Estudio de viabilidad de la ecografía abdominal con dispositivos portátiles en atención domiciliaria / Feasibility study of abdominal ultrasound using hand-held devices in homecare services

Antecedentes y objetivos:La miniaturización y portabilidad de dispositivos de ecografía permite al médico de familia aplicarlos en ámbitos como el domicilio del paciente. El presente estudio pretende demostrar que la realización de la ecografía abdominal en el domicilio de pacientes frágiles es factible, permite reducir la demora en la atención y reduce la incertidumbre diagnóstica.Pacientes y métodos:Estudio de casos y controles. Se estudió una muestra de 59 pacientes: 30 casos y 29 controles. Se realizó un análisis descriptivo del grupo casos y se comparó la variable demora entre ambos grupos.Resultados:Se observó una reducción relevante y significativa en la demora entre la ecografía practicada en atención domiciliaria y la realizada en el hospital, de hasta 10 veces menor. El 73,4% de los pacientes solo precisó control clínico por su médico de referencia. En aquellos pacientes que precisaron otras pruebas complementarias o derivación, el diagnóstico definitivo presentó una concordancia total con los resultados de la ecografía realizada al domicilio.Conclusiones:La implementación de la ecografía en atención domiciliaria es asequible y aporta beneficios clínicos relevantes para el paciente e incrementa la capacidad resolutiva del profesional. (AU)

Background and objectives:The miniaturisation and portability of ultrasound devices allow the family doctor to apply them in areas such as the patient's home. The present study aims to prove that performing an abdominal ultrasound in the home of frail patients is feasible, decreases the delay in care, and reduces diagnostic uncertainty.Patients and methods:Case-control study. A sample of 59 patients was studied: 30 cases and 29 controls. A descriptive analysis of the case group was carried out and the delay variable was compared between both groups.Results:A relevant and significant reduction, up to 10 times lower, was observed in the delay between the ultrasound performed in homecare compared those performed in the hospital. Of the patients, 73.4% only required clinical follow-up by their physician. In those patients who required other complementary tests or referrals, the definitive diagnosis was in complete agreement with the results of the ultrasound performed in homecare.Conclusions:The implementation of ultrasound in homecare services is feasible and provides relevant clinical benefits for the patient and increases the resolution capacity of the professional.

[Feasibility study of abdominal ultrasound using hand-held devices in homecare services]. / Estudio de viabilidad de la ecografía abdominal con dispositivos portátiles en atención domiciliaria.

BACKGROUND AND OBJECTIVES: The miniaturisation and portability of ultrasound devices allow the family doctor to apply them in areas such as the patient's home. The present study aims to prove that performing an abdominal ultrasound in the home of frail patients is feasible, decreases the delay in care, and reduces diagnostic uncertainty. PATIENTS AND METHODS: Case-control study. A sample of 59 patients was studied: 30 cases and 29 controls. A descriptive analysis of the case group was carried out and the delay variable was compared between both groups. RESULTS: A relevant and significant reduction, up to 10 times lower, was observed in the delay between the ultrasound performed in homecare compared those performed in the hospital. Of the patients, 73.4% only required clinical follow-up by their physician. In those patients who required other complementary tests or referrals, the definitive diagnosis was in complete agreement with the results of the ultrasound performed in homecare. CONCLUSIONS: The implementation of ultrasound in homecare services is feasible and provides relevant clinical benefits for the patient and increases the resolution capacity of the professional.