Calidad asistencial en el hombro doloroso agudo: ¿qué aporta la ecografía musculoesquelética? / Quality health care in acute shoulder pain: what is the contribution of musculoskeletal ultrasound?

Con el fin de valorar el impacto de la ecografía en pacientes con dolor agudo de hombro realizamos un análisis de indicadores de calidad asistencial: necesidad de reevaluación por dolor, tasa de derivación a consulta especializada y tiempo de estancia en urgencias. Se revisaron los 1.433 registros de pacientes atendidos entre 2015 y 2016. A los 30 días de la primera valoración, 90 pacientes (10,1%) habían reconsultado en el grupo control (56 por urgencias y 34 por AP), mientras que en el grupo ECO habían reconsultado 14 (2,5%) al menos una vez (12 por urgencias y 2 por AP) (p < 0,001). La tasa de derivación a especializada en el grupo control fue del 36,5%, mientras que en el grupo ECO fue del 6,21% (p < 0,0001). El tiempo de estancia media fue de 94,5 (DE: 34,3) minutos en el grupo control y de 105,4 (DE: 40,1) minutos en el grupo ECO (p < 0,0001). Nuestros resultados sugieren que la práctica de ecografía de hombro mejora la calidad asistencial de estos pacientes a costa de un discreto incremento en los tiempos de atención

For the purpose of assessing the impact of ultrasound in patients with acute shoulder pain, we conducted an analysis of quality health care indicators: need for reevaluation of the pain, rate of referral to specialized medicine and length of time in the emergency department. We reviewed the 1,433 records of patients attended to between 2015 and 2016. Thirty days after the first examination, 90 patients (10.1%) had returned to the control group (56 through the emergency department and 34 because of the), whereas, in the ultrasound (US) group, 14 (2.5%) had returned at least once (12 through the emergency department and 2 because of the PCC) (P<.001). The rate of referral to specialized medicine in the control group was 36.5%, whereas in the US group it was 6.21% (P<.0001). The average length of stay was 94.5 (standard deviation [SD] 34.3) minutes in the control group and 105.4 (SD 40.1) minutes in the US group (P<.0001). Our results suggest that the practice of shoulder ultrasound improves health care quality in these patients, at the cost of a slight increase in health care time

Quality Health Care in Acute Shoulder Pain: What Is the Contribution of Musculoskeletal Ultrasound? / Calidad asistencial en el hombro doloroso agudo: ¿qué aporta la ecografía musculoesquelética?

For the purpose of assessing the impact of ultrasound in patients with acute shoulder pain, we conducted an analysis of quality health care indicators: need for reevaluation of the pain, rate of referral to specialized medicine and length of time in the emergency department. We reviewed the 1,433 records of patients attended to between 2015 and 2016. Thirty days after the first examination, 90 patients (10.1%) had returned to the control group (56 through the emergency department and 34 because of the), whereas, in the ultrasound (US) group, 14 (2.5%) had returned at least once (12 through the emergency department and 2 because of the PCC) (P<.001). The rate of referral to specialized medicine in the control group was 36.5%, whereas in the US group it was 6.21% (P<.0001). The average length of stay was 94.5 (standard deviation [SD] 34.3) minutes in the control group and 105.4 (SD 40.1) minutes in the US group (P<.0001). Our results suggest that the practice of shoulder ultrasound improves health care quality in these patients, at the cost of a slight increase in health care time.