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World J Emerg Med. 2016;7(3):178-82. doi: 10.5847/wjem.j.1920-8642.2016.03.003.

Point-of-care ultrasound versus radiology department pelvic ultrasound on emergency department length of stay.

Author information

1
Department of Emergency Medicine, University of California Irvine, Irvine, California 92697, USA.
2
Department of Emergency Medicine, University of California Los Angeles, Los Angeles, California 90095, USA.

Abstract

BACKGROUND:

The study aimed to compare the time to overall length of stay (LOS) for patients who underwent point-of-care ultrasound (POCUS) versus radiology department ultrasound (RDUS).

METHODS:

This was a prospective study on a convenience sample of patients who required pelvic ultrasound imaging as part of their emergency department (ED) assessment.

RESULTS:

We enrolled a total of 194 patients who were on average 32 years-old. Ninety-eight (51%) patients were pregnant (<20 weeks). Time to completion of RDUS was 66 minutes longer than POCUS (95%CI 60-73, P<0.01). Patients randomized to the RDUS arm experienced a 120 minute longer ED length of stay (LOS) (95%CI 66-173, P<0.01).

CONCLUSION:

In patients who require pelvic ultrasound as part of their diagnostic evaluation, POCUS resulted in a significant decrease in time to ultrasound and ED LOS.

KEYWORDS:

Intrauterine pregnancy; Length of stay; Pelvic ultrasound; Point-of-care ultrasound

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