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- Title
Geriatrischer Ultraschall: Prospektive Evaluation der Sonographie als erweitertes Screening bei akutgeriatrischen Patienten.
- Authors
Weinrebe, W.; Kreppenhofer, S.; Dietrich, C. F.
- Abstract
Background: The aim of this study was to evaluate ultrasound as a routinely used procedure and extended physical examination in geriatric patients in acute care. Methods: Prospective study of 86 patients using ultrasound as a screening examination (abdomen, basal sections of the thorax, thyroid glands) under comparative use of a hand-held ultrasound device (HHUSD) and a high-end ultrasound (HEUS = gold standard). Results: In 20/86 (23.2%) clinically relevant findings with therapeutic consequences were found (pleural effusion, urinary retention, choledocholithiasis metatases, colon tumor). In 22/86 (25.6%) patients, additional questions existed besides the screening indication: tumor search (9.3%), anemia (5.8%), liver value elevation (5.8%), dyspnea (5.8%), splenic pathologies (2.3%), weight loss (1.2%), infectious focus (1.2%), diarrhea (1.2%), intra-abdominal hematoma (1.1%), abdominal aortic aneurysm (1.2%). The most common sonographic findings included: cholecystolithiasis (32.6%); right pleural effusion (31.4%), thyroid nodules (30.2%), renal cysts (27.9%), and fatty liver (26.7%). There were significant differences in sizing between HHUSD and HEUS (kidneys, pancreatic corpus and pancreatic caudal diameters, portal vein, left hepatic vein) without diagnostic relevance. Conclusion: The extended screening by ultrasound provided important answers to classical questions in geriatrics (e.g. urinary retention, volume deficiency/pleural effusion) in many cases. The new findings had therapeutic consequences in one fifth of the patients. The HHUSD can be used in screening.
- Subjects
ABDOMINAL aortic aneurysms; MEDICAL screening; HEPATIC veins; ULTRASONIC imaging; CYSTIC kidney disease; RETENTION of urine; PORTAL vein; GERIATRIC psychiatry
- Publication
Zeitschrift für Gerontologie und Geriatrie, 2023, Vol 56, Issue 8, p647
- ISSN
0948-6704
- Publication type
Article
- DOI
10.1007/s00391-022-02144-1