{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:13:16Z","timestamp":1774620796113,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the accuracy of point\u2010of\u2010care ultrasound (PoCUS) in diagnosing acute appendicitis in children; to evaluate the concordance between PoCUS performed by a pediatric emergency physician (PedEm) and ultrasonography (US) performed by a radiologist; to draw a \u201clearning curve.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We prospectively enrolled children aged 0\u201314\u2009years old led to the Emergency Department of Regina Margherita Children's Hospital, from January 2021 to June 2021, with suspected acute appendicitis. PoCUS was performed by a single trained PedEm, blindly to the radiologist's scan. A \u201cself\u2010assessment score\u201d and the \u201ctime of duration of PoCUS\u201d were recorded for each patient. Final diagnosis of appendicitis was made by a pediatric surgeon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We enrolled 62 children (2\u201314\u2009years). Overall sensitivity of PoCUS was 88%, specificity 90%; PPV 90.6%, and NPV 86.6%. Global concordance between the PedEm and the radiologist was good\/excellent (<jats:italic>k<\/jats:italic> 0.74). The mean duration of PoCUS significantly decreased during the study period, while the self\u2010assessment score increased.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is a preliminary study that shows the effectiveness of PoCUS in diagnosing acute appendicitis; furthermore, it shows how the PedEm's performance may improve over time. The learning curve showed how the experience of the PedEm affects the accuracy of PoCUS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23658","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T11:54:40Z","timestamp":1709553280000},"page":"485-490","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Accuracy of point\u2010of\u2010care ultrasound in the diagnosis of acute appendicitis in a pediatric emergency department"],"prefix":"10.1002","volume":"52","author":[{"given":"Stefano","family":"Balbo","sequence":"first","affiliation":[{"name":"Emergency Department Regina Margherita Children's Hospital  Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5790-4671","authenticated-orcid":false,"given":"Cecilia Maria","family":"Pini","sequence":"additional","affiliation":[{"name":"Emergency Department Regina Margherita Children's Hospital  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