便携式超声在门诊肌肉骨骼康复咨询中的临床及医疗影响
CLINICAL AND HEALTHCARE IMPACTS OF PORTABLE ULTRASONOGRAPHY IN AMBULATORY CARE MUSCULOSKELETAL REHABILITATION CONSULTATIONS.
作者信息
DE LA Lama Jose M, Morales Manuel, DE Nicolas Juan, Ucin Andrea, Galvan Antonio
机构信息
Physical Medicine and Rehabilitation Service, Internal Medicine Department, La Merced Hospital, Osuna, Spain.
Physical Medicine and Rehabilitation Service, Virgen del Rocio University Hospital, Sevilla, Spain.
出版信息
J Rehabil Med Clin Commun. 2023 Sep 13;6:6573. doi: 10.2340/jrmcc.v6.6573. eCollection 2023.
OBJECTIVE
We evaluated the impact of Point-of-care ultrasound (POCUS) in musculoskeletal consultations out of hospital using a Philips Lumify portable ultrasound device. We aimed to determine the impact of POCUS on the number of hospital referrals for injections as well as on the number of injections performed in consultation.
DESIGN
Retrospective case study comparing 2 periods: June to September 2021 (pre-POCUS) and November 2021 to February 2022 (POCUS). Statistical comparisons were performed using the χ. In both periods, 21 medical consultations were performed. In the pre-POCUS period, 470 patients were assessed, with an average of 1.29 hospital referrals made per day of consultation for hospital injections and an average of 2.05 injections performed per day of medical consultation. In the POCUS period, 589 patients were assessed, with an average of 0.1 hospital referrals per day (-92.6%; < 0.00001) and an average of 2.76 injections performed per day (+34.9%; < 0.00001). The introduction of POCUS at our practice reduced the number of hospital referrals made for injections and increased the number of injections performed every day of consultation.
CONCLUSION
This suggests that POCUS is of great clinical value in out-of-hospital musculoskeletal rehabilitation consultations.
目的
我们使用飞利浦Lumify便携式超声设备评估了床旁超声（POCUS）在院外肌肉骨骼会诊中的影响。我们旨在确定POCUS对注射相关的医院转诊数量以及会诊中进行的注射数量的影响。
设计
回顾性病例研究，比较两个时期：2021年6月至9月（POCUS前）和2021年11月至2022年2月（POCUS时期）。使用χ进行统计比较。在两个时期均进行了21次医学会诊。在POCUS前时期，评估了470名患者，每次会诊日平均因医院注射进行1.29次医院转诊，每次医学会诊日平均进行2.05次注射。在POCUS时期，评估了589名患者，每天平均0.1次医院转诊（-92.6%；<0.00001），每天平均进行2.76次注射（+34.9%；<0.00001）。在我们的实践中引入POCUS减少了因注射而进行的医院转诊数量，并增加了每次会诊日进行的注射数量。
结论
这表明POCUS在院外肌肉骨骼康复会诊中具有很大的临床价值。
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