Trends in utilisation of ultrasound by older Australians (2010–2019)

BMC Geriatrics

Research

Renuka Visvanathan¹  Robert N. Jorissen²  Maria C. Inacio³  Virginie Gaget⁴  Wendy J. Babidge⁵  Guy J. Maddern⁵  David R. Tivey⁵ 

[1]Adelaide Geriatrics Training and Research With Aged Care Centre (GTRAC), Faculty of Health and Medical Sciences, University of Adelaide, 5011, Woodville, SA, Australia

[2]Aged & Extended Care Services, The Queen Elizabeth Hospital, Central Adelaide Local Health Network, 5011, Woodville, SA, Australia

[3]Registry of Senior Australians, South Australian Health and Medical Research Institute, 5001, Adelaide, SA, Australia

[4]Registry of Senior Australians, South Australian Health and Medical Research Institute, 5001, Adelaide, SA, Australia

[5]UniSA Allied Health and Human Movement, University of South Australia, Adelaide, Australia

[6]Surgical Specialities, University of Adelaide, The Queen Elizabeth Hospital, 5011, Woodville, South Australia, Australia

[7]Surgical Specialities, University of Adelaide, The Queen Elizabeth Hospital, 5011, Woodville, South Australia, Australia

[8]Royal Australasian College of Surgeons, 5001, Adelaide, SA, Australia

关键词: Ultrasound;    Echography;    Geriatrics;    Epidemiology;    Diagnostic imaging;   

DOI  :  10.1186/s12877-023-03771-y

 received in 2022-11-03, accepted in 2023-01-23,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundOlder people have increasingly complex healthcare needs, often requiring appropriate access to diagnostic imaging, an essential component of their health and disease management planning. Ultrasound is a safe imaging tool used to diagnose several conditions commonly experienced by older people such as deep vein thrombosis.PurposeTo evaluate the utilisation of major ultrasound services by Australians ≥ 65 years old between 2009- and 2019.MethodsThis population-based and yearly cross-sectional study of ultrasound utilisation per 1,000 Australians ≥ 65 years old was conducted using publicly available data sources. Overall, examination site and age- and sex-specific incidence rate (IR) of ultrasound per 1,000 people, adjusted incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were calculated using negative binomial regression models.ResultsOver the study period, the crude utilisation of ultrasound increased by 83% in older Australians. Most ultrasound examinations were conducted on extremities (39%) and the chest (21%), with 25% of all ultrasounds investigating the vascular system. More men than women use ultrasounds of the chest (184/1,000 vs 268/1,000 people), particularly echocardiograms (177/1,000 vs 261/1,000 people), and abdomen (88/1,000 vs 92/1,000 people), especially in those ≥ 85 years old. Hip and pelvic ultrasound were used more by women than men (212/1,000 vs 182/1,000 people). There were increases in vascular abdominal (IRR:1.07, 95%CI:1.06–1.08) and extremeties (IRR:1.06, 95%CI:1.05–1.07) ultrasounds over the study period, particularly in ≥ 75 years old men.ConclusionsUltrasound is a common and increasingly used diagnostic tool for conditions commonly experienced by older Australians.

【 授权许可】

CC BY   
© The Author(s) 2023

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