{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T08:44:42Z","timestamp":1789461882074,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,8,4]],"date-time":"2019-08-04T00:00:00Z","timestamp":1564876800000},"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":[[2020,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Few data exist regarding the use of ultrasound (US) to risk stratify ward admissions. Therefore, we evaluated associations between a cardiopulmonary limited ultrasound examination (CLUE) on admission and subsequent hospital outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Over a 22\u2010month period in a 300\u2010bed hospital, CLUE data reviewed from a series of nonelective ward admissions were correlated with the composite outcome of a hospital stay of longer than 2 days, disposition to hospice, or death. The CLUE included 5 quick\u2010look signs of left ventricular dysfunction, left atrial enlargement, lung B\u2010lines, pleural effusions, and inferior vena cava plethora and had been performed as warranted by 1 of 31 US\u2010trained admitting residents and then repeated by a cardiologist as the reference standard. The admitting condition, medical history, results of routine admission testing, and CLUE were assessed for an association with the outcome in univariate and multivariable models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 547 patients, the mean age\u2009\u00b1\u2009SD was 62.9\u2009\u00b1\u200915.5 years; 59% were male; and the mean stay was 5.6\u2009\u00b1\u20098.1 days, with 355 (65%) lasting longer than 2 days and 21 (4%) having hospice disposition or death. An abnormal CLUE exam was found in 368 (67%) of patients, was related to the outcome (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.23\u20132.68; <jats:italic>P<\/jats:italic> = .001) when obtained by a resident or cardiologist, and was included in a best\u2010fit multivariable model with renal failure (OR, 2.44; 95% CI, 1.44\u20134.14; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), infection\/sepsis (OR, 2.25; 95% CI, 1.17\u20134.32; <jats:italic>P<\/jats:italic> = .02), and chest pain (OR, 0.36; 95% CI, 0.21\u20130.61; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An abnormal admission point of care ultrasound exam was related to complex hospitalization, specifically a longer length of stay.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15102","type":"journal-article","created":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T06:20:02Z","timestamp":1564986002000},"page":"289-297","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Prognostic Implications of a Point\u2010of\u2010Care Ultrasound Examination on Hospital Ward Admission"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7268-5542","authenticated-orcid":false,"given":"Bruce J.","family":"Kimura","sequence":"first","affiliation":[{"name":"Departments of Cardiology and Graduate Medical Education Scripps Mercy Hospital  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"May M.","family":"Lou","sequence":"additional","affiliation":[{"name":"Departments of Cardiology and Graduate Medical Education Scripps Mercy Hospital  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric B.","family":"Dahms","sequence":"additional","affiliation":[{"name":"Departments of Cardiology and Graduate Medical Education Scripps Mercy Hospital  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Han","sequence":"additional","affiliation":[{"name":"Departments of Cardiology and Graduate Medical Education Scripps Mercy Hospital  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Waalen","sequence":"additional","affiliation":[{"name":"Scripps Research Translational Institute  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,4]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"American College of Emergency Physicians. 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