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. 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 3b.

Post-POCUS change in primary diagnosis, # diagnoses in differential, management, and attending confidence in diagnosis by team that performed the POCUS study; Community Site vs. University Site. For non-inferiority, the null hypothesis was primary team change in primary diagnosis greater than 20% below that of the university site. For equivalence, the null hypothesis was community site 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 POCUS performed at the community site was non-inferior to when POCUS was performed at the university site within a margin of 20%. Equivalence between the two sites was declared for other metrics within a margin of +/− 0.5. A p-value < 0.05 indicates statistically significant non-inferiority or equivalence.

Community Site University Site p-value
Number POCUS Studies Performed, n 36 120
Change in Primary Diagnosis, n (%) 14 (39%, 23 – 55%) 41 (34%, 26 – 43%) 0.0013*
Any Change in Management, n (%, 95% CI) 8 (22%, 9 – 36%) 43 (36%, 27 – 44%) 0.21*
Pre-POCUS Confidence, Mean 5-point scale 3.1 3.3
Post-POCUS Confidence, Mean 5-point scale 3.8 3.9
Difference in mean confidence (95% CI) 0.6 (0.3 – 1.0) 0.7(0.5 – 0.9) 0.01**
Pre-POCUS Differential, mean # diagnoses 4.6 3.9
Post-POCUS Differential, mean # diagnoses 2.5 2.2
Difference in mean # of diagnoses post-POCUS (95% CI) −2.1 (−2.7 – −1.59) −1.7 (−2.0 – −1.4) 0.43**
Pre-POCUS management, mean # interventions 1.1 0.8
Post-POCUS Management, mean # interventions 1.3 0.7
Difference in mean # of interventions post-POCUS (95% CI) 0.1 (0.0 – 0.3) −0.1 (−0.2 – 0.0) 0.015**
*

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