Abstract
A Comparative Study of Ultrasound Examination of Urinary Tract Performed on Spinal Cord Injury Patients with No Urinary Symptoms and Spinal Cord Injury Patients with Symptoms Related to Urinary Tract: Do Findings of Ultrasound Examination Lead to Changes in Clinical Management?
Highlights
Ozer and Shannon from McGuire VA Medical Center, Richmond, Virginia[1] performed ultrasound scan of kidneys in 52 unselected spinal cord injury patients who returned to the spinal centre for their annual checkups; 36 patients did not have histories of urinary symptoms and renal ultrasound alone discovered no treatable pathology
Routine ultrasound examination of the urinary tract in spinal cord injury patients who have no urinary symptoms may not be justifiable in terms of cost effectiveness; limited hospital resources should be directed to spinal cord injury patients
These authors concluded that effectiveness of the ultrasound scan of kidneys in follow-up of spinal cord injury patients would be maintained in the demonstration of treatable disease by the selective use of renal sonography only in those patients with histories of urinary symptoms. The aim of this pilot study is to find out whether ultrasound examination of the urinary tract in spinal cord injury patients who do not have urinary symptoms when the ultrasound scan is performed is justifiable in our clinical setup. If this pilot study shows that the findings of ultrasound scan do not lead to changes in clinical management, we may omit routine ultrasound examination of the urinary tract in spinal cord injury patients who do not have symptoms related to the urinary tract
Summary
Ozer and Shannon from McGuire VA Medical Center, Richmond, Virginia[1] performed ultrasound scan of kidneys in 52 unselected spinal cord injury patients who returned to the spinal centre for their annual checkups; 36 patients did not have histories of urinary symptoms and renal ultrasound alone discovered no treatable pathology. Renal ultrasound did show treatable disease in 2 of 16 patients with urinary symptoms These authors concluded that effectiveness of the ultrasound scan of kidneys in follow-up of spinal cord injury patients would be maintained in the demonstration of treatable disease by the selective use of renal sonography only in those patients with histories of urinary symptoms. The aim of this pilot study is to find out whether ultrasound examination of the urinary tract in spinal cord injury patients who do not have urinary symptoms when the ultrasound scan is performed is justifiable in our clinical setup. We can direct health care resources, which are not available ad infinitum, to those spinal cord injury patients with urinary symptoms so that ultrasound examination and therapeutic interventions are carried out promptly in these patients
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