Prats Michael I, Bahner David P, Panchal Ashish R, King Andrew M, Way David P, Lin Stephen, Fox J Christian, Boulger Creagh T
Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Department of Emergency Medicine, Loma Linda University, Loma Linda, California, USA.
J Ultrasound Med. 2018 Dec;37(12):2777-2784. doi: 10.1002/jum.14634. Epub 2018 Apr 15.
Ultrasound (US) has become an indispensable skill for emergency physicians. Growth in the use of US in emergency medicine (EM) has been characterized by practice guidelines, education requirements, and the number of EM US practitioners. Our purpose was to further document the growth of EM US by profiling the breadth, depth, and quality of US-related research presented at EM's most prominent annual research conference: the Society for Academic Emergency Medicine Annual Meeting.
We reviewed published research abstracts from the annual Society for Academic Emergency Medicine conferences from 1999 to 2015. Abstracts related to US were identified and examined for the number of authors and rigor of the research design. Designs were categorized as experimental, quasiexperimental, and nonexperimental. Abstract submissions were analyzed by the average rate of change over time.
From 1999 to 2015, we observed a 10.2% increase in the number of accepted abstracts related to US research. This rate compared to a 3.2% average rate of change for all abstracts in general. The number of unique authors engaged in US research increased at a rate of 26.6%. Of the 602 abstracts identified as US related, only 12% could be considered experimental research.
We observed larger increases in the number of US-related research relative to the total number of abstracts presented at a national conference. The number of investigators engaging in this research has also steadily increased. The research design of these studies was found to be primarily quasiexperimental. To improve the quality of EM's use of point-of-care US, more rigorous research with experimental designs is needed.
超声(US)已成为急诊医生不可或缺的技能。急诊医学(EM)中超声使用的增长体现在实践指南、教育要求以及急诊医学超声从业者数量等方面。我们的目的是通过剖析在急诊医学最著名的年度研究会议——学术急诊医学学会年会上展示的超声相关研究的广度、深度和质量,进一步记录急诊医学超声的发展情况。
我们回顾了1999年至2015年学术急诊医学学会年度会议上发表的研究摘要。识别出与超声相关的摘要,并检查作者数量和研究设计的严谨性。研究设计分为实验性、准实验性和非实验性。通过随时间的平均变化率对摘要提交情况进行分析。
1999年至2015年,我们观察到与超声研究相关的被接受摘要数量增加了10.2%。这一增长率与所有摘要总体3.2%的平均变化率相比。参与超声研究的独立作者数量以26.6%的速度增长。在602篇被确定与超声相关的摘要中,只有12%可被视为实验性研究。
我们观察到与超声相关的研究数量相对于在全国会议上展示的摘要总数有更大幅度的增加。从事这项研究的研究人员数量也在稳步增加。这些研究的设计主要为准实验性。为提高急诊医学中即时超声检查的使用质量,需要进行更严谨的实验性设计研究。