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. 2024 Apr;43(4):723-728.
doi: 10.1002/jum.16398. Epub 2024 Jan 4.

Exploring the Feasibility of At-Home Lung Ultra-Portable Ultrasound: Parent-Performed Pediatric Lung Imaging

Laurie Malia  1 , Megan L Nye  1 , David O Kessler  1
Affiliations

Exploring the Feasibility of At-Home Lung Ultra-Portable Ultrasound: Parent-Performed Pediatric Lung Imaging

Laurie Malia et al. J Ultrasound Med. 2024 Apr.

Abstract

Objective: To determine if caregivers would be able to successfully perform in home lung ultrasounds on their children without direct supervision after undergoing a basic tutorial that would allow for expert interpretation.

Methods: A prospective exploratory single-center cohort study was conducted on patients (0-18 years) presenting to a pediatric emergency department with a respiratory complaint or COVID-related illness. Caregivers underwent a brief hands-on session and were instructed to scan the lungs daily for 7 days. Images were assessed using a modified POCUS IQ score. Descriptive statistics were used to describe the data and bivariate analysis was used to compare groups.

Results: Eighteen patients were enrolled; the average age of the parent scanner was 31.9 years and 78% were female. Of all participants, 77.8% scanned on day one. Parents were able to successfully perform some part of the daily scan session for an average of 3.8 out of 7 days. The average POCUS IQ score overall was 6.7 (out of 12).

Conclusion: Our study demonstrates the feasibility and acceptability of caregiver ability to obtain adequate lung ultrasound images, at home under no guidance, using the Butterfly iQ probe. Further studies are needed to investigate the accessibility of ultra-portable ultrasound and the ability to integrate with the at-home hospital model, specifically in the pediatric population.

Keywords: at-home ultrasound; lung POCUS; pediatrics; ultra-portable ultrasound.

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References

    1. Horwitz LI, Green J, Bradley EH. US emergency department performance on wait time and length of visit. Ann Emerg Med 2010; 55:133-141. https://doi.org/10.1016/j.annemergmed.2009.07.023.
    1. Leff B, Burton L, Mader SL, et al. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med 2005; 143:798-808.
    1. Board N, Brennan N, Caplan GA. A randomized controlled trial of the costs of hospital as compared with hospital in the home for acute medical patients. Aust N Z J Public Health 2000; 24:305-311.
    1. Levine DM, Ouchi K, Blanchfield B, et al. Hospital level care at home for acutely ill adults a randomized control trial. Ann Intern Med 2020; 172:77-92.
    1. Manea P, Loustaud-Ratti V, Monday D, et al. Evaluation of at-home phlebotomy for iron overload: feasibility and satisfaction of patients and healthcare workers. Gastroenterol Clin Bill 2008; 32:172-179. https://doi.org/10.1016/j.gcb.2007.10.004.

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