Kim Daniel J, Jelic Tomislav, Heslop Claire L, Newbigging Joey, Skitch Steven, Burwash-Brennan Talia, Sheppard Gillian, Chenkin Jordan, Thavanathan Rajiv, Bell Colin R, Atkinson Paul, Lewis David, Myslik Frank, Lalande Elizabeth, Olszynski Paul
Department of Emergency Medicine, University of British Columbia and Vancouver General Hospital, Vancouver, BC, Canada.
Department of Emergency Medicine, University of Manitoba, Winnipeg, MB, Canada.
CJEM. 2025 Apr;27(4):294-304. doi: 10.1007/s43678-025-00865-x. Epub 2025 Feb 4.
The objective of this study is to identify the top five most influential papers published on the use of aorta point of care ultrasound (POCUS) and deep vein thrombosis (DVT) POCUS in adult patients.
A 15-member expert panel was recruited from the Canadian Association of Emergency Physicians (CAEP) Emergency Ultrasound Committee and the Canadian Ultrasound Fellowship Collaborative. The members of the expert panel all have ultrasound fellowship training (or equivalent), are active in POCUS research, and provide POCUS leadership locally and nationally. The panel used a modified Delphi process of three rounds of sequential surveys and discussion to achieve consensus on the top five most influential papers on aorta POCUS and DVT POCUS.
All panel members participated in all three rounds of this modified Delphi process. The panel initially nominated 33 relevant papers on aorta POCUS and 33 relevant papers on DVT POCUS. With the completion of round two, there were 11 candidate papers for aorta POCUS and 14 candidate papers for DVT POCUS. After meeting at the CAEP 2024 annual conference to discuss these papers and to build consensus, the panel ultimately identified the top five most influential papers on aorta POCUS and DVT POCUS after the completion of round three. Included papers focused on the diagnostic test characteristics of POCUS for the workup of suspected abdominal aortic aneurysm and DVT, as well as the clinical impact of POCUS on time to diagnosis and time to disposition in emergency settings.
This POCUS Literature Primer has generated a top-five list of the most influential papers on aorta POCUS and DVT POCUS. The papers in these lists can be considered core reading for all trainees and clinicians using these POCUS applications in their practice and serve as a foundation for future POCUS research.
本研究的目的是确定关于成人患者使用主动脉床旁超声（POCUS）和深静脉血栓形成（DVT）POCUS发表的最具影响力的五篇论文。
从加拿大急诊医师协会（CAEP）急诊超声委员会和加拿大超声奖学金协作组招募了一个由15名成员组成的专家小组。专家小组的成员均接受过超声奖学金培训（或同等培训），积极参与POCUS研究，并在当地和全国范围内提供POCUS方面的领导。该小组采用三轮连续调查和讨论的改良德尔菲法，就关于主动脉POCUS和DVT POCUS的最具影响力的五篇论文达成共识。
所有小组成员都参与了这一改良德尔菲法的三轮调查。该小组最初提名了33篇关于主动脉POCUS的相关论文和33篇关于DVT POCUS的相关论文。在第二轮结束时，有11篇主动脉POCUS候选论文和14篇DVT POCUS候选论文。在2024年CAEP年会上开会讨论这些论文并达成共识后，该小组在第三轮结束后最终确定了关于主动脉POCUS和DVT POCUS的最具影响力的五篇论文。入选的论文重点关注POCUS在疑似腹主动脉瘤和DVT检查中的诊断测试特征，以及POCUS在急诊环境中对诊断时间和处置时间的临床影响。
本POCUS文献入门指南生成了关于主动脉POCUS和DVT POCUS的最具影响力的五篇论文清单。这些清单中的论文可被视为所有在实践中使用这些POCUS应用的受训人员和临床医生的核心读物，并为未来的POCUS研究奠定基础。
