The Impact of Systematic Point-of-Care Ultrasound on Management of Patients in a Resource-Limited Setting.
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Author list: Stanley A, Wajanga BM, Jaka H, Purcell R, Byrne L, Williams F, Rypien C, Sharpe A, Laws P, Faustine L, Leeme T, Mwabutwa E, Peck R, Stephens M, Kaminstein D
Publisher: American Society of Tropical Medicine and Hygiene
Publication year: 2017
Journal: The American Journal of Tropical Medicine and Hygiene (0002-9637)
Journal acronym: Am J Trop Med Hyg
Volume number: 96
Issue number: 2
Start page: 488
End page: 492
Number of pages: 5
ISSN: 0002-9637
Languages: English-Great Britain (EN-GB)
Abstract
Although target point-of-care (POC) ultrasonography has been shown to benefit patients in resource-limited settings, it is not clear whether a systematic POC ultrasound assessment in these settings can also lead to similar changes in patient management. A predefined systematic set of POC ultrasound scans were performed on inpatients at a tertiary referral hospital in Tanzania to see if this resulted in changes to patient management. Of the 55 patients scanned, an abnormality was detected in 75% (N = 41), and a change in patient management was recommended or implemented on the basis of POC ultrasound findings in 53% (N = 29). The main impact was earlier initiation of treatment due to more rapid and accurate diagnosis. Further research is warranted to determine whether systematic POC ultrasonography would result in improved patient outcomes in resource-limited settings.
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