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Agreement between echoscopy performed by non-cardiologist physicians and conventional cardiac ultrasound

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dc.creatorGuerrero, Carlos E.spa
dc.creatorMedina, Héctor M.spa
dc.creatorPérez-Fernández, Óscar M.spa
dc.creatorFlórez, Gonzalospa
dc.creatorZorro, Maríaspa
dc.creatorSalazar, Gabrielspa
dc.date.accessioned2020-05-25T23:59:12Z
dc.date.available2020-05-25T23:59:12Z
dc.date.created2019spa
dc.description.abstractIntroduction: Focused cardiac ultrasound has been proposed as a useful approach for improving clinical decision making, as well as to be able to rapidly identify the ultrasound signs of a specific list of potential diagnoses. Objective: To evaluate a training program for physicians with no experience in cardiac ultrasound with the aim performing focused cardiac ultrasound using a portable device (echoscopy). Materials and methods: The results obtained from echoscopy performed by the physicians that received training were compared with those obtained with conventional cardiac ultrasound carried out by expert cardiologists. A total of 5 non-cardiologist doctors, including 1 medical student, 2 Internal Medicine residents, and 2 from Intensive Medicine, took part in a four-week training course given by a Level III Cardiology specialist. The course included: First week: Theory and basis of cardiac ultrasound (3 hours daily) Second week: Theory of acquiring images. Normal and abnormal findings (50 studies). Third week: handling of the echoscope (50 studies). Fourth week: Data collection. The study included patients scheduled for conventional cardiac ultrasound in the Non-Invasive Methods Laboratory. Two examinations were carried out on each patient. The first consisted of an echoscopy performed by a doctor that had received the training, and the second consisted of a cardiac ultrasound carried out by an expert cardiologist. The ultrasound parameters evaluated were: left ventricular ejection fraction, right ventricular dysfunction, left atrial enlargement, pulmonary hypertension, cardiac valve disease, and pericardial effusion. The results found in echoscopy versus cardiac ultrasound were compared using concordance analysis (Kappa Index). Results: The following results were obtained on the 221 studies performed: moderate agreement in left ventricular ejection fraction (? = 0.541, p less than .000), right ventricular function (? = 0.403, p less than .001), left atrial enlargement (? = 0.413, p less than .001), mitral valve and tricuspid valve disease (? = 0.437, p less than .001 and (? = 0.466, P less than .001, respectively). There was weak agreement with aortic valve disease. Pericardiac effusion and the presence of pulmonary hypertension had a poor and week agreement, respectively. Conclusions: With a limited training period, the participants with no previous experience in ultrasound techniques and using echoscopy achieved a moderate agreement in the majority of measurements when compared with conventional cardiac ultrasound performed by experts in the technique. A study with a larger number of participants is required in order to determine the ideal training period to obtain results comparable with cardiac ultrasound. © 2019eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.rccar.2019.02.003
dc.identifier.issn1205633
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23004
dc.language.isoengspa
dc.publisherElsevier B.V.spa
dc.relation.citationEndPage263
dc.relation.citationIssueNo. 5
dc.relation.citationStartPage256
dc.relation.citationTitleRevista Colombiana de Cardiologia
dc.relation.citationVolumeVol. 26
dc.relation.ispartofRevista Colombiana de Cardiologia, ISSN:1205633, Vol.26, No.5 (2019); pp. 256-263spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85068120434&doi=10.1016%2fj.rccar.2019.02.003&partnerID=40&md5=6717902d91df3660b98ad1b3ac992fffspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAortic valve diseasespa
dc.subject.keywordArticlespa
dc.subject.keywordCardiologistspa
dc.subject.keywordControlled studyspa
dc.subject.keywordEchocardiographyspa
dc.subject.keywordHeart atrium enlargementspa
dc.subject.keywordHeart left ventricle ejection fractionspa
dc.subject.keywordHeart right ventricle failurespa
dc.subject.keywordHumanspa
dc.subject.keywordInternistspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMedical educationspa
dc.subject.keywordMedical studentspa
dc.subject.keywordMitral valve diseasespa
dc.subject.keywordPericardial effusionspa
dc.subject.keywordPhysicianspa
dc.subject.keywordPulmonary hypertensionspa
dc.subject.keywordTricuspid valve diseasespa
dc.subject.keywordValvular heart diseasespa
dc.subject.keywordCardiac ultrasound (decs)spa
dc.subject.keywordTraining (decs)spa
dc.subject.keywordUltrasound (decs)spa
dc.titleAgreement between echoscopy performed by non-cardiologist physicians and conventional cardiac ultrasoundspa
dc.title.TranslatedTitleConcordancia entre ecoscopia realizada por médicos no cardiológos y ecocardiografía convencionalspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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