Increased body mass index does not impact the imaging quality of focused assessment with sonography in trauma.
J Clin Ultrasound
; 48(8): 452-456, 2020 Oct.
Article
em En
| MEDLINE
| ID: mdl-32557626
ABSTRACT
BACKGROUND:
Many clinicians believe that a patient's body mass index (BMI) affects the likelihood of obtaining high quality ultrasound images.OBJECTIVES:
To assess the hypothesis that increased BMI is associated with worsening focused assessment with sonography in trauma (FAST) image quality.METHODS:
We conducted a retrospective single-center study of FAST examinations performed in a large academic emergency department (ED) with fellowship-trained emergency ultrasonography faculty performing quality assurance review.RESULTS:
Mean (SD) BMI was 28.0 (6.6) among the 302 included studies. The overall quality rating tended to decrease as BMI increased but did not achieve statistical significance in a univariable setting (P = .06) or after adjustment for age and sex (P = .06). Operators perception of image adequacy was largely unaffected by BMI, with the exception of the pericardial view.CONCLUSION:
This study did not identify a statistically significant difference in FAST quality with increased BMI. This result may help assuage clinician concerns about ultrasonography for patients in the ED.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ferimentos e Lesões
/
Índice de Massa Corporal
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article