{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T03:45:22Z","timestamp":1773027922057,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T00:00:00Z","timestamp":1560729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100002076","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMPJ\u2010103R19\u20102013"],"award-info":[{"award-number":["EMPJ\u2010103R19\u20102013"]}],"id":[{"id":"10.13039\/100002076","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Lung ultrasound experts claim that \u2018B line\u2019 artefacts herald pulmonary oedema, but links between early recognition and improved outcome are unconfirmed, particularly for non\u2010expert clinicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Assess individual and system impacts of early, non\u2010expert lung ultrasound (LUS) in breathless older patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective single\u2010blinded randomised controlled trial of point of care LUS by non\u2010expert clinicians, augmenting ED assessment of patients over 60\u2009years, presenting with dyspnoea. After brief training, clinicians at three hospitals used computer\u2010generated block randomisation envelopes to allocate a convenience sample of consenting presenters to conventional or LUS\u2010augmented management. ED provisional diagnosis was compared to a post\u2010discharge chart audit diagnosis, blinded to ultrasound findings. Secondary outcomes were the length of stay in ED and hospital, costs and discharge destinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From three sites, 224 controls were compared with 218 interventions. LUS improved diagnostic accuracy, with a small effect size in favour of LUS (risk difference: 6.5%, 95% CI 0.9\u201312) and a number needed to scan of 16 (95% CI 8\u2013107). With LUS, ED and hospital stay increased non\u2010significantly, while discharge destination trends improved. No harm ensued.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Non\u2010expert LUS augmenting dyspnoea workup may improve diagnostic accuracy, but did not significantly alter costs or outcomes in the ED or the hospital. Trial registration: Australia and New Zealand Clinical Trials Registry (ACTRN12613001023741).<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13333","type":"journal-article","created":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T17:01:05Z","timestamp":1560790865000},"page":"45-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Implementation study reporting diagnostic accuracy, outcomes and costs in a multicentre randomised controlled trial of non\u2010expert lung ultrasound to detect pulmonary oedema"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6665-3739","authenticated-orcid":false,"given":"Kylie","family":"Baker","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Ipswich General Hospital  Ipswich Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Brierley","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Ipswich General Hospital  Ipswich Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances","family":"Kinnear","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Emergency Medicine The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Isoardi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Emergency Medicine Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Livesay","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey","family":"Stieler","sequence":"additional","affiliation":[{"name":"Department of Radiology Ipswich General Hospital  Ipswich Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.1379"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.02.003"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(14)70135-3"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-2608"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.04.55"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2017.1.31223"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2013.05.007"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0047-2016"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.451"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2018.02.018"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2015.06.002"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.321"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2017.09.023"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw164"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-19-31"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2018.27"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12435"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12878"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-017-1738-1"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12570"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2014.12.003"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2008.00347.x"},{"key":"e_1_2_8_24_1","first-page":"176","article-title":"Diagnostic accuracy of basic lung ultrasound in breathless patients over 60 years of age; 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