Table 3. Clinical questions in order of frequency, broken down by how often POCUS was able to effectively answer the question, how often POCUS changed the diagnosis, and how often POCUS changed management. Items excluded from Table 4 were: “Other” and those with <3 scans which included gallbladder pathology, abscess and lung sliding.
|
Total |
Answered Clinical Question Answered |
Changed Diagnosis |
Changed Management |
|
|
n |
n (%) |
n (%) |
n (%) |
|
|
Total |
256 |
237 (92.6) |
107 (41.8) |
106 (41.4) |
|
Is there evidence of abdominal TB? |
50 |
48 (96) |
11 (22) |
12 (24) |
|
What is the qualitative LV function? |
48 |
45 (93.8) |
26 (54.2) |
25 (52.1) |
|
Finding Fluid Pleural effusion Pericardial effusion Ascites Abdominal free fluid (i.e.FAST) |
41 24 7 3 7 |
41 (100) 24 (100) 7 (100) 3 (100) 7 (100) |
26 (63.4) 19 (79) 2 (38.6) 2 (66.7) 3 (42.9) |
27 (65.9) 20 (83.3) 2 (28.6) 3 (100) 2 (28.6) |
|
Are there a-lines, b-lines or consolidation? |
27 |
25 (92.6) |
7 (26) |
5 (18.5) |
|
Is there evidence of cirrhosis? |
16 |
15 (93.8) |
7 (43.8) |
5 (31.3) |
|
Evaluation for malignancy |
9 |
5 (55.6) |
5 (55.6) |
4 (44.4) |
|
Is there evidence of DVT? |
9 |
9 (100) |
4 (44.4) |
5 (55.6) |
|
Is there hepatosplenomegaly? |
9 |
9 (100) |
2 (22.2) |
1 (11.1) |
|
Is there right ventricular (RV) strain? |
9 |
7 (77.8) |
4 (44.4) |
4 (44.4) |
|
Is there evidence of CKD? (or assessment of kidney size) |
8 |
8 (100) |
5 (62.5) |
5 (62.5) |
|
What is the volume status? |
6 |
6 (100) |
1 (16.7) |
4 (66.7) |
|
Assessment of bladder or foley |
4 |
4 (100) |
3 (75) |
3 (75) |
|
Is there hydronephrosis? |
4 |
4 (100) |
1 (25) |
1 (25) |
|
What is the etiology of abdominal pain? |
3 |
2 (66.7) |
2 (66.7) |
1 (33.3) |
|
Are there vegetations? |
3 |
1 (33.3) |
1 (33.3) |
1 (33.3) |