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KMID : 0385920120230050643
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Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 5 p.643 ~ p.648
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Ultrasonography of Suspected Ileocolic Intussusceptions Performed by Emergency Medicine Residents
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Kim Jin-Hwi
Kang Hyung-Goo
Lim Tae-Ho
Je Sang-Mo
Choi Hyuk-Joong
Kang Bo-Seung
Park Sae-Hoon
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Abstract
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Purpose: The aim of this study was to evaluate the sensitivity and specificity of ultrasonography of suspected ileocolic intussusception performed by emergency medicine (EM) residents who participated in a 2-hour focused ultrasound training program for intussusception.
Methods: This was a 16-month retrospective, observational study. Pediatric patients with suspected ileocolic intussusception who underwent ultrasound performed by second or third year EM residents were included in the study. The gold standard was a diagnostic work-up performed by a radiologist or clinical follow-up, compared with the results of ultrasonography performed by EM residents.
Results: A total of 38 patients were enrolled. The sensitivity of ultrasound performed by emergency medicine residents for prediction of ileocolic intussusception was 92.86%(66.13% to 99.82%), the specificity was 91.67%(73.00% to 98.97%), the positive likelihood ratio was 11.14(2.93 to 42.34), and the negative likelihood ratio was 0.08(0.01 to 0.52).
Conclusion: Emergency residents can identify ileocolic intussusceptions with only minimal training, which could substitute for ultrasonography performed by radiologists when they are not immediately available.
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KEYWORD
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Ultrasonography, Intussusception, Emergency medicine resident
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