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Your search keyword '"Kodaira, Yuichi"' showing total 14 results
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14 results on '"Kodaira, Yuichi"'

2. Safety, speed, and effectiveness of air transportation for neonates

Author

Hirakawa, Eiji, primary, Ibara, Satoshi, additional, Yoshihara, Hideaki, additional, Kamitomo, Masato, additional, Kodaira, Yuichi, additional, Kibe, Masaya, additional, Ishihara, Chie, additional, Naito, Yoshiki, additional, Yamamoto, Masakatsu, additional, Yamamoto, Tsuyoshi, additional, Takayama, Tatsu, additional, Kurimoto, Tomonori, additional, Mikami, Yuta, additional, and Ohashi, Hiroshi, additional

Published
2021
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6. Reliability of ultrasound findings acquired with handheld apparatuses to inform urgent obstetric diagnosis in a high‐volume resource‐limited setting.

Author

Kodaira, Yuichi, Pisani, Luigi, Boyle, Sonia, Olumide, Salawu, Orsi, Michele, Adeniji, Adetunji O., Pisani, Enzo, Zanette, Marianna, Putoto, Giovanni, and Koroma, Michael M.

Subjects
*ULTRASONIC imaging, *DIAGNOSIS, *WOMEN'S hospitals, *ABDOMEN, *INTRAUTERINE contraceptives
Abstract

Objective: To evaluate the reliability of obstetric handheld smartphone‐based point‐of‐care ultrasound (POCUS) in a resource‐limited high‐volume setting. Methods: A single‐center prospective observational study among women requiring urgent diagnosis and admitted to a maternity referral hospital in Sierra Leone from March to April 2019. Pre‐specified ultrasound findings were obtained with a handheld POCUS device; a comprehensive ultrasound examination was then performed by an experienced operator using conventional full‐feature apparatus. Agreement was assessed by diagnostic accuracy and Cohen κ‐statistics. Results: Overall, there were 307 participants. The mean aggregated diagnostic accuracy was 95.5% (κ‐statistic, 0.90; 95% confidence interval [CI], 0.89–0.93; P < 0.001). Highest accuracy was reported for detecting free fluid collection in the abdominal cavity (100%; κ‐statistic, 1.00; 95% CI, 1.00–1.00; P < 0.001). Ultrasound findings obtained with the handheld device for intrauterine pregnancy, fetal heartbeat, cephalic presentation, multifetal pregnancy, and assessment of gestational age based on bi‐parietal diameter were highly reliable (agreement, >90%; κ‐statistic, >0.80). Detection of low‐lying placenta or placenta previa was the least reliable (κ‐statistic, 0.53; 95% CI, 0.13–0.93; P < 0.001). Conclusion: Handheld POCUS findings were found to be reliable for detecting pre‐specified urgent obstetric findings in a high‐volume resource‐limited referral hospital. Synopsis: Handheld smartphone‐based ultrasound findings are as reliable as conventional full‐feature apparatus when used for point‐of‐care urgent obstetric cases in a high‐volume resource‐limited referral hospital. [ABSTRACT FROM AUTHOR]

Published
2021
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