Point-of-care focused lung ultrasound in emergency medicine: Protocol for a scoping review

Forfattere

  • Stig Holm Ovesen Research Center for Emergency Medicine, Aarhus University Hospital and Aarhus University, Denmark AND Emergency Department, Horsens Regional Hospital, Denmark https://orcid.org/0000-0003-3815-2141
  • Andreas Hvilshøj Clausen Emergency Department, Horsens Regional Hospital, Denmark
  • Hans Kirkegaard Research Center for Emergency Medicine, Emergency Department, Aarhus University Hospital, Denmark AND Research Center for Emergency Medicine, Department of Clinical Medicine Aarhus University, Denmark
  • Bo Løfgren Department of Internal Medicine, Randers Regional Hospital, Denmark AND Research Center for Emergency Medicine, Aarhus University Hospital and Aarhus University, Denmark
  • Rasmus Aagaard Department of Anesthesiology, Randers Regional Hospital, Denmark AND Research Center for Emergency Medicine, Aarhus University Hospital and Aarhus University, Denmark
  • Søren Helbo Skaarup Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Denmark
  • Jesper Weile Department of Emergency Medicine, Aarhus University Hospital, Denmark AND Research Center for Emergency Medicine, Aarhus University Hospital and Aarhus University, Denmark AND Emergency Department, Horsens Regional Hospital, Denmark

DOI:

https://doi.org/10.7146/akut.v5i2.131570

Nøgleord:

Emergency medicine, Point-of-care ultrasound, Lung ultrasound

Resumé

Baggrund

Point-of-care fokuseret lungeultralyd er en central kompetence i akutmedicin. Meta-analyser for diagnostiske studier af point-of-care fokuseret lungeultralyd har vist lovende diagnostiske resultater for pneumothorax, pleura effusion, interstitielt syndrom, lungeemboli og pneumoni. Men manglende evidens på patient-nære endemål og et fåtal af randomiserede kontrollerede studier synes at være begrænsende for den videre implementering af point-of-care ultralyd.

En metodisk kortlægning af eksisterende studier indenfor et forskningsfelt kan vejlede fremtidige forskningsindsatser. Formålet med dette review er at give et overblik over original forskning i point-of-care fokuseret lungeultralyd i akutmedicin med særlig vægt på studiedesign og patient-relevansen af endemål.

Metoder

Reviewet designes som et scoping review og det vil inkludere originale studier i point-of-care fokuseret lungeultralyd til voksne patienter i akutafdelinger. Reviewet vil fokusere på point-of-care fokuseret lungeultralyd; studier i fyldestgørende thorakal ultralyd er uden for denne afgrænsning (f.eks. ultralydsundersøgelser som vurderer mediastinale lymfeknuder, diafragma bevægelse, kontrast- eller procedure lunge ultralyd). Vi vil ekskludere studier uden tilgængeligt engelsk manuskript. Grå litteratur og udelukkende kvalitative studier vil ikke blive inkluderet. Reviews, protokoller, meta-analyser, case artikler, letters, og konference abstrakts vil blive ekskluderet.

Dataudtrækket vil inkludere adskillige metodiske og sonografiske karakteristika (f.eks. sampling metoden [lejlighedsvis/fortløbende], diagnostisk rolle af ultralyd [triage, tillæg, erstatning], antal af sonografører, sonograførernes ekspertise [træning og erfaring] og sonograførernes rolle [behandlende læge eller forsker]. Den narrative syntese af alle inkluderede studier vil blive gennemført med særlig vægt på studie designs og patient-relevans af endemål. Figurer og diagrammer vil opsummere tidsmæssige tendenser, metode karakteristika og endemål.

Diskussion

Dette scoping review vil tilbyde et overblik som systematiske reviews ikke kan sammenfatte eller kortlægge. Kortlægningen af studie designs og patient-relevans af endemål vil vejlede fremtidige studier og systematiske reviews i forsøget på at vejlede klinikere og patienter til den mest hensigtsmæssige brug af point-of-care fokuseret lungeultralyd i akutmedicin. Reviewet vil også biddrage med et overblik over område-specifikke metodiske og sonografiske karakteristika, som gør det muligt for andre forskere at identificere de utilstrækkeligheder, som bør opgives, og de fremskridt som bør dyrkes.

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Publiceret

2022-09-05

Citation/Eksport

Ovesen, S. H., Clausen, A. H. ., Kirkegaard, H. ., Løfgren, B. ., Aagaard, R. ., Skaarup, S. H. ., & Weile, J. . (2022). Point-of-care focused lung ultrasound in emergency medicine: Protocol for a scoping review. Dansk Tidsskrift for Akutmedicin, 5(2), 16–22. https://doi.org/10.7146/akut.v5i2.131570

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