Volume 23 Supplement 1

Proceedings of the 6th Danish Emergency Medicine Conference

Open Access

Patient-rated level of discomfort during assessment with point-of-care ultrasonography

  • Christian B Laursen1Email author,
  • Erik Sloth2,
  • Annmarie T Lassen3,
  • Jess Lambrechtsen4,
  • Daniel P Henriksen4, 5 and
  • Finn Rasmussen6
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine201523(Suppl 1):A17

https://doi.org/10.1186/1757-7241-23-S1-A17

Published: 16 July 2015

Introduction

This study aimed to assess the patient-rated level of discomfort during point-of-care ultrasonography of the heart, lungs, and deep veins in a population of patients admitted to an emergency department with respiratory symptoms and to what extent the patients would accept being assessed by the use of point-of-care ultrasonography if they had to be examined for possible disease.

Methods

A questionnaire-based observational study was conducted in an emergency department. Inclusion criteria were one or more of the following: respiratory rate > 20/minute, oxygen saturation < 95%, oxygen therapy initiated, dyspnoea, cough or chest pain. Patients were examined by the use of point-of-care ultrasonography of the heart, lungs, and deep veins. Patient-rated level of discomfort and acceptance were assessed using a standardised questionnaire.

Results

A total of 1,130 patients were assessed for eligibility, of which 299 (26.5%) patients were included. 26 patients was not able to fill out the questionnaire and 2 patients withdrew informed consent, leaving 271 patients available for study analysis. The median duration of the sonographic examinations was 12 minutes (IQR 11-13, range 9-23). The median patient-rated level of discomfort for all three types of sonography was 1 (IQR 1-1, range 1-8) on a scale from 1 to 10. All but one patient (99.6% (95% CI: 98.9-100%)), would accept being examined by the use of point-of-care ultrasonography as a part of routine emergency department diagnostics.

Conclusion

The patient-rated level of discomfort during point-of-care ultrasonography of the heart, lungs, and deep veins is very low and the vast majority of patients would accept being assessed by the use of point-of-care ultrasonography if the patients once again had to be examined for possible disease.

Authors’ Affiliations

(1)
Department of Respiratory Medicine, OUH Odense University Hospital
(2)
Department of Anesthesia and Intensive Care, Aarhus University Hospital
(3)
Department of Emergency Medicine, OUH Odense University Hospital
(4)
Department of Medicine, OUH Odense University Hospital
(5)
Institute of Clinical Research, University of Southern Denmark
(6)
Department of Allergy and Respiratory Medicine, Near East University Hospital

Copyright

© Laursen et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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