Incorporating personal-device-based point-of-care ultrasound into obstetric care: a validation study

Cecilia B. Leggett, Mariam Naqvi, Tania F. Esakoff, Marcio A. Diniz, Melissa S. Wong

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Background: Personal-device-based point-of-care-ultrasound (P-POCUS) probes plug directly into a cell phone or tablet to function as its display, creating the potential to increase access to obstetric ultrasonography in complex healthcare settings (COVID units, low resource settings); however, new technology must be proven to be reliable in the obstetric setting before integrating into practice. Objective: To evaluate the intraclass correlation (reliability) of personal-device-based-point-of-care-ultrasound devices as compared with standard ultrasound machines in obstetrics. Study Design: This was a prospective, observational study of patients between 19–39 weeks gestation in an urban, prenatal ultrasound diagnosis center. Each patient underwent assessment by an expert sonographer using standard ultrasound machines and personal-device-based-point-of-care-ultrasound devices to determine estimated fetal weight. The statistical reliability and agreement between the estimated fetal weights was assessed through intraclass correlation coefficients, Bland-Altman plots, and Pearson correlation coefficients. Results: 100 paired sets of scans were performed from October 2020 to December 2020. For the estimated fetal weights, there was near-perfect agreement, with an intraclass correlation coefficient of 0.99 (P<.0001). Bland-Altman analysis showed an average difference of 53 grams, with 95% limit of agreement between −178 grams and 283 grams. Pearson correlation showed near-perfect correlation between the measurements (r=0.99, P<.0001). Conclusion: personal-device-based point-of-care-ultrasound devices are reliable tools for performing basic obstetrical ultrasound and have the potential to increase access to obstetrical ultrasound worldwide.

Original languageEnglish
Pages (from-to)552.e1-552.e6
JournalAmerican Journal of Obstetrics and Gynecology
Volume226
Issue number4
DOIs
StatePublished - Apr 2022
Externally publishedYes

Keywords

  • Personal-device-based-point-of-care-ultrasound
  • access to care
  • fetal biometry
  • obstetrics
  • pocket ultrasound
  • point-of-care-ultrasound
  • technology
  • ultrasound
  • validation study

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