Utilidad diagnóstica de la ecografía tiroidea clínica a pie de cama en el paciente hospitalizado con sospecha de tirotoxicosis. Hospital General Universitario Gregorio Marañón
Abstract
Objective: To analyze the diagnostic utility of thyroid ultrasound in hospitalized patients with suspected thyrotoxicosis. Materials and methods: An observational, cross-sectional and descriptive study was carried out in patients with suspected thyrotoxicosis whose consultation was sent to the Endocrinology and Nutrition Service of the aforementioned hospital during a period of 12 months (May 2018 to May 2019) evaluating a total of 14 patients. A member of the department's team of endocrinologists (who was unaware of the clinical data) performed the bedside ultrasound evaluation during hospitalization. Results: Of the 14 patients evaluated, 71.4% (n = 10) were women, overall age was 59.5 years (p25-p75: 50 - 70), with the most frequent admission service being cardiology with 50 % (n=7), presence of arrhythmia the most common reason for admission (39.9%; n=6) and the use of beta-blockers as the predominant drugs (50%; n=7). Only 28.6% n=4) of the evaluated patients had a history of hyperthyroidism. The level of concordance between the presumptive diagnosis prior to thyroid ultrasound and the final diagnosis during follow-up was k=0.424 (p<0.001), while between the diagnosis after thyroid ultrasound and the final diagnosis during follow-up was k=0.832 (p<0.001). Conclusion: Thyroid ultrasound is a useful tool in the management of patients with thyrotoxicosis in a hospitalization ward.
Keywords: ultrasound, thyroid, thyrotoxicosis, diagnosis, thyroiditis.
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