POCUS; Patients; Pyelocaliceal; Renal; Screening; Sonographers; Ultrasound; Humans; Ultrasonography; Portugal; Female; Male; Middle Aged; Aged; Adult; Emergency Service, Hospital; Kidney/diagnostic imaging; Kidney Diseases/diagnostic imaging; Adolescent; Emergency Medical Services; Kidney; Kidney Diseases; Young Adult; Radiological and Ultrasound Technology; Radiology, Nuclear Medicine and Imaging
Abstract :
[en] [en] INTRODUCTION: This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with the imaging findings at the Referral Hospital (RH).
METHODS: Thirty-one patients suspected of having renal pathology underwent initial renal sonography screening with sonographer reporting at the BES and were subsequently referred to the RH for additional imaging examinations. The results of both examinations were compared to verify whether the findings from the BES were confirmed by the radiologist in the RH and to ensure that the patient referrals from BES to RH were appropriate.
RESULTS: In our sample, most patients (80%) exhibited varying degrees of pyelocaliceal distension, with nearly half (48%) presenting obstructions. A strong association between the sonographic findings in the BES and the RH was found in the variables "Dilatation of pyelocaliceal system" (V=0.895; p=0.000), "Simple cystic formation" (V=0.878; p=0.000), respectively. There was a statistically significant correlation between BES and RH findings, indicating a strong association between these two variables respectively (k=0.890; p=0.000) and (k=0.870; p=0.000). In this research, an achieved sensitivity of 96% and a specificity of 85% were demonstrated in the identification of pyelocaliceal dilatation.
CONCLUSION: Renal sonographer reporting screening successfully detected abnormalities in the urinary system of patients suspected of having renal colic. The sonographic data obtained at the BES demonstrated a strong correlation with the additional imaging findings from the RH in Portugal. These results suggest that Radiographers/Sonographers can have an important role in the preliminary assessment of urgent renal pathology in remote areas, contributing to a correct referral and early treatment.
Disciplines :
Radiology, nuclear medicine & imaging
Author, co-author :
Miravent, Sérgio ; Algarve Local Health Unit, Basic Emergency Center of Vila Real de Santo António, Faro, Portugal ; Medical Imaging and Radiotherapy Department, University of Algarve, Faro, Portugal
Jiménez, Carmen ; Algarve Local Health Unit, Basic Emergency Center of Vila Real de Santo António, Faro, Portugal
Barbancho, Narciso; Algarve Local Health Unit, University Hospital Center of Algarve, Intensive Care Unit- Resuscitation Room, Faro, Portugal
Lobo, Manuel Duarte ; Local Health Unit of the Northeast, Bragança, Portugal ; Polytechnic University of Castelo Branco, Castelo Branco, Portugal
Figueiredo, Teresa ; Integrated Master of Medicine, Faculty of Medicine and Biomedical Sciences, University of Algarve, Faro, Portugal
Gomes, Carla; Algarve Local Health Unit, Basic Emergency Center of Vila Real de Santo António, Faro, Portugal ; Integrated Master of Medicine, Faculty of Medicine and Biomedical Sciences, University of Algarve, Faro, Portugal ; Algarve Local Health Unit, Levante Family Health Unit, Faro, Portugal
Ratusneac, Ion; Integrated Master of Medicine, Faculty of Medicine and Biomedical Sciences, University of Algarve, Faro, Portugal ; Algarve Local Health Unit, Levante Family Health Unit, Faro, Portugal
Gonçalves, João Mário; Integrated Master of Medicine, Faculty of Medicine and Biomedical Sciences, University of Algarve, Faro, Portugal ; Algarve Local Health Unit, Levante Family Health Unit, Faro, Portugal
Hasnas, Corina; Medical Imaging and Radiotherapy Department, University of Algarve, Faro, Portugal
PEREIRA DE ALMEIDA, Rui Pedro ; University of Luxembourg ; Medical Imaging and Radiotherapy Department, University of Algarve, Faro, Portugal ; CHRC-Comprehensive Health Research Center, University of Evora, Évora, Portugal
External co-authors :
yes
Language :
English
Title :
Renal screening sonography-A comparative study in a Portuguese basic emergency service.
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