The association between serial measurements of cardiac parameters on ultrasound and prognosis in adult emergency department visits

a systematic review protocol

Forfattere

  • Michael Dan Arvig Akutafdelingen, Slagelse Sygehus, og Institut for Klinisk Medicin, Københavns Universitet https://orcid.org/0000-0001-5853-1953
  • Casper Falster 4 Department of Internal Medicine, Svendborg Hospital, Baagøes Àlle 15, Svendborg, Denmark
  • Stig Holm Ovesen 6 Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Palle Juul-Jensens Boulevard 11, Aarhus, Denmark
  • Ronja Leth 7 Emergency Department, Horsens Regional Hospital, Horsens Regional Hospital, Sundvej 30, Horsens, Denmark
  • Mikkel Brabrand 9 Research Unit of Emergency Medicine, Department of Clinical Research, University of Southern Denmark, J.B. Winsløws Vej 19, Odense, Denmark

DOI:

https://doi.org/10.7146/akut.v7i3.144287

Nøgleord:

emergency department, monitoring, prognosis, serial measurements, cardiac ultrasound, PoCUS, Point-of-care ultrasound

Resumé

Introduktion

Akutte kontakter skyldes ofte åndenød eller brystsmerter pga. underliggende hjerte-lungesygdom. Point-of-care hjerteultralyd anvendes ofte i den primære patientgennemgang integreret med klinisk undersøgelse, hvorimod efterfølgende vurderinger udelukkende er baseret på symptomer, vitalværdier og blodprøver.

 

Formål

I et systematisk review at undersøge sammenhængen mellem serielle ændringer i dynamiske hjerteultralydsparametre og prognose hos voksne akutte kontakter.

 

Metoder

Studier med voksne akutte kontakter, der får foretaget hjerteultralyd mindst to gange under indlæggelsen, bliver inkluderet. Mekanisk ventilerede patienter bliver ekskluderet. En systematisk søgning bliver foretaget på PubMed, Cochrane, Embase, Scopus, Web of Science og Google Scholar. Den grå litteratur søges i OpenGrey og ProQuest. Igangværende forsøg søges i ClinicalTrials og International Clinical Trials Registry Platform. Bias vurderes i henhold til studiedesign vha.  Joanna Briggs Institutets værktøjer til kritisk vurdering. Hvis muligt bliver resultaterne syntetiseret i en metaanalyse, ellers i narrativ form.

 

Diskussion

Resultaterne forventes at give indsigt i, hvorledes man kan monitorere og guide behandlingen baseret på serielle målinger af hjertets funktion på ultralyd.

 

Systematisk review registreringsnummer: PROSPERO, CRD42024524740.

Referencer

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Laursen CB, Sloth E, Lassen AT, Christensen R dePont, Lambrechtsen J, Madsen PH, et al. Point-of-care ultrasonography in patients admitted with respiratory symptoms: a single-blind, randomised con-trolled trial. The Lancet Respir Medicine. 2014;2(8):638–46. DOI: 10.1016/S2213-2600(14)70135-3

Buhumaid RE, St-Cyr Bourque J, Shokoohi H, Ma IWY, Longacre M, Liteplo AS. Integrating point-of-care ultrasound in the ED evaluation of patients presenting with chest pain and shortness of breath. Am J Emerg Med. 2019;37(2):298–303. DOI: 10.1016/j.ajem.2018.10.059

Koh Y, Chua MT, Ho WH, Lee C, Chan GWH, Sen Kuan W. Assessment of dyspneic patients in the emergen-cy department using point-of-care lung and cardiac ultrasonography—a prospective observational study. J Thorac Dis. 2018;10(11):6221–9. DOI: 10.21037/jtd.2018.10.30

Arvig MD, Laursen CB, Jacobsen N, Gæde PH, Lassen AT. Monitoring patients with acute dyspnea with serial point-of-care ultrasound of the inferior vena cava (IVC) and the lungs (LUS): a systematic review. J Ultrasound. 2022;25(3):547-561. DOI: 10.1007/s40477-021-00622-7

Arvig MD, Lassen AT, Gæde PH, Gärtner SW, Falster C, Skov IR, et al. Impact of serial cardiopulmonary point-of-care ultrasound exams in patients with acute dyspnoea: a randomised, controlled trial. Emerg Med J. 2023;25(3):547-561. DOI: 10.1007/s40477-021-00622-7

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Au A, Hsu P, McClure M, Cabrera G, Kalivoda EJ. Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism. Cureus. 2020;21;12(4):e7771. DOI: 10.7759/cureus.7771

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Downloads

Publiceret

14-12-2024

Citation/Eksport

Arvig, M. D., Falster, C., Holm Ovesen, S., Leth, R., & Brabrand, M. (2024). The association between serial measurements of cardiac parameters on ultrasound and prognosis in adult emergency department visits: a systematic review protocol. Dansk Tidsskrift for Akutmedicin, 7(3), 34–38. https://doi.org/10.7146/akut.v7i3.144287

Nummer

Årg. 7 Nr. 3 (2024): December

Sektion

Korte protokolartikler

Licens

Ophavsretten deles mellem forfatter og tidsskrift.