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Feasibility of focused cardiac ultrasound during cardiac arrest in the emergency department
Cardiovascular Ultrasound ( IF 1.9 ) Pub Date : 2021-05-26 , DOI: 10.1186/s12947-021-00252-3
Jessica R Balderston 1 , Alan X You 1, 2 , David P Evans 1 , Lindsay A Taylor 1 , Zachary M Gertz 3
Affiliation  

Focused cardiac ultrasound (FOCUS) can aid in evaluation and management of patients with cardiac arrest, but image quality in this population has been questioned. Our goal was to determine how often adequate imaging can be obtained in cardiac arrest patients. We conducted a prospective cohort study to examine the utility of FOCUS in cardiac arrest. All patients who presented to the Emergency Department (ED) in cardiac arrest or who had cardiac arrest while in the ED over 6 months were prospectively identified. FOCUS images were obtained as part of routine clinical care. Patients with images obtained were paired with age- and gender-matched controls who underwent FOCUS for another indication during the study period. Image quality was scored by two blinded reviewers using a 0–4 scale, with a score of ≥ 2 considered adequate. There were 137 consecutive cardiac arrests, 121 out-of-hospital and 16 in-hospital, during the study period. FOCUS images were recorded in 126 (92%), who were included in the analysis. The average age was 58 years, and 45% were female. Ninety-seven studies (77%) were obtained during advanced cardiac life support while 29 (23%) were obtained after return of spontaneous circulation. The controls were appropriately matched. Of the cardiac arrest studies, 106 (84%) were rated adequate, compared to 116 (92%) in controls (p = 0.08). When compared to control FOCUS studies, the scores given to studies of cardiac arrest patients were lower (p = 0.001). FOCUS can reliably be used during cardiac arrest to obtain images adequate to answer clinical questions and guide therapies.

中文翻译:

急诊科心脏骤停时聚焦心脏超声的可行性

聚焦心脏超声 (FOCUS) 可以帮助评估和管理心脏骤停患者,但该人群的图像质量受到质疑。我们的目标是确定心脏骤停患者获得足够影像的频率。我们进行了一项前瞻性队列研究,以检查 FOCUS 在心脏骤停中的效用。所有在心脏骤停时就诊于急诊科 (ED) 或在 ED 期间心脏骤停超过 6 个月的患者都被前瞻性地确定。FOCUS 图像是作为常规临床护理的一部分获得的。获得图像的患者与年龄和性别匹配的对照组配对,他们在研究期间接受了 FOCUS 治疗的另一个适应症。图像质量由两名盲审员使用 0-4 的等级评分,≥ 2 的分数被认为是足够的。在研究期间,有 137 次连续心脏骤停,121 次院外和 16 次住院。FOCUS 图像记录在 126 (92%) 名中,他们被纳入分析。平均年龄为 58 岁,45% 为女性。97 项研究(77%)是在高级心脏生命支持期间获得的,而 29 项(23%)是在自主循环恢复后获得的。对照适当匹配。在心脏骤停研究中,106 项 (84%) 被评为充分,而对照组为 116 项 (92%) (p = 0.08)。与对照 FOCUS 研究相比,心脏骤停患者的研究得分较低 (p = 0.001)。FOCUS 可以在心脏骤停期间可靠地使用,以获得足以回答临床问题和指导治疗的图像。FOCUS 图像记录在 126 (92%) 名中,他们被纳入分析。平均年龄为 58 岁,45% 为女性。97 项研究(77%)是在高级心脏生命支持期间获得的,而 29 项(23%)是在自主循环恢复后获得的。对照适当匹配。在心脏骤停研究中,106 项 (84%) 被评为充分,而对照组为 116 项 (92%) (p = 0.08)。与对照 FOCUS 研究相比,心脏骤停患者的研究得分较低 (p = 0.001)。FOCUS 可以在心脏骤停期间可靠地使用,以获得足以回答临床问题和指导治疗的图像。FOCUS 图像记录在 126 (92%) 名中,他们被纳入分析。平均年龄为 58 岁,45% 为女性。97 项研究(77%)是在高级心脏生命支持期间获得的,而 29 项(23%)是在自主循环恢复后获得的。对照适当匹配。在心脏骤停研究中,106 项 (84%) 被评为充分,而对照组为 116 项 (92%) (p = 0.08)。与对照 FOCUS 研究相比,心脏骤停患者的研究得分较低 (p = 0.001)。FOCUS 可以在心脏骤停期间可靠地使用,以获得足以回答临床问题和指导治疗的图像。97 项研究(77%)是在高级心脏生命支持期间获得的,而 29 项(23%)是在自主循环恢复后获得的。对照适当匹配。在心脏骤停研究中,106 项 (84%) 被评为充分,而对照组为 116 项 (92%) (p = 0.08)。与对照 FOCUS 研究相比,心脏骤停患者的研究得分较低 (p = 0.001)。FOCUS 可以在心脏骤停期间可靠地使用,以获得足以回答临床问题和指导治疗的图像。97 项研究(77%)是在高级心脏生命支持期间获得的,而 29 项(23%)是在自主循环恢复后获得的。对照适当匹配。在心脏骤停研究中,106 项 (84%) 被评为充分,而对照组为 116 项 (92%) (p = 0.08)。与对照 FOCUS 研究相比,心脏骤停患者的研究得分较低 (p = 0.001)。FOCUS 可以在心脏骤停期间可靠地使用,以获得足以回答临床问题和指导治疗的图像。给予心脏骤停患者研究的分数较低(p = 0.001)。FOCUS 可以在心脏骤停期间可靠地使用,以获得足以回答临床问题和指导治疗的图像。给予心脏骤停患者研究的分数较低(p = 0.001)。FOCUS 可以在心脏骤停期间可靠地使用,以获得足以回答临床问题和指导治疗的图像。
更新日期:2021-05-26
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