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