Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000400012 |
Resumo: | Abstract Introduction: Abdominal aortic aneurysm is a prevalent disease in western world, with a high mortality rate when rupture occurs. Screening programs and elective surgery may prevent such a life-threatening event. We pretend to evaluate if internal medicine residents would be able to perform quality abdominal ultrasound for abdominal aortic aneurysm screening, and therefore increase our diagnostic accuracy of this life-threatening condition. Material and Methods: Five internal medicine residents without previous experience in ultrasound screened men over 65 years admitted to Internal Medicine wards for Abdominal Aortic Aneurysm. The patients were evaluated in different times by two internal medicine residents, and a subset of patients was also evaluated by vascular surgery attendant or abdominal computed tomography scan (established as gold standard evaluations). Agreement between both internal medicine resident’s observations and internal medicine residents’ and gold standard evaluations were analyzed. Results: A total of 98 patients were evaluated, with 8 abdominal aortic aneurysms diagnosed, resulting in an 8.2% prevalence. There was good agreement regarding Abdominal Aortic Aneurysm presence and measurement between internal medicine residents’ examinations (κ = 0.918, p < 0.01) and internal medicine residents’/gold standard (κ = 0.950, p < 0.01). Discussion and Conclusion: Abdominal aortic aneurysm prevalence in our study was high. Internal medicine residents were able to accurately diagnose aortic abdominal aneurysm. Point of care opportunistic aortic abdominal aneurysm screening can be performed in Internal Medicine wards, providing an early diagnosis and referral for elective repair surgery. |
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Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine WardAortic Aneurysm, Abdominal/diagnostic imagingMass ScreeningUltrasonography.Abstract Introduction: Abdominal aortic aneurysm is a prevalent disease in western world, with a high mortality rate when rupture occurs. Screening programs and elective surgery may prevent such a life-threatening event. We pretend to evaluate if internal medicine residents would be able to perform quality abdominal ultrasound for abdominal aortic aneurysm screening, and therefore increase our diagnostic accuracy of this life-threatening condition. Material and Methods: Five internal medicine residents without previous experience in ultrasound screened men over 65 years admitted to Internal Medicine wards for Abdominal Aortic Aneurysm. The patients were evaluated in different times by two internal medicine residents, and a subset of patients was also evaluated by vascular surgery attendant or abdominal computed tomography scan (established as gold standard evaluations). Agreement between both internal medicine resident’s observations and internal medicine residents’ and gold standard evaluations were analyzed. Results: A total of 98 patients were evaluated, with 8 abdominal aortic aneurysms diagnosed, resulting in an 8.2% prevalence. There was good agreement regarding Abdominal Aortic Aneurysm presence and measurement between internal medicine residents’ examinations (κ = 0.918, p < 0.01) and internal medicine residents’/gold standard (κ = 0.950, p < 0.01). Discussion and Conclusion: Abdominal aortic aneurysm prevalence in our study was high. Internal medicine residents were able to accurately diagnose aortic abdominal aneurysm. Point of care opportunistic aortic abdominal aneurysm screening can be performed in Internal Medicine wards, providing an early diagnosis and referral for elective repair surgery.Sociedade Portuguesa de Medicina Interna2021-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000400012Medicina Interna v.28 n.4 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000400012Ferreira,Tânia AraújoMartins,Sara Raquel PereiraOliveira,AnaBranco,Catarina CasteloMarinho,RicardoTeixeira,GabrielaLoureiro,LuísNeves,Joãoinfo:eu-repo/semantics/openAccess2024-02-06T17:08:34Zoai:scielo:S0872-671X2021000400012Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:20:55.225848Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward |
title |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward |
spellingShingle |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward Ferreira,Tânia Araújo Aortic Aneurysm, Abdominal/diagnostic imaging Mass Screening Ultrasonography. |
title_short |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward |
title_full |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward |
title_fullStr |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward |
title_full_unstemmed |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward |
title_sort |
Point of Care Opportunist Screening of Abdominal Aortic Aneurysm in an Internal Medicine Ward |
author |
Ferreira,Tânia Araújo |
author_facet |
Ferreira,Tânia Araújo Martins,Sara Raquel Pereira Oliveira,Ana Branco,Catarina Castelo Marinho,Ricardo Teixeira,Gabriela Loureiro,Luís Neves,João |
author_role |
author |
author2 |
Martins,Sara Raquel Pereira Oliveira,Ana Branco,Catarina Castelo Marinho,Ricardo Teixeira,Gabriela Loureiro,Luís Neves,João |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Ferreira,Tânia Araújo Martins,Sara Raquel Pereira Oliveira,Ana Branco,Catarina Castelo Marinho,Ricardo Teixeira,Gabriela Loureiro,Luís Neves,João |
dc.subject.por.fl_str_mv |
Aortic Aneurysm, Abdominal/diagnostic imaging Mass Screening Ultrasonography. |
topic |
Aortic Aneurysm, Abdominal/diagnostic imaging Mass Screening Ultrasonography. |
description |
Abstract Introduction: Abdominal aortic aneurysm is a prevalent disease in western world, with a high mortality rate when rupture occurs. Screening programs and elective surgery may prevent such a life-threatening event. We pretend to evaluate if internal medicine residents would be able to perform quality abdominal ultrasound for abdominal aortic aneurysm screening, and therefore increase our diagnostic accuracy of this life-threatening condition. Material and Methods: Five internal medicine residents without previous experience in ultrasound screened men over 65 years admitted to Internal Medicine wards for Abdominal Aortic Aneurysm. The patients were evaluated in different times by two internal medicine residents, and a subset of patients was also evaluated by vascular surgery attendant or abdominal computed tomography scan (established as gold standard evaluations). Agreement between both internal medicine resident’s observations and internal medicine residents’ and gold standard evaluations were analyzed. Results: A total of 98 patients were evaluated, with 8 abdominal aortic aneurysms diagnosed, resulting in an 8.2% prevalence. There was good agreement regarding Abdominal Aortic Aneurysm presence and measurement between internal medicine residents’ examinations (κ = 0.918, p < 0.01) and internal medicine residents’/gold standard (κ = 0.950, p < 0.01). Discussion and Conclusion: Abdominal aortic aneurysm prevalence in our study was high. Internal medicine residents were able to accurately diagnose aortic abdominal aneurysm. Point of care opportunistic aortic abdominal aneurysm screening can be performed in Internal Medicine wards, providing an early diagnosis and referral for elective repair surgery. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000400012 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000400012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2021000400012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Medicina Interna v.28 n.4 2021 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137296077815808 |