دورية أكاديمية
Use of a Handheld Ultrasonographic Device to Identify Heart Failure and Pulmonary Disease in Rural Africa
| العنوان: | Use of a Handheld Ultrasonographic Device to Identify Heart Failure and Pulmonary Disease in Rural Africa |
|---|---|
| المؤلفون: | Katende, Andrew, Oehri, Johanna, Urio, Victor Z., Mahundi, Evance, Wilson, Lulu, Myovela, Victor, Mlula, Chipegwa, Chitimbwa, Christamonica, Mbawala, Caspar, Faustine, Fanuel, Mteki, Valentine, Gingo, Winfrid, Kitila, Faraja, Mwasongwe, Ipyana, Bucher, Claudia, Elzi, Luigia, Okuma, James, Zoller, Thomas, Paris, Daniel H., Weisser, Maja, Rohacek, Martin |
| المصدر: | JAMA Network Open ; volume 7, issue 2, page e240577 ; ISSN 2574-3805 |
| بيانات النشر: | American Medical Association (AMA) |
| سنة النشر: | 2024 |
| الوصف: | Importance Agreement in lung ultrasonography findings between clinicians using a handheld ultrasonographic device and expert sonographers using a high-end ultrasonographic machine has not been studied in sub-Saharan Africa. Objective To determine the agreement in ultrasonographic findings and diagnoses between primary care clinicians trained in lung ultrasonography, board-certified expert sonographers, and senior physicians. Design, Setting, and Participants This cross-sectional single-center study was conducted from February 1, 2022, to April 30, 2023 at a referral center in rural Tanzania. Individuals 5 years or older with respiratory symptoms and at least 2 distinct respiratory signs or symptoms were eligible. A total of 459 individuals were screened. Exposures Participants provided their medical history and underwent a clinical examination and lung ultrasonography performed by a clinician, followed by a lung ultrasonography performed by an expert sonographer, and finally chest radiography and a final evaluation performed by a senior physician. Other tests, such as echocardiography and Mycobacterium tuberculosis testing, were conducted on the decision of the physician. Clinicians received 2 hours of instruction and three 2-hour sessions of clinical training in the use of a handheld lung ultrasonographic device; expert sonographers were board-certified. Main Outcomes and Measures Percentage agreement and Cohen κ coefficient for sonographic findings and diagnoses compared between clinicians and expert sonographers, and between clinicians and senior physicians. Results The median (IQR) age of 438 included participants was 54 (38-66) years, and 225 (51%) were male. The median (range) percentage agreement of ultrasonographic findings between clinicians and expert sonographers was 93% (71%-99%), with κ ranging from −0.003 to 0.83. Median (range) agreement of diagnoses between clinicians and expert sonographers was 90% (50%-99%), with κ ranging from −0.002 to 0.76. Between clinicians and senior physicians, median ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1001/jamanetworkopen.2024.0577 |
| الإتاحة: | https://doi.org/10.1001/jamanetworkopen.2024.0577Test https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2815584/katende_2024_oi_240046_1708501344.22449.pdfTest |
| رقم الانضمام: | edsbas.3DD95AE |
| قاعدة البيانات: | BASE |
| DOI: | 10.1001/jamanetworkopen.2024.0577 |
|---|