title: Using critical care chest ultrasonic examination in emergency consultation: a pilot study.
abstract: The purpose of this study was to investigate the effects of critical care chest ultrasonic examination (CCUE) by intensivist on the diagnosis and treatment decisions in emergent consultation for patients who may have a problem-need transfer to an intensive care unit (ICU). A total of 130 patients who required emergent consultation in the ordinary wards were included in this study. Patients were randomly divided into conventional group (n = 63) and CCUE group (n = 67, added CCUE). The two groups showed no significant differences in general clinical information or final diagnosis (p > 0.05). The CCUE group had a shorter time to preliminary diagnosis, final diagnosis, treatment response and X-ray/computed tomography examination; a delay in ICU transfer and ICU stay days (3.9 ± 1.2 vs. 5.4 ± 1.9 d, p < 0.05) and a higher diagnostic accuracy than the conventional group (p < 0.001). In conclusion, CCUE could help early diagnosis and therapy for the patient who may need to transfer to the ICU and reduce the ICU stay for in-hospital patients in emergent consultation.
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Xiaoting
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China. Electronic address: Daweiliupumch@163.com.
authors.forename: Dawei
authors.initials: D
authors.lastname: Liu
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Huaiwu
authors.initials: H
authors.lastname: He
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Du
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Hongmin
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Wenzhao
authors.initials: W
authors.lastname: Chai
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: Department of Critical Care, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Zhou
mesh_terms: D003422:Critical Care / Q000379:methods*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008168:Lung / Q000000981:diagnostic imaging; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010360:Patient Transfer / Q000706:statistics & numerical data; D010865:Pilot Projects; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D014463:Ultrasonography
keywords: Critical care ultrasonography; Emergent consultation; Lung ultrasonography; Outcome