal also presents review articles, book reviews and, occasionally, short monographs and selections of important papers delivered at relevant conferences.
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