National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Emergency physician (EP)-performed Focused Cardiac Ultrasound (EP FOCUS) is an important skill for the care of patients with potentially life-threatening presentation as chest pain, shortness of breath, shock or post-trauma. However, this relatively new skill in hands of emergency physicians may be less accurate compared to conventional Echocardiography. This study aimed to measure the diagnostic accuracy of bedside focused ultrasound cardiac examination in hands of emergency physicians (EP-FOCUS) in assessment forementioned presentation compared to findings verified by conventional Echocardiographers. This cross-sectional study was carried out on 100 patients aged from 18to 88 years old, both sexes, presented with acute onset of being unwell, dizziness, shortness of breath (SOB), transient loss of consciousness (TLOC) and blunt or penetrating chest trauma with provisional diagnosis of pericardial effusion, pulmonary embolism, ascending aortic dissection or congestive heart failure. EP-FOCUS was conducted and results compared with that of conventional Echocardiographer. Finally, diagnostic accuracy was calculated. Results: As a diagnostic for congestive heart failure, EP-FOCUS showed sensitivity, specificity, positive pressure ventilation (PPV), negative pressure ventilation (NPV) and accuracy 73, 88, 78, 84 and 83 respectively with measure of agreement kappa about 0.715. Regarding Pericardial Effusion EP-FOCUS showed sensitivity, specificity, PPV, NPV and accuracy of 86, 96, 93, 92 and 93 respectively with measure of agreement kappa about 0.826. As a diagnostic for pulmonary embolism EP-FOCUS showed sensitivity, specificity, PPV, NPV and Accuracy of 50, 92, 75, 81, and 80 respectively with measure of agreement kappa about 0.567. EP-FOCUS in trained hands can assist in accurate, timely diagnosis of such critical conditions and in its management consequently with acceptable accuracy.
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