The use of hand-carried ultrasound in the hospital setting-A cost-effective analysis

Kim Greaves; P Jeetley; M Hickman; G Dwivedi; N Sabharwal; T Lim; R Janardhanan; R Senior

doi:10.1016/j.echo.2004.09.015

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The use of hand-carried ultrasound in the hospital setting-A cost-effective analysis

Journal article

Peer reviewed

The use of hand-carried ultrasound in the hospital setting-A cost-effective analysis

Kim Greaves, P Jeetley, M Hickman, G Dwivedi, N Sabharwal, T Lim, R Janardhanan and R Senior

Journal of the American Society of Echocardiography, Vol.18(6), pp.620-625

2005

DOI: https://doi.org/10.1016/j.echo.2004.09.015

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Abstract

Objectives: We sought to assess the accuracy of hand-carried ultrasound (HCU) in the prediction of a normal study, and its cost-effectiveness in reducing the number of standard departmental echocardiograms (SDE) performed on hospital inpatients. Objectives: The setting was a district general hospital. Participants were 157 consecutive inpatients, mean age 68 (range: 18-97) years, 95 men (61%), referred for SDE. HCU was performed at the bedside as part of the clinical assessment. SDE was performed routinely. Main outcome measures were: (1) assessment of the accuracy of HCU in detection of a normal or abnormal study as determined by SDE; and (2) a cost-effectiveness analysis. Results: Indications for echocardiography were: left ventricular (LV) function assessment, n = 101 (64.3%); valvular abnormalities, n = 11 (7%); arrhythmia, n = 4 (2.6%); miscellaneous, n = 10 (6.4%); and no reason stated, 31 (19.7%). The sensitivity, specificity, and positive and negative predictive values of HCU predicting a completely normal scan were 74%, 96%, 94%, and 81%, respectively, and of predicting normal LV function in requests specific for LV function assessment were 81%, 100%, 100%, and 77%, respectively. If either all inpatients or those with requests for LV function assessment underwent HCU initially, and only those with abnormal scans underwent further SDE, there would be a 29% and 22% reduction in departmental workload and a cost saving of Â£23,000 and Â£30,000, respectively. Conclusion: HCU is an accurate method of identifying patients with normal hearts as determined by SDE. Its routine use is cost-effective and can significantly reduce the number of SDE that need be performed. Copyright © 2005 by the American Society of Echocardiography.

Details

Title: The use of hand-carried ultrasound in the hospital setting-A cost-effective analysis
Authors: Kim Greaves (Author) - Northwick Park Hospital, United Kingdom
P Jeetley (Author) - Northwick Park Hospital, United Kingdom
M Hickman (Author) - Northwick Park Hospital, United Kingdom
G Dwivedi (Author) - Northwick Park Hospital, United Kingdom
N Sabharwal (Author) - Northwick Park Hospital, United Kingdom
T Lim (Author) - Northwick Park Hospital, United Kingdom
R Janardhanan (Author) - Northwick Park Hospital, United Kingdom
R Senior (Author) - Northwick Park Hospital, United Kingdom
Publication details: Journal of the American Society of Echocardiography, Vol.18(6), pp.620-625
Publisher: Mosby, Inc.
Date published: 2005
DOI: 10.1016/j.echo.2004.09.015
ISSN: 0894-7317; 0894-7317
Organisation Unit: Faculty of Science, Health, Education and Engineering; University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449195802621
Output Type: Journal article

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