Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 강보승 | - |
dc.date.accessioned | 2017-08-09T05:25:27Z | - |
dc.date.available | 2017-08-09T05:25:27Z | - |
dc.date.issued | 2015-10 | - |
dc.identifier.citation | AMERICAN JOURNAL OF EMERGENCY MEDICINE, v. 33, NO 10, Page. 1354-1359 | en_US |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.issn | 1532-8171 | - |
dc.identifier.uri | http://www.sciencedirect.com/science/article/pii/S073567571500604X?via%3Dihub | - |
dc.identifier.uri | http://hdl.handle.net/20.500.11754/28407 | - |
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. (C) 2015 Elsevier Inc. All rights reserved. | en_US |
dc.language.iso | en | en_US |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | en_US |
dc.subject | CT | en_US |
dc.subject | ILLUMINATION | en_US |
dc.subject | FEASIBILITY | en_US |
dc.title | Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED | en_US |
dc.type | Article | en_US |
dc.relation.no | 10 | - |
dc.relation.volume | 33 | - |
dc.identifier.doi | 10.1016/j.ajem.2015.07.048 | - |
dc.relation.page | 1354-1359 | - |
dc.relation.journal | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.contributor.googleauthor | Kim, Changsun | - |
dc.contributor.googleauthor | Kang, Bo Seung | - |
dc.contributor.googleauthor | Choi, Hyuk Joong | - |
dc.contributor.googleauthor | Lim, Tae Ho | - |
dc.contributor.googleauthor | Oh, Jaehoon | - |
dc.contributor.googleauthor | Chee, Youngjoon | - |
dc.relation.code | 2015011441 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | olivertw | - |
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