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Physicians' Ability to Visually Estimate Left Ventricular Ejection Fraction, Right Ventricular Enlargement, and Paradoxical Septal Motion After a 2-Day Focused Cardiac Ultrasound Training Course

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收录情况： ◇ SCIE

作者：
Zhang, Hongmin[1,2] * ; He, Wei[3] * ; Wang, Xiaoting[1,2] ; Chao, Yangong[4] ; Zhang, Lina[5] ; Zhu, Ran[6] ; Yin, Wanhong[7] ; Liu, Lixia[8] ; Wu, Jun[9] ; Liu, Dawei[1,2,*1] ;
机构： [1]Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Crit Care Med, 1 Shuai Fu Yuan, Beijing 100730, Peoples R China [2]Peking Union Med Coll, Beijing, Peoples R China [3]Capital Med Univ, Beijing Tongren Hosp, Dept Crit Care Med, Beijing, Peoples R China [4]Tsinghua Univ, Hosp 1, Dept Crit Care Med, Beijing, Peoples R China [5]Cent S Univ, Xiang Ya Hosp, Dept Crit Care Med, Changsha, Hunan, Peoples R China [6]China Med Univ, Hosp 1, Dept Crit Care Med, Shenyang, Liaoning, Peoples R China [7]Sichuan Univ, West China Hosp, Dept Crit Care Med, Chengdu, Sichuan, Peoples R China [8]He Bei Med Univ, Hosp 4, Dept Crit Care Med, Shijiazhuang, Hebei, Peoples R China [9]Shanghai Jiao Tong Univ, Rui Jin Hosp, Sch Med, Dept Crit Care Med, Shanghai, Peoples R China
出处：
DOI： 10.1053/j.jvca.2018.10.019
ISSN：

关键词： test cardiac ultrasound critical care physician

摘要：
Objective: Focused cardiac ultrasound (FCU) can provide useful information for the management of shock and acute respiratory distress syndrome. This study aimed to determine whether a 2-day focused cardiac ultrasound training course could enable critical care physicians to interpret ultrasound images in terms of left ventricular ejection fraction (LVEF), ratio of right ventricular end-diastolic area to left ventricular end-diastolic area (R/LVEDA), and septal kinetics. Design: A prospective analysis of an image test score. Setting: Ultrasound training programs in 7 regions across China. Participants: Two hundred forty-seven critical care physicians. Interventions: All participants received a 2-day FCU training, including 4 sessions of basic heart function appraisal, 3 sessions of hands-on practice, and 1 session of image interpretation. Measurements and Main Results: The post-training total scores were considerably higher than those of pretraining (75.6% v 58.9%, respectively, p < 0.001). After the course, the trainees obtained considerably higher scores on images with LVEF <30% than on images with LVEF 30% to 54% and LVEF >= 55% (100% v 60.0% and 60.0%, respectively, p < 0.001). The trainees obtained considerably higher scores on images with R/LVEDA >1 than on images with R/LVEDA 0.6 to 1 and R/LVEDA <0.6 (90.0% v 80.0% and 80.0%, p = 0.042 and p < 0.001, respectively). The trainees obtained considerably higher scores on images with paradoxical septal movement (PSM) than on images without PSM (100% v 75.0%, respectively, p < 0.001). Conclusion: The physicians' abilities to assess LVEF, RV enlargement, and PSM improved after the training course, and they demonstrated more accurate estimations of the most obviously abnormal images. (C) 2018 Elsevier Inc. All rights reserved.

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外文
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中科院(CAS)分区：
出版当年[2018]版：
大类 | 4 区 医学
小类 | 4 区 麻醉学 4 区 心脏和心血管系统 4 区 外周血管病 4 区 呼吸系统
最新[2023]版：
大类 | 4 区 医学
小类 | 4 区 麻醉学 4 区 心脏和心血管系统 4 区 外周血管病 4 区 呼吸系统
JCR分区：
出版当年[2017]版：
Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Q4 ANESTHESIOLOGY Q4 PERIPHERAL VASCULAR DISEASE Q4 RESPIRATORY SYSTEM
最新[2023]版：
Q2 RESPIRATORY SYSTEM Q2 ANESTHESIOLOGY Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 PERIPHERAL VASCULAR DISEASE

影响因子： 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者：
第一作者机构： [1]Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Crit Care Med, 1 Shuai Fu Yuan, Beijing 100730, Peoples R China [2]Peking Union Med Coll, Beijing, Peoples R China
共同第一作者：
通讯作者：
通讯机构： [1]Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Crit Care Med, 1 Shuai Fu Yuan, Beijing 100730, Peoples R China [2]Peking Union Med Coll, Beijing, Peoples R China [*1]Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, 1# Shuai Fu Yuan, Dong Cheng District, Beijing, 100730, China
推荐引用方式(GB/T 7714)：
Zhang Hongmin,He Wei,Wang Xiaoting,et al.Physicians' Ability to Visually Estimate Left Ventricular Ejection Fraction, Right Ventricular Enlargement, and Paradoxical Septal Motion After a 2-Day Focused Cardiac Ultrasound Training Course[J].JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA.2019,33(7):1912-1918.doi:10.1053/j.jvca.2018.10.019.
APA：
Zhang, Hongmin,He, Wei,Wang, Xiaoting,Chao, Yangong,Zhang, Lina...&Liu, Dawei.(2019).Physicians' Ability to Visually Estimate Left Ventricular Ejection Fraction, Right Ventricular Enlargement, and Paradoxical Septal Motion After a 2-Day Focused Cardiac Ultrasound Training Course.JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA,33,(7)
MLA：
Zhang, Hongmin,et al."Physicians' Ability to Visually Estimate Left Ventricular Ejection Fraction, Right Ventricular Enlargement, and Paradoxical Septal Motion After a 2-Day Focused Cardiac Ultrasound Training Course".JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA 33..7(2019):1912-1918

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