Ultrasound for the Diagnosis and Management of Suspected Urolithiasis in the Emergency Department

Lisa D Mills, Eric J. Morley, Zachary Soucy, Gary M. Vilke, Samuel H.F. Lam

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: This review provides practicing emergency physicians updated information regarding point-of-care ultrasound (POCUS) imaging of patients with suspected urolithiasis. Methods: A PubMed literature search was conducted for articles published between January 1, 1996 and May 31, 2017 and limited to human clinical trials written in English with relevant keywords. High-quality studies identified then underwent a structured review. Recommendations herein are made based on the literature review. Results: Two hundred seventy-two abstracts fulfilling the search criteria were screened and 10 appropriate articles were rigorously reviewed in detail. There were 8 prospective studies and 2 retrospective studies. Only 1 of them was a multi-institutional randomized trial. POCUS performed in the emergency department (ED) is moderately sensitive and specific in making the diagnosis of urolithiasis in symptomatic patients. Suspected urolithiasis patients evaluated initially with ED POCUS have complication rates compatible with those evaluated initially with computed tomography. Conclusions: POCUS has moderate accuracy in making the diagnosis of urolithiasis. Nevertheless, it may be safely used as a first line of imaging in ED patients with suspected symptomatic urolithiaisis.

Original languageEnglish (US)
JournalJournal of Emergency Medicine
DOIs
StateAccepted/In press - 2017

Fingerprint

Point-of-Care Systems
Urolithiasis
Hospital Emergency Service
PubMed
Ultrasonography
Emergencies
Retrospective Studies
Tomography
Clinical Trials
Prospective Studies
Physicians

Keywords

  • Emergency department
  • Kidney calculi
  • Systemic review
  • Ultrasonography

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Ultrasound for the Diagnosis and Management of Suspected Urolithiasis in the Emergency Department. / Mills, Lisa D; Morley, Eric J.; Soucy, Zachary; Vilke, Gary M.; Lam, Samuel H.F.

In: Journal of Emergency Medicine, 2017.

Research output: Contribution to journalArticle

@article{8b07113e180d4582b4d0e33071a5996e,
title = "Ultrasound for the Diagnosis and Management of Suspected Urolithiasis in the Emergency Department",
abstract = "Background: This review provides practicing emergency physicians updated information regarding point-of-care ultrasound (POCUS) imaging of patients with suspected urolithiasis. Methods: A PubMed literature search was conducted for articles published between January 1, 1996 and May 31, 2017 and limited to human clinical trials written in English with relevant keywords. High-quality studies identified then underwent a structured review. Recommendations herein are made based on the literature review. Results: Two hundred seventy-two abstracts fulfilling the search criteria were screened and 10 appropriate articles were rigorously reviewed in detail. There were 8 prospective studies and 2 retrospective studies. Only 1 of them was a multi-institutional randomized trial. POCUS performed in the emergency department (ED) is moderately sensitive and specific in making the diagnosis of urolithiasis in symptomatic patients. Suspected urolithiasis patients evaluated initially with ED POCUS have complication rates compatible with those evaluated initially with computed tomography. Conclusions: POCUS has moderate accuracy in making the diagnosis of urolithiasis. Nevertheless, it may be safely used as a first line of imaging in ED patients with suspected symptomatic urolithiaisis.",
keywords = "Emergency department, Kidney calculi, Systemic review, Ultrasonography",
author = "Mills, {Lisa D} and Morley, {Eric J.} and Zachary Soucy and Vilke, {Gary M.} and Lam, {Samuel H.F.}",
year = "2017",
doi = "10.1016/j.jemermed.2017.09.020",
language = "English (US)",
journal = "Journal of Emergency Medicine",
issn = "0736-4679",
publisher = "Elsevier USA",

}

TY - JOUR

T1 - Ultrasound for the Diagnosis and Management of Suspected Urolithiasis in the Emergency Department

AU - Mills, Lisa D

AU - Morley, Eric J.

AU - Soucy, Zachary

AU - Vilke, Gary M.

AU - Lam, Samuel H.F.

PY - 2017

Y1 - 2017

N2 - Background: This review provides practicing emergency physicians updated information regarding point-of-care ultrasound (POCUS) imaging of patients with suspected urolithiasis. Methods: A PubMed literature search was conducted for articles published between January 1, 1996 and May 31, 2017 and limited to human clinical trials written in English with relevant keywords. High-quality studies identified then underwent a structured review. Recommendations herein are made based on the literature review. Results: Two hundred seventy-two abstracts fulfilling the search criteria were screened and 10 appropriate articles were rigorously reviewed in detail. There were 8 prospective studies and 2 retrospective studies. Only 1 of them was a multi-institutional randomized trial. POCUS performed in the emergency department (ED) is moderately sensitive and specific in making the diagnosis of urolithiasis in symptomatic patients. Suspected urolithiasis patients evaluated initially with ED POCUS have complication rates compatible with those evaluated initially with computed tomography. Conclusions: POCUS has moderate accuracy in making the diagnosis of urolithiasis. Nevertheless, it may be safely used as a first line of imaging in ED patients with suspected symptomatic urolithiaisis.

AB - Background: This review provides practicing emergency physicians updated information regarding point-of-care ultrasound (POCUS) imaging of patients with suspected urolithiasis. Methods: A PubMed literature search was conducted for articles published between January 1, 1996 and May 31, 2017 and limited to human clinical trials written in English with relevant keywords. High-quality studies identified then underwent a structured review. Recommendations herein are made based on the literature review. Results: Two hundred seventy-two abstracts fulfilling the search criteria were screened and 10 appropriate articles were rigorously reviewed in detail. There were 8 prospective studies and 2 retrospective studies. Only 1 of them was a multi-institutional randomized trial. POCUS performed in the emergency department (ED) is moderately sensitive and specific in making the diagnosis of urolithiasis in symptomatic patients. Suspected urolithiasis patients evaluated initially with ED POCUS have complication rates compatible with those evaluated initially with computed tomography. Conclusions: POCUS has moderate accuracy in making the diagnosis of urolithiasis. Nevertheless, it may be safely used as a first line of imaging in ED patients with suspected symptomatic urolithiaisis.

KW - Emergency department

KW - Kidney calculi

KW - Systemic review

KW - Ultrasonography

UR - http://www.scopus.com/inward/record.url?scp=85032358480&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85032358480&partnerID=8YFLogxK

U2 - 10.1016/j.jemermed.2017.09.020

DO - 10.1016/j.jemermed.2017.09.020

M3 - Article

JO - Journal of Emergency Medicine

JF - Journal of Emergency Medicine

SN - 0736-4679

ER -