Hospitalist-Operated Compression Ultrasonography: a Point-of-Care Ultrasound Study (HOCUS-POCUS)

Journal of General Internal Medicine
Ernest A FischerAndrew P J Olson

Abstract

Venous thromboembolism includes deep vein thrombosis (DVT) and pulmonary embolism. Compression ultrasonography is the most common way to evaluate DVT and is typically performed by sonographers and interpreted by radiologists. Yet there is evidence that ultrasound examinations can be safely and accurately performed by clinicians at the bedside. To measure the operating characteristics of hospital medicine providers performing point-of-care ultrasound (POCUS) for evaluation of DVT. This is a prospective cohort study enrolling a convenience sample of patients. Hospital medicine providers performed POCUS for DVT and the results were compared with the corresponding formal vascular study (FVS) interpreted by radiologists. Hospitalized non-ICU patients at four tertiary care hospitals for whom a DVT ultrasound was ordered. The primary outcomes were the sensitivity, specificity, and predictive values of the POCUS compression ultrasound compared with a FVS. The secondary outcome was the elapsed time between order and the POCUS study compared with the time the FVS was ordered to when the formal radiology report was finalized. One hundred twenty-five limbs from 73 patients were scanned. The prevalence of DVT was 6.4% (8/125). The sensitivi...Continue Reading

References

Sep 5, 2003·Emergency Medicine Journal : EMJ·S R JonesM Harrison
May 20, 2015·JAMA Internal Medicine·Patricia C SilveiraRamin Khorasani
Jun 17, 2015·Nature Reviews. Cardiology·John A Heit
Nov 21, 2015·Blood·Menno V Huisman, Frederikus A Klok
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Citations

Jun 4, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Benji K MathewsNilam J Soni
Aug 18, 2020·Drugs·Adrija HajraWilbert S Aronow
Nov 12, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·David SchriftCarol Choe
Jan 8, 2021·BMC Medical Education·Michael JanjigianHarald Sauthoff
Jul 17, 2021·Chest·Mary E Barrosse-AntleCameron M Baston

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