PDF(Pubmed)
Abstract：
UNASSIGNED: Point-of-care ultrasound (POCUS) has gained prominence in a variety of medical specialties due to advances in ultrasound technology. POCUS has not been fully integrated into pediatric residency training programs despite its widespread use and proven benefits. At our institution, renal POCUS is performed by pediatric residents for the evaluation of hydronephrosis, which is the main pathology for which ultrasound is used in the clinical practice of pediatric nephrology. This study was conducted to evaluate the quality of renal POCUS performed by pediatric residents in infants.
UNASSIGNED: Four pediatric residents, comprising two first-year and two second-year residents at Konyang University Hospital, participated in the study conducted from May 2021 to May 2022. All participants had completed our Point-of-Care Ultrasound (POCUS) training program. The study focused on infants admitted to the pediatric inpatient unit, identified by attending physicians as requiring renal ultrasound. All infants underwent their initial kidney ultrasound examination. Temporal alignment between renal Point-of-Care Ultrasound (POCUS) performed by pediatric residents and conventional ultrasound (USG) conducted by radiologists was asynchronous. Pediatric residents conducted POCUS sessions during scheduled radiologist appointments throughout the day, occurring either before or after the radiologist\'s examination. There was no mutual awareness of each other\'s results. Inter-observer agreement between radiologists and pediatric residents was compared for the presence or absence of hydronephrosis and its grade, which are primary considerations in pediatric renal ultrasound.
UNASSIGNED: Our study found that 53 infants (68.8%) were diagnosed with hydronephrosis using point-of-care ultrasound (POCUS), compared to 48 infants (62.3%) diagnosed with conventional ultrasound (USG). Among the POCUS examinations conducted by pediatric residents, hydronephrosis of SFU grades 1, 2, 3, and 4 were observed in 56.6%, 35.8%, 7.5%, and 0%, respectively. Inter-observer reliability between POCUS and conventional USG showed good agreement, with Cohen\'s kappa coefficients exceeding 0.8 for sensitivity and 0.6 for grading.
UNASSIGNED: Renal POCUS performed well in diagnosing and grading hydronephrosis in infants when performed by pediatric residents who had completed a two-phase training program.
UNASSIGNED: Four pediatric residents, comprising two first-year and two second-year residents at Konyang University Hospital, participated in the study conducted from May 2021 to May 2022. All participants had completed our Point-of-Care Ultrasound (POCUS) training program. The study focused on infants admitted to the pediatric inpatient unit, identified by attending physicians as requiring renal ultrasound. All infants underwent their initial kidney ultrasound examination. Temporal alignment between renal Point-of-Care Ultrasound (POCUS) performed by pediatric residents and conventional ultrasound (USG) conducted by radiologists was asynchronous. Pediatric residents conducted POCUS sessions during scheduled radiologist appointments throughout the day, occurring either before or after the radiologist\'s examination. There was no mutual awareness of each other\'s results. Inter-observer agreement between radiologists and pediatric residents was compared for the presence or absence of hydronephrosis and its grade, which are primary considerations in pediatric renal ultrasound.
UNASSIGNED: Our study found that 53 infants (68.8%) were diagnosed with hydronephrosis using point-of-care ultrasound (POCUS), compared to 48 infants (62.3%) diagnosed with conventional ultrasound (USG). Among the POCUS examinations conducted by pediatric residents, hydronephrosis of SFU grades 1, 2, 3, and 4 were observed in 56.6%, 35.8%, 7.5%, and 0%, respectively. Inter-observer reliability between POCUS and conventional USG showed good agreement, with Cohen\'s kappa coefficients exceeding 0.8 for sensitivity and 0.6 for grading.
UNASSIGNED: Renal POCUS performed well in diagnosing and grading hydronephrosis in infants when performed by pediatric residents who had completed a two-phase training program.
摘要：
■由于超声技术的进步，护理点超声（POCUS）在各种医学专业中占有重要地位。POCUS尚未完全纳入儿科住院医师培训计划，尽管其广泛使用和已证明的好处。在我们的机构，肾脏POCUS由儿科居民进行肾积水评估，这是超声在小儿肾脏病学临床实践中使用的主要病理。这项研究旨在评估儿科居民在婴儿中进行的肾脏POCUS的质量。
■四位儿科住院医师，康阳大学医院的两名一年级和两名二年级居民，参加了2021年5月至2022年5月进行的研究。所有参与者都完成了我们的现场护理超声（POCUS）培训计划。这项研究的重点是儿科住院病房收治的婴儿，经主治医师鉴定需要进行肾脏超声检查。所有婴儿都接受了最初的肾脏超声检查。儿科住院医师进行的肾脏护理点超声（POCUS）与放射科医师进行的常规超声（USG）之间的时间对齐是异步的。儿科居民全天在安排放射科医生预约期间进行POCUS会议，发生在放射科医师检查之前或之后。没有相互意识到对方的结果。比较了放射科医师和儿科居民之间的观察者之间是否存在肾积水及其等级，这是儿科肾脏超声检查的主要考虑因素。
■我们的研究发现，53名婴儿（68.8％）使用定点护理超声（POCUS）诊断为肾积水，与常规超声（USG）诊断的48名婴儿（62.3％）相比。在儿科居民进行的POCUS检查中，观察到SFU1、2、3和4级的肾积水占56.6％，35.8%,7.5%,0%,分别。POCUS与常规USG之间的观察者间可靠性表现出良好的一致性，科恩的Kappa系数超过0.8的敏感性和0.6的分级。
■完成两阶段培训计划的儿科住院医师在诊断和分级婴儿肾积水方面表现良好。
■四位儿科住院医师，康阳大学医院的两名一年级和两名二年级居民，参加了2021年5月至2022年5月进行的研究。所有参与者都完成了我们的现场护理超声（POCUS）培训计划。这项研究的重点是儿科住院病房收治的婴儿，经主治医师鉴定需要进行肾脏超声检查。所有婴儿都接受了最初的肾脏超声检查。儿科住院医师进行的肾脏护理点超声（POCUS）与放射科医师进行的常规超声（USG）之间的时间对齐是异步的。儿科居民全天在安排放射科医生预约期间进行POCUS会议，发生在放射科医师检查之前或之后。没有相互意识到对方的结果。比较了放射科医师和儿科居民之间的观察者之间是否存在肾积水及其等级，这是儿科肾脏超声检查的主要考虑因素。
■我们的研究发现，53名婴儿（68.8％）使用定点护理超声（POCUS）诊断为肾积水，与常规超声（USG）诊断的48名婴儿（62.3％）相比。在儿科居民进行的POCUS检查中，观察到SFU1、2、3和4级的肾积水占56.6％，35.8%,7.5%,0%,分别。POCUS与常规USG之间的观察者间可靠性表现出良好的一致性，科恩的Kappa系数超过0.8的敏感性和0.6的分级。
■完成两阶段培训计划的儿科住院医师在诊断和分级婴儿肾积水方面表现良好。
