Schacherer Doris, Klebl Frank, Goetz Daniela, Buettner Roland, Zierhut Stephanie, Schoelmerich Juergen, Langgartner Julia
Department of Internal Medicine I, University of Regensburg, 93042, Regensburg, Germany.
Intensive Care Med. 2007 May;33(5):841-844. doi: 10.1007/s00134-007-0577-3. Epub 2007 Mar 16.
This study analyzed 400 ultrasound examinations in the ICU to assess the indications of this imaging modality.
Retrospective analysis on prospectively collected data on 400 patients in a tertiary care hospital.
The observational, prospective, clinical study examined 400 bedside abdominal ultrasound examinations performed in the ICU, of which 2% were performed emergently, 56% urgently, and 42% electively.
Environmental conditions impaired the examination slightly in 54%, moderately in 27%, and severely in 4%. Total time per study ranged from 1 to 45 min (median 10). New pathological findings were detected in 31% while 33% confirmed already known pathologies. In 53% there was no therapeutic consequence, in 27% treatment was continued based on the sonographic findings, in 10% an intervention was necessary, in 6% other therapeutic changes followed, and in 4% additional evaluation was deemed necessary. In 80% no other imaging test had to be performed.
Ultrasound studies are deemed sufficient in a large proportion of patients and help to avoid other, more elaborate imaging studies. However, more focused indications for studies may help to improve cost-effectiveness.
本研究分析了重症监护病房（ICU）的400例超声检查，以评估这种成像方式的适应证。
对一家三级护理医院前瞻性收集的400例患者的数据进行回顾性分析。
这项观察性、前瞻性临床研究检查了在ICU进行的400例床边腹部超声检查，其中2%为急诊检查，56%为紧急检查，42%为选择性检查。
54%的检查环境条件对检查有轻微影响，27%有中度影响，4%有严重影响。每项研究的总时间为1至45分钟（中位数为10分钟）。31%的检查发现了新的病理结果，33%的检查证实了已知的病理情况。53%的检查没有治疗后果，27%的检查根据超声检查结果继续进行治疗，10%的检查需要进行干预，6%的检查随后有其他治疗改变，4%的检查认为需要进一步评估。80%的检查无需进行其他影像学检查。
在很大一部分患者中，超声检查被认为是足够的，有助于避免进行其他更复杂的影像学检查。然而，更明确的检查适应证可能有助于提高成本效益。
