accuracy of ed bedside ultrasound for identification of gallstones: retrospective analysis of 575 studies
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ID: 187038
2008
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Abstract
Study Objective: To determine the ability of emergency department (ED) physicians to diagnose cholelithiasis with bedside ultrasound. Methods: ED gallbladder ultrasounds recorded over 37 months were compared to radiology ultrasound interpretation. Results: Of 1,690 ED gallbladder ultrasound scans performed during this period, radiology ultrasound was performed in 575/1690 (34%) cases. ED physician bedside interpretation was 88% sensitive [95% CI, 84-91] and 87% specific [95% CI, 82-91], while positive predictive value (PPV) was 91% [88- 94%] and negative predictive value (NPV) was 83% [78-87%], using radiology interpretation as the criterion reference. Conclusion: ED physician ultrasound of the gallbladder for cholelithiasis is both sensitive and specific.
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william2008westernaccuracy
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| Authors | ;Scruggs, William;Fox, J Christian;Potts, Brian;Zlidenny, Alexander;McDonough, Joanne;Anderson, Craig L |
| Journal | lwt |
| Year | 2008 |
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