응급의학과 전공의에 의한 장겹침증 초음파 검사는 가능한가?Ultrasonography of Suspected Ileocolic Intussusceptions Performed by Emergency Medicine Residents
- Other Titles
- Ultrasonography of Suspected Ileocolic Intussusceptions Performed by Emergency Medicine Residents
- Authors
- 김진휘; 강보승; 강형구; 임태호; 제상모; 최혁중; 박세훈
- Issue Date
- 2012
- Publisher
- 대한응급의학회
- Keywords
- Ultrasonography; Intussusception; Emergency medicine resident
- Citation
- 대한응급의학회지, v.23, no.5, pp.643 - 648
- Journal Title
- 대한응급의학회지
- Volume
- 23
- Number
- 5
- Start Page
- 643
- End Page
- 648
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15596
- ISSN
- 1226-4334
- Abstract
- Purpose: The aim of this study was to evaluate the sensitivity and specificity of ultrasonography of suspected ileocolic intussusception performed by emergency medicine (EM)residents who participated in a 2-hour focused ultrasound training program for intussusception.
Methods: This was a 16-month retrospective, observational study. Pediatric patients with suspected ileocolic intussusception who underwent ultrasound performed by second or third year EM residents were included in the study.
The gold standard was a diagnostic work-up performed by a radiologist or clinical follow-up, compared with the results of ultrasonography performed by EM residents.
Results: A total of 38 patients were enrolled. The sensitivity of ultrasound performed by emergency medicine residents for prediction of ileocolic intussusception was 92.86% (66.13% to 99.82%), the specificity was 91.67%(73.00% to 98.97%), the positive likelihood ratio was 11.14(2.93 to 42.34), and the negative likelihood ratio was 0.08(0.01 to 0.52).
Conclusion: Emergency residents can identify ileocolic intussusceptions with only minimal training, which could substitute for ultrasonography performed by radiologists when they are not immediately available.
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Collections - College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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