{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:24:20Z","timestamp":1777944260167,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006506","name":"Minist\u00e9rio da Sa\u00fade","doi-asserted-by":"publisher","award":["PROADI-SUS"],"award-info":[{"award-number":["PROADI-SUS"]}],"id":[{"id":"10.13039\/501100006506","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Digital health is an opportune way of facilitating the implementation of point-of-care ultrasound (POCUS) in intensive care units (ICUs) of the Brazilian Unified Health System (SUS) through remote tele-mentored ultrasound (RTMUS). Therefore, this pilot diagnostic accuracy study aims to evaluate the sensitivity and specificity of RTMUS, using POCUS as the gold standard for the diagnosis of pulmonary oedema. As a secondary objective, these metrics will be assessed for pneumonia, chronic obstructive pulmonary disease (COPD), pneumothorax, pulmonary embolism, and cardiac tamponade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study was conducted in three adult ICUs, monitored by the TeleUTI project, and included 23 patients who underwent POCUS carried out by an ICU medical professional and RTMUS carried out by a tele-intensivist from the institution that proposed the project.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The accuracy in diagnosing pulmonary oedema was 71.43%, COPD 89.96%, and for pneumonia, the results showed an accuracy of 65.22%. Analyses demonstrated that RTMUS has the same capability as POCUS for detecting true positive cases of pulmonary oedema, the same results of true negative cases for COPD, and a limitation in performance for pneumonia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>For COPD and pulmonary oedema, remote examination can support healthcare teams, suggesting that RTMUS has the potential to be a substitute for POCUS. We emphasise that the results should be interpreted within the context of the study, which is considered small and should be validated on a larger scale to consolidate the conclusions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1742271x241264178","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T07:24:47Z","timestamp":1722324287000},"page":"27-34","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Telemedicine ultrasound in intensive care unit: A pilot diagnostic accuracy study"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4065-3770","authenticated-orcid":false,"given":"Emanuele","family":"K\u00f6nig Klever","sequence":"first","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela de Oliveira Laguna","family":"Silva","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana Motta Dias","family":"da Silva","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline Castro","family":"da Rocha","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio Gustavo Santanna","family":"da Silva","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Eul\u00e1lia Vinad\u00e9","family":"Chagas","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerusa da Rosa","family":"de Amorim","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arist\u00f3teles de Almeida","family":"Pires","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniella","family":"Cunha Birriel","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilda Maria Rodrigues Moleda","family":"Constant","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ta\u00eds de Campos","family":"Moreira","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Cezar","family":"Cabral","sequence":"additional","affiliation":[{"name":"Moinhos de Vento Hospital, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"bibr1-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.5603\/AIT.2014.0056"},{"key":"bibr2-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2014.08.003"},{"key":"bibr3-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v11.i2.70"},{"key":"bibr4-1742271X241264178","volume":"12","author":"Jarwan W","year":"2020","journal-title":"Cureus"},{"key":"bibr5-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12435"},{"key":"bibr6-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X221082675"},{"key":"bibr7-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-022-03126-2"},{"key":"bibr8-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.3390\/app13148427"},{"key":"bibr9-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-018-0397-3"},{"key":"bibr10-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00244"},{"key":"bibr11-1742271X241264178","volume":"14","author":"Carrera KG","year":"2022","journal-title":"Cureus"},{"key":"bibr12-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.3390\/medicina56120668"},{"key":"bibr13-1742271X241264178","unstructured":"PROADI-SUS. TELEUTI: Qualifica\u00e7\u00e3o da Assist\u00eancia em Terapia Intensiva por Telemedicina, https:\/\/hospitais.proadi-sus.org.br\/projeto\/qualificacao-da-assistencia-em-terapia-intensiva-por-telemedicina (2023, accessed 10 July 2023)."},{"key":"bibr14-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5527"},{"key":"bibr15-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1007\/s40124-021-00242-z"},{"key":"bibr16-1742271X241264178","unstructured":"Brasil. Portaria no. 3.432, 12 Ago 1998, https:\/\/bvsms.saude.gov.br\/bvs\/saudelegis\/gm\/1998\/prt3432_12_08_1998.html (1998, accessed 05 July 2022)."},{"key":"bibr17-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1177\/0885066618777187"},{"key":"bibr18-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200401000-00006"},{"key":"bibr19-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-1313"},{"key":"bibr20-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-016-0052-x"},{"key":"bibr21-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2017.00079"},{"key":"bibr22-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"bibr23-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"bibr24-1742271X241264178","first-page":"515","volume":"108","author":"Kwiecien R","year":"2011","journal-title":"Dtsch Arztebl Int"},{"key":"bibr25-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1177\/1753465818754778"},{"key":"bibr26-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.25528"},{"key":"bibr27-1742271X241264178","unstructured":"National Heart, Lung and Blood Institute, (NIH). Pneumonia: diagnosis, https:\/\/www.nhlbi.nih.gov\/health\/pneumonia\/diagnosis (2022, accessed 19 December 2023)"},{"key":"bibr28-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0276202"},{"key":"bibr29-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-020-00183-6"},{"key":"bibr30-1742271X241264178","doi-asserted-by":"publisher","DOI":"10.1186\/s13089-023-00340-7"}],"container-title":["Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X241264178","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1742271X241264178","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X241264178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:51:38Z","timestamp":1777708298000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1742271X241264178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,30]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1177\/1742271X241264178"],"URL":"https:\/\/doi.org\/10.1177\/1742271x241264178","relation":{},"ISSN":["1742-271X","1743-1344"],"issn-type":[{"value":"1742-271X","type":"print"},{"value":"1743-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,30]]}}}