{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:10:51Z","timestamp":1785427851396,"version":"3.56.0"},"reference-count":51,"publisher":"Michigan State University College of Osteopathic Medicine Statewide Campus System","issue":"1","license":[{"start":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T00:00:00Z","timestamp":1618272000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"introduction\">\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>\n                      Traditional evaluation for suspicion of gallstone or gallbladder-related disease includes evaluation with a formal technician-performed ultrasound. However, the use of point-of-care bedside ultrasounds (Bedside US) has been shown to be a viable alternative for the diagnosis of gallstones and gallbladder-related diseases.\n                      <jats:bold>Purpose Statement<\/jats:bold>\n                      : The purpose of this study was to evaluate the impact of Bedside US use in gallbladder evaluation on key patient care outcomes within our community-based emergency department setting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This retrospective study compared the use of no ultrasound (No US), a formal technician performed ultrasound (Tech US) and Bedside US for gallstone and gallbladder related diseases within a community hospital emergency department between January 1, 2015 and January 1, 2018. Initial vitals, lab work, patient socio-demographics, medical history, emergency department length of stay in hours and disposition were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of a total N = 449 patients included, patients who received a Bedside US had the fewest computerized tomography scans (No US 62% vs.\u00a0Tech US 29% vs.\u00a0Bedside US 16%; p &lt; 0.0001), the shortest median emergency department length of stay (No US 4.5 days vs.\u00a0Tech US 5.0 days vs.\u00a0Bedside US 3.0 days; p &lt; 0.0001), and were more likely to be discharged home (No US 41% vs.\u00a0Tech US 55% vs.\u00a0Bedside US 81%; p = 0.0006) compared to those that received no ultrasound or a formal ultrasound. Patients who received a Bedside US also had the statistically significant highest incidence of prior cholelithiasis (No US 29.4% vs Tech US 14.3% vs.\u00a0Bedside US 31.3%; p = 0.001) and lowest total median bilirubin levels (No US 0.5 vs.\u00a0Tech US 0.5 vs.\u00a0Bedside US 0.3; p = 0.016) when compared to the other two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Although there was a confirmation bias, these study results indicate that point-of-care bedside ultrasound could be a viable alternative for gallstones and gallbladder-related diseases with benefits of use in a community hospital setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.51894\/001c.18182","type":"journal-article","created":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T15:36:43Z","timestamp":1618328203000},"source":"Crossref","is-referenced-by-count":3,"title":["The Use of Bedside Ultrasound for Gallstone Disease Care within a Community-based Emergency Department: A Confirmation Bias"],"prefix":"10.51894","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1844-3830","authenticated-orcid":false,"given":"Karin H","family":"Gunther","sequence":"first","affiliation":[{"name":"Ascension Macomb-Oakland Hospital","department":["General Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Smith","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/043mzjj67","id-type":"ROR","asserted-by":"publisher"}],"name":"Beaumont Hospital","department":["Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Boura","sequence":"additional","affiliation":[{"name":"Ascension Macomb","department":["Research"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Sherman","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00afc8732","id-type":"ROR","asserted-by":"publisher"}],"name":"William Beaumont Army Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Siegel","sequence":"additional","affiliation":[{"name":"Ascension Macomb","department":["General Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29343","published-online":{"date-parts":[[2021,4,13]]},"reference":[{"issue":"7","key":"ref1","doi-asserted-by":"publisher","first-page":"2110","DOI":"10.1007\/s11695-019-03760-4","article-title":"Incidence and risk factors for cholelithiasis after bariatric surgery","volume":"29","author":"Hern\u00e1n M. 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