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Revista Cubana de Medicina General Integral
Print version ISSN 0864-2125On-line version ISSN 1561-3038
Abstract
PEREZ CASTRO, Carmen Rosa; SEGREDO PEREZ, Alina María and ACOSTA ALEGRIA, Magaly. Association of ultrasonographic prescription and findings at the diagnostic ultrasound service. Rev Cubana Med Gen Integr [online]. 2014, vol.30, n.4, pp.426-435. ISSN 0864-2125.
Introduction: since the advent of ultrasound as diagnostic means in the primary health care, there has been an increase in the number of patients who are indicated ultrasonographic testing with no medical rationale proved by the clinical method. Objective: to find out the association of ultrasonographic study prescriptions and findings in the 2010-2011 period. Methods: cross-sectional descriptive research study on 6777 patients who received this service in the above-mentioned period. The variables were ultrasound prescription rationale, clinical data, physical exam, diagnostic print, indication assessment and ultrasonographic diagnosis. Results: in the second semester of 2010, 71.9% of ultrasonographic indications made by the family physicians were incomplete whereas this figure amounted to 87.6% in the first semester of 2011. The main difficulty in both periods was absence of the physical exam result in the ultrasound prescription. The fundamental diagnoses were weight estimation in obstetric ultrasounds, pregnancy detection and uterine myoma. Conclusions: family physicians are the ones who prescribe more ultrasound testings and a significant percentage of them show incomplete data.
Keywords : diagnostic ultrasound; primary health care; ultrasonographic services; ultrasonographic prescriptions.