{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:29:51Z","timestamp":1790803791504,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"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 Ultrasound Medicine"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We sought to confirm retrospective studies that measured an approximately 20% reduction in emergency department (ED) length of stay (LOS) in early\u2010gestation pregnant women who receive emergency physician\u2013performed point\u2010of\u2010care ultrasound (US) examinations rather than radiology department\u2013performed US examinations for evaluation of intrauterine pregnancy (IUP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled clinical trial was performed at an urban academic safety net hospital and 2 Naval medical centers in the United States. The allocation was concealed before enrollment. Clinically stable adult pregnant women at less than 20 weeks' gestation who presented to the ED with abdominal pain or vaginal bleeding were randomized to receive a point\u2010of\u2010care or radiology US to assess for IUP. The primary outcome measure was the ED LOS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 224 patients (point\u2010of\u2010care US, n\u2009=\u2009118; radiology US, n\u2009=\u2009106) were included for the analysis. The ED LOS was 20 minutes shorter in the point\u2010of\u2010care US arm (95% confidence interval [CI], \u201354 to 7 minutes). Adjusting for variability due to the location, the ED LOS was calculated to be 31 minutes shorter (95% CI, \u201364 to 1 minute) than for patients in the radiology US arm. Excluding patients in the point\u2010of\u2010care US arm who crossed over to radiology US after an inconclusive point\u2010of\u2010care US examination, the ED LOS was 75 minutes shorter than in the radiology US arm (95% CI, \u201397 to \u201353 minutes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early\u2010gestation pregnant ED patients requiring pelvic US were discharged earlier when point\u2010of\u2010care US was used rather than radiology US; however, this trial did not achieve our target of 30 minutes. Nevertheless, our data support the routine use of ED point\u2010of\u2010care US for IUP, saving the most time if a conclusive IUP is identified.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.14607","type":"journal-article","created":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T15:24:14Z","timestamp":1521991454000},"page":"2497-2505","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Effect of Emergency Physician\u2013Performed Point\u2010of\u2010Care Ultrasound and Radiology Department\u2013Performed Ultrasound Examinations on the Emergency Department Length of Stay Among Pregnant Women at Less Than 20 Weeks' Gestation"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9464-5285","authenticated-orcid":false,"given":"Brian B.","family":"Morgan","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Rose Medical Center Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Kao","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Lutheran Medical Center Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy A.","family":"Trent","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Denver Health Medical Center Denver Colorado USA"},{"name":"University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Hurst","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Naval Medical Center San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Naval Medical Center Portsmouth Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea L.","family":"Austin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Naval Medical Center San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4922-3486","authenticated-orcid":false,"given":"John L.","family":"Kendall","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Denver Health Medical Center Denver Colorado USA"},{"name":"University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,25]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Healthcare Cost and Utilization Project.Nationwide emergency department sample (NEDS). Agency for Healthcare Research and Quality website.http:\/\/hcupnet.ahrq.gov. Accessed December 2 2016."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181fdfb11"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-013-2929-2"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.04.021"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(97)90115-7"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(97)70346-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1998.tb02507.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb02088.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31827b53f9"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(94)90244-5"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70260-3"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70131-2"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(97)70345-7"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.15.3.155"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000260623.38982.83"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.06.563"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2014.09.006"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.5847\/wjem.j.1920-8642.2016.03.003"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2008.12.013"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2005.08.023"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjum.14607","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.14607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T06:39:42Z","timestamp":1692427182000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.14607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,25]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1002\/jum.14607"],"URL":"https:\/\/doi.org\/10.1002\/jum.14607","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,25]]},"assertion":[{"value":"2017-10-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-01-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}