Skip to main content
. Author manuscript; available in PMC: 2022 Sep 1.
Published in final edited form as: J Emerg Med. 2021 Aug 2;61(3):278–292. doi: 10.1016/j.jemermed.2021.03.003

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