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Gonzalez-Montalvo, Juan IgnacioAuthorMenendez-Colino, RocioAuthorTung-Chen, YaleAuthor
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Usefulness of point of care ultrasound in older adults: a multicentre study across different geriatric care settings in Spain and the United Kingdom

Publicated to:AGE AND AGEING. 53 (7): afae165- - 2024-07-25 53(7), DOI: 10.1093/ageing/afae165

Authors: Reinoso-Parraga, Paola Pastora; Gonzalez-Montalvo, Juan Ignacio; Menendez-Colino, Rocio; Perkisas, Stany; Rivera-Deras, Ivon; Garmendia-Prieto, Blanca; Arain, Salman Javed; Tung-Chen, Yale; Vilches-Moraga, Arturo

Affiliations

Alfonso X El Sabio Univ, Dept Med, Madrid, Spain - Author
Bolton Univ, Sch Med, Bolton, England - Author
Cruz Roja Univ Hosp, Dept Geriatr, Madrid, Spain - Author
Hamad Med Corp, Dept Geriatr & Long Term Care, Doha, Qatar - Author
La Paz Univ Hosp, Dept Geriatr, Madrid, Spain - Author
La Paz Univ Hosp, Dept Internal Med, Madrid, Spain - Author
Leeds Teaching Hosp NHS Trust, Dept Radiol, Leeds, England - Author
Res Inst La Paz IdiPAZ, Madrid, Spain - Author
Univ Antwerp, Univ Ctr Geriatr ZNA, Ziekenhuis Netwerk Antwerpen, Antwerp, Belgium - Author
Univ Autonoma Madrid, Dept Med, Madrid, Spain - Author
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Abstract

Background Point of care ultrasound (POCUS) is an imaging technique performed bedside. To date, few published studies have reported the usefulness of multiorgan POCUS in Geriatrics. The objective of this study was to describe the utility of multiorgan POCUS in the care of older adults admitted to geriatric care settings.Methodology Observational retrospective study of patients admitted to geriatric settings in Spain and UK. Multiorgan POCUS was performed when there was a specific clinical suspicion or unexplained torpid clinical course despite physical examination and complementary tests. A geriatrician with a certificate degree in comprehensive ultrasound and long-standing experience in POCUS carried out POCUS. All patients underwent multiorgan POCUS in a cephalo-caudal manner.Results Out of 368 patients admitted to geriatric units, 29% met the inclusion criteria. Average age was 85.9 years (SD +/- 6.1). POCUS identified 235 clinically significant findings (2.2 per patient). Findings were classified as 37.9% confirmed diagnosis, 16.6% ruled out diagnosis, 14.9% unsuspected relevant diagnoses and 30.6% clinical follow-ups. POCUS findings led to changes in pharmacological and non-pharmacological treatment in 66.3 and 69.2% respectively, resulted in completion or avoidance of invasive procedures in 17.8 and 15.9%, respectively, facilitating early referrals to other specialities in 14.9% and avoiding transfers in 25.2% of patients.Conclusion Multiorgan POCUS is a tool that aids in the assessment and treatment of patients receiving care in geriatrics units. These results show the usefulness of POCUS in the management of older adults and suggest its inclusion in any curriculum of Geriatric Medicine speciality training.

Keywords
Cardiac ultrasoundExamFallsGeriatrics care settingsLunMultiorgan point of care ultrasoundOlder peoplOlder peoplePhysical-examinationPoint of care ultrasound (pocus)ProtocolSarcopenia

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal AGE AND AGEING due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position 7/74, thus managing to position itself as a Q1 (Primer Cuartil), in the category Geriatrics & Gerontology. Notably, the journal is positioned above the 90th percentile.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-05-09:

  • WoS: 1
  • Scopus: 1
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-09:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 7.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 7 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 14.15.
  • The number of mentions on the social network X (formerly Twitter): 19 (Altmetric).
Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Belgium; Qatar; United Kingdom.