Información adicional

• Num_publicacion 76(7-8)
• Resumen_ingles
  Introduction: Ultrasound imaging is an examination that must be performed following a clear clinical indication. Otherwise it causes an increase of the work load and can generate false expectations in the parents. In pediatrics, there is a lack of guidelines for ultrasound indications.
  Materials and methods: Observational prospective study over 3 years. The ultrasounds images and the respective referral documents sent by primary care pediatricians at a county level were systematically collected during the first year. After that period the indications and the usefulness of the ultrasound imaging with respect to the proposed clinical indication were analyzed. Subsequently the pediatricians of the area were trained on the rationale of ultrasound usefulness as a diagnostic tool by means of a guideline of adequate and uncertain indications. The following two years were compared with the first one in terms of variation in the relative number of indications of low diagnostic value.
  Results: In the two years following the training of the primary care pediatricians, a sustained and statistically significant decrease (p <0.01) in ultrasound referrals with a low diagnostic value was observed. At the same time an increase in the total number of ultrasounds was observed.
  Conclusions: The introduction of a guideline of indications for ultrasound imaging and their dissemination to and training of the primary care pediatricians can help optimize the use of clinical ultrasound imaging.
   
• Palabras_clave_ingles Ultrasonography Education Primary health care Diagnostic services
• Todos_autores S.O. Schneider, A. Foguet i Vidal, F. Campillo i López
• autores listados S.O. Schneider, A. Foguet i Vidal, F. Campillo i López
• Correspondecia
  S.O. Schneider. Equip Pediàtric Territorial de la Garrotxa. Hospital d’Olot i Comarcal de la Garrotxa. Avda. dels Països Catalans, 86. 17800 Olot (Girona).
  Correo electrónico: soschneider@hospiolot.cat
   
   
• Titulo_ingles Referral for ultrasound imaging in primary care pediatrics: Usefulness of a guideline for clinical indications
• Centros_trabajo Equipo Pediátrico Territorial de la Garrotxa. Hospital d’Olot i Comarcal de la Garrotxa. Olot (Girona)
• Publicado en Acta Pediatr Esp. 2018; 76(7-8): e93-e97
• copyright ©2018 Ediciones Mayo, S.A.
• Fecha recepcion 25/07/17
• Fecha aceptacion 13/09/17
• Tipo de Artículo Clínico (Microdatos) Observational Study