Results of the implementation of a double-check protocol with point-of-care ultrasound for acute heart failure in the emergency department

Objective To determine the effectiveness of a double-check protocol using Point-of-Care Ultrasound in the management of patients diagnosed with Acute Heart Failure in an Emergency Department. Method Prospective analytical cross-sectional observational study with patients diagnosed with Acute Heart F...

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Bibliographic Details
Published inThe ultrasound journal Vol. 16; no. 1; p. 25
Main Authors Villén, Tomás, Tung, Yale, Llamas, Rafael, Neria, Fernando, Carballo, César, Vázquez, José Luis, Monge, Diana
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 17.04.2024
Springer Nature B.V
SpringerOpen
Subjects
Critical Care Medicine
Diagnosis
Diagnostic errors
Diagnostic Radiology
Emergency medical care
Emergency medical services
Emergency Medicine
Heart failure
Imaging
Intensive
Interventional Radiology
Medicine
Medicine & Public Health
Original
Original Article
Point of care testing
Radiology
Ultrasonic imaging
Ultrasonography
Ultrasound
Heart failure
Diagnostic errors
Diagnosis
Ultrasonography
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Summary:Objective To determine the effectiveness of a double-check protocol using Point-of-Care Ultrasound in the management of patients diagnosed with Acute Heart Failure in an Emergency Department. Method Prospective analytical cross-sectional observational study with patients diagnosed with Acute Heart Failure by the outgoing medical team, who undergo multi-organ ultrasound evaluation including cardiac, pulmonary, and inferior vena cava ultrasound. Results 96 patients were included. An alternative diagnosis was found in 33% of them. Among the 77% where AHF diagnosis was confirmed, 73.4% had an underlying cause or condition not previously known (Left Ventricular Ejection Fraction less than 40% or moderate-severe valvulopathy). The introduction of the protocol had a clinically relevant impact on 47% of all included patients. Conclusions The implementation of a double-check protocol using POCUS, including cardiac, pulmonary, and inferior vena cava assessment in patients diagnosed with Acute Heart Failure, demonstrates a high utility in ensuring accurate diagnosis and proper classification of these patients.
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ISSN:2524-8987
2524-8987
DOI:10.1186/s13089-024-00373-6