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Point-of-Care Ultrasound in Post-acute and Long-Term Care: A Scoping Review
Lior Abramson1, Chelsea Perfect2, Sarah Cantrell3
1Division of Geriatrics, Duke University School of Medicine, Durham, NC, USA; Geriatric Research, Education, and Clinical Center, Durham Veterans Affairs Health Care System, Durham, NC, USA.
Journal of the American Medical Directors Association
|October 22, 2024
Summary
Point-of-care ultrasound (POCUS) is feasible in post-acute and long-term care (PALTC) settings, primarily for lung and vasculature assessments. Further research is needed to confirm if POCUS improves patient outcomes in PALTC.
Area of Science:
- Medical technology
- Geriatrics
- Diagnostic imaging
Background:
- Point-of-care ultrasound (POCUS) is increasingly adopted across medical specialties.
- The post-acute and long-term care (PALTC) setting presents opportunities for POCUS integration.
- POCUS can serve as a valuable diagnostic aid to enhance patient care in PALTC.
Purpose of the Study:
- To describe the current utilization of POCUS within PALTC facilities.
- To explore potential advancements for POCUS application in PALTC settings.
Main Methods:
- A comprehensive scoping review was conducted.
- Searches were performed across MEDLINE, Embase, CINAHL Complete, and Web of Science databases.
- Studies involving bedside POCUS acquisition and interpretation by providers were included after dual, independent review.
Main Results:
- Six studies met the inclusion criteria for the review.
- The majority of studies focused on POCUS use during COVID-19 outbreaks in nursing homes and communities.
- Lung ultrasound demonstrated variable utility in diagnosing and predicting outcomes of COVID-19-related lung injury, while vascular ultrasound was ineffective for assessing hydration status.
Conclusions:
- POCUS implementation is feasible in PALTC, though current literature is restricted to lung and vascular applications.
- The findings suggest significant potential for expanding the use of POCUS in PALTC.
- Additional research is necessary to determine if POCUS adoption leads to improved patient outcomes in this care setting.
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