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Inicio Medicina Clínica (English Edition) Feasibility study of abdominal ultrasound using hand-held devices in homecare se...
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Vol. 158. Issue 8.
Pages 361-365 (April 2022)
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Vol. 158. Issue 8.
Pages 361-365 (April 2022)
Brief report
Feasibility study of abdominal ultrasound using hand-held devices in homecare services
Estudio de viabilidad de la ecografía abdominal con dispositivos portátiles en atención domiciliaria
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Sergi Vilanova-Rotllana,
Corresponding author
svilanova@clinic.cat

Corresponding author.
, Belchin Kostova,b,c, M. José Giner Martosa, Jaume Benavent-Àreua, Antoni Sisó-Almiralla,b,d
a Centro de Atención Primaria Les Corts, Consorci d’Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
b Grupo de Investigación Transversal en Atención Primaria, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
c Departamento de Estadística e Investigación Operativa, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
d Facultad de Medicina, Universitat de Barcelona (UB), Barcelona, Spain
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Tables (2)
Table 1. Clinical and demographic characteristics of the sample.
Table 2. Case group ultrasound findings.
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Additional material (4)
Abstract
Background and objectives

The miniaturisation and portability of ultrasound devices allow the family doctor to apply them in areas such as the patient's home. The present study aims to prove that performing an abdominal ultrasound in the home of frail patients is feasible, decreases the delay in care, and reduces diagnostic uncertainty.

Patients and methods

Case-control study. A sample of 59 patients was studied: 30 cases and 29 controls. A descriptive analysis of the case group was carried out and the delay variable was compared between both groups.

Results

A relevant and significant reduction, up to 10 times lower, was observed in the delay between the ultrasound performed in homecare compared those performed in the hospital. Of the patients, 73.4% only required clinical follow-up by their physician. In those patients who required other complementary tests or referrals, the definitive diagnosis was in complete agreement with the results of the home ultrasound.

Conclusions

The implementation of ultrasound in homecare services is feasible and provides relevant clinical benefits for the patient and increases the resolution capacity of the professional.

Keywords:
Portable ultrasound
Point-of-care ultrasound (POCUS)
Primary healthcare
Homecare services
Resumen
Antecedentes y objetivos

La miniaturización y portabilidad de dispositivos de ecografía permite al médico de familia aplicarlos en ámbitos como el domicilio del paciente. El presente estudio pretende demostrar que la realización de la ecografía abdominal en el domicilio de pacientes frágiles es factible, permite reducir la demora en la atención y reduce la incertidumbre diagnóstica.

Pacientes y métodos

Estudio de casos y controles. Se estudió una muestra de 59 pacientes: 30 casos y 29 controles. Se realizó un análisis descriptivo del grupo casos y se comparó la variable demora entre ambos grupos.

Resultados

Se observó una reducción relevante y significativa en la demora entre la ecografía practicada en atención domiciliaria y la realizada en el hospital, de hasta 10 veces menor. El 73,4% de los pacientes solo precisó control clínico por su médico de referencia. En aquellos pacientes que precisaron otras pruebas complementarias o derivación, el diagnóstico definitivo presentó una concordancia total con los resultados de la ecografía realizada al domicilio.

Conclusiones

La implementación de la ecografía en atención domiciliaria es asequible y aporta beneficios clínicos relevantes para el paciente e incrementa la capacidad resolutiva del profesional.

Palabras clave:
Ecografía portátil
Ecografía en el punto de atención al paciente
Atención primaria
Atención domiciliaria

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