Ultrasonography of Suspected Ileocolic Intussusceptions Performed by Emergency Medicine Residents.
- Author:
Jin Hwi KIM
1
;
Hyung Goo KANG
;
Tae Ho LIM
;
Sang Mo JE
;
Hyuk Joong CHOI
;
Bo Seung KANG
;
Sae Hoon PARK
Author Information
1. Department of Emergency Medicine, College of Medicine, Hanyang University Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Ultrasonography;
Intussusception;
Emergency medicine resident
- MeSH:
Emergencies;
Emergency Medicine;
Follow-Up Studies;
Humans;
Intussusception;
Retrospective Studies;
Sensitivity and Specificity
- From:Journal of the Korean Society of Emergency Medicine
2012;23(5):643-648
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to evaluate the sensitivity and specificity of ultrasonography of suspected ileocolic intussusception performed by emergency medicine (EM) residents who participated in a 2-hour focused ultrasound training program for intussusception. METHODS: This was a 16-month retrospective, observational study. Pediatric patients with suspected ileocolic intussusception who underwent ultrasound performed by second or third year EM residents were included in the study. The gold standard was a diagnostic work-up performed by a radiologist or clinical follow-up, compared with the results of ultrasonography performed by EM residents. RESULTS: A total of 38 patients were enrolled. The sensitivity of ultrasound performed by emergency medicine residents for prediction of ileocolic intussusception was 92.86%(66.13% to 99.82%), the specificity was 91.67%(73.00% to 98.97%), the positive likelihood ratio was 11.14(2.93 to 42.34), and the negative likelihood ratio was 0.08(0.01 to 0.52). CONCLUSION: Emergency residents can identify ileocolic intussusceptions with only minimal training, which could substitute for ultrasonography performed by radiologists when they are not immediately available.
