M-Mode in grade 3 dyspneic patients assessment
Introduction/Objective Respiratory distress is a serious condition that can develop in the critically ill or those who have significant injuries. It is often fatal, and the risk of fatality increases with age and the severity of the illness. Therefore, an early diagnosis of the conditions that cause...
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City Medical emergency department, Belgrade
2024-01-01
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| Series: | Halo 194 |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401007R.pdf |
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| author | Ravikanti Karthik Yerramsetty Venu Sashank Kumar Ranjith K. Haward Raymond |
| author_facet | Ravikanti Karthik Yerramsetty Venu Sashank Kumar Ranjith K. Haward Raymond |
| author_sort | Ravikanti Karthik |
| collection | DOAJ |
| description | Introduction/Objective Respiratory distress is a serious condition that can develop in the critically ill or those who have significant injuries. It is often fatal, and the risk of fatality increases with age and the severity of the illness. Therefore, an early diagnosis of the conditions that cause respiratory distress is an important factor. However, it is very challenging to make an accurate diagnosis in this domain. To clinically achieve higher accuracy during the diagnostic process, our study uses motion-mode (M-MODE) echo parameters. It aims to evaluate the accuracy of the M-MODE as a rapid assessment tool for grade 3 dyspneic patients in the Emergency Department when the physician is in a dilemma regarding the causes of respiratory distress. Methods This is a retrospective observational study. The following parameters were taken into consideration: the mitral annular plane systolic excursion (MAPSE), the tricuspid annular plane systolic excursion (TAPSE), and the E-Point to Septal Separation (EPSS) for the admitted patients. The sensitivity, specificity, and accuracy of the M-mode model were analyzed, implementing the final diagnosis as the control. For analysis, this study considered 75 patients. The M-Mode parameter, along with the emergency physician clinical Gestalt (M-Mode model), was compared with the final diagnosis at discharge or death of the patient. Results For all patients, the mean values calculated for MAPSE, TAPSE, and EPSS were 13.463mm, 15.132 mm, and 9.4685 mm. The M-Mode model showed a sensitivity and specificity of 71.43 and 88.46%, respectively. The positive predictive value and negative predictive value were 92.11 and 62.16, respectively. The accuracy of the M-Mode model was 79.95%. Conclusion The M-Mode Model can be utilized as a rapid assessment tool in the Emergency Department to initiate appropriate interventions in situations when a physician is in a dilemma regarding the cause of respiratory distress. |
| format | Article |
| id | doaj-art-00f8a96ec3df4cf983908a8a468b1abd |
| institution | Kabale University |
| issn | 2334-6477 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | City Medical emergency department, Belgrade |
| record_format | Article |
| series | Halo 194 |
| spelling | doaj-art-00f8a96ec3df4cf983908a8a468b1abd2025-02-05T13:08:08ZengCity Medical emergency department, BelgradeHalo 1942334-64772024-01-0130171710.5937/halo2401007R2334-64772401007RM-Mode in grade 3 dyspneic patients assessmentRavikanti Karthik0Yerramsetty Venu Sashank1Kumar Ranjith K.2Haward Raymond3https://orcid.org/0000-0001-5068-324XAIG Hospitals, Gachibowli, Hyderabad, IndiaHamad Medical Corporation, Bin Mahmoud, Doha, QatarVydehi Institute of Medical Science and Research Centre, Hemant Nagar, Bengaluru, IndiaVydehi Institute of Medical Science and Research Centre, Hemant Nagar, Bengaluru, IndiaIntroduction/Objective Respiratory distress is a serious condition that can develop in the critically ill or those who have significant injuries. It is often fatal, and the risk of fatality increases with age and the severity of the illness. Therefore, an early diagnosis of the conditions that cause respiratory distress is an important factor. However, it is very challenging to make an accurate diagnosis in this domain. To clinically achieve higher accuracy during the diagnostic process, our study uses motion-mode (M-MODE) echo parameters. It aims to evaluate the accuracy of the M-MODE as a rapid assessment tool for grade 3 dyspneic patients in the Emergency Department when the physician is in a dilemma regarding the causes of respiratory distress. Methods This is a retrospective observational study. The following parameters were taken into consideration: the mitral annular plane systolic excursion (MAPSE), the tricuspid annular plane systolic excursion (TAPSE), and the E-Point to Septal Separation (EPSS) for the admitted patients. The sensitivity, specificity, and accuracy of the M-mode model were analyzed, implementing the final diagnosis as the control. For analysis, this study considered 75 patients. The M-Mode parameter, along with the emergency physician clinical Gestalt (M-Mode model), was compared with the final diagnosis at discharge or death of the patient. Results For all patients, the mean values calculated for MAPSE, TAPSE, and EPSS were 13.463mm, 15.132 mm, and 9.4685 mm. The M-Mode model showed a sensitivity and specificity of 71.43 and 88.46%, respectively. The positive predictive value and negative predictive value were 92.11 and 62.16, respectively. The accuracy of the M-Mode model was 79.95%. Conclusion The M-Mode Model can be utilized as a rapid assessment tool in the Emergency Department to initiate appropriate interventions in situations when a physician is in a dilemma regarding the cause of respiratory distress.https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401007R.pdfm-mode echocardiographymitral annular plane systolic excursion (mapse)tricuspid annular plane systolic excursion (tapse)e-point to septal separation (epss) |
| spellingShingle | Ravikanti Karthik Yerramsetty Venu Sashank Kumar Ranjith K. Haward Raymond M-Mode in grade 3 dyspneic patients assessment Halo 194 m-mode echocardiography mitral annular plane systolic excursion (mapse) tricuspid annular plane systolic excursion (tapse) e-point to septal separation (epss) |
| title | M-Mode in grade 3 dyspneic patients assessment |
| title_full | M-Mode in grade 3 dyspneic patients assessment |
| title_fullStr | M-Mode in grade 3 dyspneic patients assessment |
| title_full_unstemmed | M-Mode in grade 3 dyspneic patients assessment |
| title_short | M-Mode in grade 3 dyspneic patients assessment |
| title_sort | m mode in grade 3 dyspneic patients assessment |
| topic | m-mode echocardiography mitral annular plane systolic excursion (mapse) tricuspid annular plane systolic excursion (tapse) e-point to septal separation (epss) |
| url | https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401007R.pdf |
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