Point of Care Ultrasound by Primary Care Physicians and Geriatricians: Old Adults, New Technology, Potential Benefits and Burdens
|Sarah M. Schumacher1, Andres F. Leone1*, Victor Rao2, Duncan Howe3, G.Paul Eleazer4 and Richard Hoppmann5|
|1Assistant Professor, Dept of Internal Medicine, University of South Carolina School of Medicine, Columbia, USA|
|2Director, Ultrasound Education, University of South Carolina School of Medicine, Columbia, USA|
|3PI, Ultrasound Institute, University of South Carolina School of Medicine, Columbia, USA|
|4Clinical Professor of Medicine, Dorn Veterans’ Administration Medical Center, Columbia, USA|
|5Professor of Medicine, University of South Carolina School of Medicine, Columbia, USA|
|Corresponding Author :||Andres F. Leone
Geriatrician, Palmetto Health Senior Primary Care Practice
Assistant Professor of Clinical Medicine, Dept of Internal Medicine
University of South Carolina School of Medicine
Columbia, SC 29212
Tel: 803 434-4700
E-mail: [email protected]
|Received November 30, 2011; Accepted December 31, 2011; Published January 03, 2012|
|Citation: Schumacher SM, Leone AF, Rao V, Howe D, Eleazer GP, et al. (2012) Point of Care Ultrasound by Primary Care Physicians and Geriatricians: Old Adults, New Technology, Potential Benefits and Burdens. J Gerontol Geriatric Res 1:102. doi:10.4172/2167-7182.1000102|
|Copyright: © 2012 Schumacher SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background/Objectives: Availability of economical, portable ultrasound systems that provide rapidly available, useful, information has transformed the clinical assessment of patients. As hand-held ultrasound systems become widely accessible, this technology will become standard of care in primary care practices. Little has been written about the use of ultrasound by Geriatricians, and the usefulness of POC-US specifically in caring for Older Adults.
Study design: In order to assess the current state of knowledge regarding use of ultrasound by geriatricians, and assess (POC-US) for the population of older adults, we conducted a review of published studies using Pub Med and Ovid search engines. Selected publications were included in a systematic review.
Results: Thirty-five articles were identified for systematic review. Eighteen articles addressed the use of ultrasound in the evaluation of Older Adult patients. Four articles that identified performance of ultrasound by Geriatricians, and an additional three articles were not clear the specialty performing the exam, but geriatricians used the information gained. A total of fifteen articles highlighted use by primary care physicians. Thirty-one articles identified the usefulness in specific diseases and conditions that are more common in older adults. Limitations and potential harm were identified in twelve articles.
Conclusion: There is very little literature on POC-US in Geriatrics, but existing literature highlights significant potential clinical use. POC-US holds great promise in primary care practices and in geriatrics. Our literature review found numerous potential uses for POC-US in caring for older adults. Few studies addressing the application of ultrasound in the geriatric population have been reported. The usefulness of POC-US by Geriatricians remains to be clarified. Judicious use of this technology in the geriatric population will be necessary to maximize the potential benefit while avoiding the potential harm of unnecessary tests, anxiety, and iatrogenic illness.