Table 3a.
Post-POCUS change in primary diagnosis, # diagnoses in differential, management, and attending confidence in diagnosis by team that performed the POCUS study; Primary Team vs dedicated US Team. For non-inferiority, the null hypothesis was primary team change in primary diagnosis greater than 20% below that of the US team. For equivalence, the null hypothesis was primary team change in mean # of diagnoses, mean confidence level, or mean # of management options greater than 0.5 diagnoses, confidence levels, or interventions. Frequency of change in the primary diagnosis when the primary treating team performed the POCUS was non-inferior to when POCUS was performed by the US team within a margin of 20%. Likewise, equivalence between the two performing teams was declared for other metrics within a margin of +/− 0.5. POCUS=Point of Care Ultrasound. A p-value < 0.05 indicates statistically significant non-inferiority or equivalence.
Primary Team | US Team | p-value | |
---|---|---|---|
Number POCUS Studies Performed, n | 65 | 91 | |
Change in Primary Diagnosis, n (%, 95% CI) | 26 (40%, 28 – 52%) | 29 (32%, 22 – 41%) | < .0001* |
Any Change in Management, n (%, 95% CI) | 22 (34%, 22 – 45%) | 29 (32%, 22 – 41%) | 0.0014* |
Pre-POCUS Confidence, Mean 5-point scale | 3.2 | 3.2 | |
Post-POCUS Confidence, Mean 5-point scale | 3.9 | 3.9 | |
Difference in mean confidence (95% CI) | 0.7 (0.5 – 1.0) | 0.6 (0.5 – 0.8) | 0.0059** |
Pre-POCUS Differential, mean # diagnoses | 4.1 | 4.1 | |
Post-POCUS Differential, mean # diagnoses | 2.3 | 2.3 | |
Difference in mean # of diagnoses post-POCUS (95% CI) | −1.8 (−2.2 – −1.4) | −1.8 (−2.1 – −1.4) | 0.034** |
Pre-POCUS management, mean # interventions | 1.0 | 0.8 | |
Post-POCUS management, mean # interventions | 1.0 | 0.8 | |
Difference in mean # of interventions post-POCUS (95% CI) | 0.0 (−0.2 – 0.1) | −0.1 (−0.2 – 0.1) | < .0001** |
p-value for non-inferiority with −20% margin
p-value for equivalence with ± 0.5 diagnosis, ± 0.5 intervention or ± 0.5 level of confidence difference