Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED
DC Field | Value | Language |
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dc.contributor.author | Kim, Changsun | - |
dc.contributor.author | Kang, Bo Seung | - |
dc.contributor.author | Choi, Hyuk Joong | - |
dc.contributor.author | Lim, Tae Ho | - |
dc.contributor.author | Oh, Jaehoon | - |
dc.contributor.author | Chee, Youngjoon | - |
dc.date.accessioned | 2022-07-15T20:56:01Z | - |
dc.date.available | 2022-07-15T20:56:01Z | - |
dc.date.created | 2021-05-11 | - |
dc.date.issued | 2015-10 | - |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/156300 | - |
dc.description.abstract | Purpose: We investigated the effectiveness of tele-mentored ultrasonography between emergency medicine (EM) residents and remote experts in diagnosing acute appendicitis. Methods: This prospective observational study was performed in an academic emergency department. Beginning in June 2014, the EM residents performed the initial ultrasonography for suspected pediatric acute appendicitis; then, the remote experts observed/mentored the residents' practice using the tele-ultrasonography system; and finally, an onsite expert verified the diagnosis. The diagnostic confidence of each examiner (resident, remote expert, and onsite expert) was rated on a 5-point Likert scale. The appendix identification rate and the diagnostic values; sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for each type of examination were calculated. Results: A total of 115 pediatric cases with suspected acute appendicitis, including 36 with pathology-confirmed acute appendicitis, between June 2014 and February 2015 were enrolled in this study. In 9 of the 115 (7.8%) cases, a non-appendicitis diagnosis was determined in the absence of the successful identification of a normal appendix upon resident examination. Of these, seven appendices were identified upon expert tele-ultrasonography. The diagnostic values for expert tele-ultrasonography were higher (sensitivity: 1.000, specificity: 0.975, PPV: 0.947, NPV: 1.000) than those for resident-performed ultrasonography (sensitivity: 0.917, specificity: 0.899, PPV: 0.805, NPV: 0.959) and similar to those for onsite expert-performed ultrasonography (sensitivity: 1.000, specificity: 0.987, PPV: 0.973, NPV: 1.000). Conclusion: Tele-ultrasonography with tele-mentoring between EM residents and experienced mentors was effectively applied in diagnosing pediatric acute appendicitis in an emergency clinical setting. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.title | Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Changsun | - |
dc.contributor.affiliatedAuthor | Kang, Bo Seung | - |
dc.contributor.affiliatedAuthor | Choi, Hyuk Joong | - |
dc.contributor.affiliatedAuthor | Lim, Tae Ho | - |
dc.contributor.affiliatedAuthor | Oh, Jaehoon | - |
dc.identifier.doi | 10.1016/j.ajem.2015.07.048 | - |
dc.identifier.scopusid | 2-s2.0-84942293186 | - |
dc.identifier.wosid | 000361839300005 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF EMERGENCY MEDICINE, v.33, no.10, pp.1354 - 1359 | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.citation.title | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.citation.volume | 33 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1354 | - |
dc.citation.endPage | 1359 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.subject.keywordPlus | PERFORMED ULTRASONOGRAPHY | - |
dc.subject.keywordPlus | TELESONOGRAPHY | - |
dc.subject.keywordPlus | FEASIBILITY | - |
dc.subject.keywordPlus | CT | - |
dc.subject.keywordPlus | SYSTEM | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S073567571500604X?via%3Dihub | - |
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